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

The Washington metro area includes Manassas and has an average home care cost of $5,339 per month, based on Genworth Financial’s 2021 Cost of Care Survey. This pricing is nearly $600 above the Virginia average and higher by almost $400 than the national median. Winchester is the most affordable nearby option, saving Manassas seniors about $700 monthly. State capital Richmond costs $200 less than Manassas, while Charlottesville in Central Virginia charges an average of nearly $1,000 more for home care. Baltimore in Maryland is similar to the national average.

Home care and home health care both cost $5,339 on average per month, but the latter option may cost more based on the actual health aide services to be provided. Assisted living is more expensive by about $600, but covers monthly room and board. Nursing home care is more than double the cost of home care due to the inclusion of 24-hour skilled health care support, while adult day health care costs less than half as much because of its limited weekday service hours outside the home, often at a community center.

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.