The 10 Best Home Care Agencies for Seniors in Great Falls, VA for 2025

Costs for home care in Great Falls are higher than the state and national averages by $382 per month or more. Seniors west of Great Falls, in Staunton, pay the same prices for in-home care, while in Charlottesville, costs are about $950 more per month. Heading north, more affordable rates are found in Winchester, and prices for home care are also less expensive in the southeastern towns near Virginia Beach. 

In-home care and home health care monthly costs in Great Falls are equal, although home health care offers medical services provided by registered nurses and therapists that home care does not. Nursing home care is the most expensive option, at $11,467 for a semiprivate room. Seniors who can access the programs provided by adult day health care centers pay $3,000 less per month than home care. Assisted living costs are a bit pricier than home care, but they include living accommodations and many services on-site. 

Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.

• Long-Term Care Insurance: Long-term care insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
• Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
• Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
• Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living. Contact the Department of Veterans Affairs to learn more.
• Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.