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How much does home and domiciliary care cost in 2024?

The average price of domiciliary care is
$16 - $27 per hour

depending on your location and what you need from a carer.

Are you looking to hire a home care specialist to care for yourself or a loved one at home? Read our handy guide to find out how much your home and domiciliary care is likely to cost.

Navigating the healthcare landscape for an aging family member is no small task. For many, the question of whether to opt for domiciliary care, also known as home care, is closely intertwined with concerns about cost and quality. Understanding the financial implications of home care not only empowers families but also ensures that the best possible solution is reached for aging loved ones.

Here, we dissect the 2024 landscape of domiciliary care costs in the United States, offering transparency and insights to guide families in making informed and compassionate decisions. And when you're ready to research prices from local professionals in your area, you can get free quotes from expert domiciliary carers here.

First, What is Home and Domiciliary Care?

Home care

Home and domiciliary care is support or health care which is delivered in your own home. A home care specialist will enable you to maintain your independence whilst having that extra support when you need it the most.

Home care offers a popular alternative to moving into a care home. Home and domiciliary care enables you to continue living in your own home with your familiar surroundings, whilst receiving as much support as you need.

Whether you need help collecting your shopping, preparing meals, collecting prescriptions or carrying out personal care tasks, home care specialists can help. Many clients who live alone also enjoy having someone to talk to when their home carer visits.

The Average Hourly Cost of Home Care in the US

Home care

The latest data from 2024 reveals that the umbrella cost of hourly domiciliary care in the US ranges from around a minimum of $16 to a maximum of $27. The average cost typically hovers at $20. This price framework is informed by multiple variables that directly impact the service provision and the well-being of the recipient.

Average cost of Home & Domiciliary Care
Average cost (hourly)$20
Minimum cost (hourly)$16
Maximum cost (hourly)$27

Understanding these numbers not only prepares families for budgeting but also underscores the value of the service offered. For those on the precipice of selecting the best care plan, these benchmarks can be helpful for financial preparation.

Factors That Affect the Cost of Hiring Domiciliary Care

The hourly rate for domiciliary care can fluctuate quite dramatically based on several considerations. The most significant of these are:

  • Geographical Location:

    Home and domiciliary care prices vary across the country, with each state having its own average cost of care and charges associated with in-home care. Some states are more expensive than the US average whilst others fall below the average. Take a look at the section below for a breakdown.

  • Specialized Care:

    Individuals with complex medical needs may require caregivers with specialized training. For example, you may be looking for a home care specialist who is experienced with complex conditions such as brain injuries, neurological conditions or end of life care. This specialized care can command a higher hourly fee due to the specialist training required.

  • Duration of Care:

    Longer working hours for a care provider generally lead to reduced hourly rates, aligning with the principles of economy of scale.

  • After-Hours Care:

    Although most home care specialists will work office hours, some may offer additional hours outside of their regular working hours. This could include early mornings, evenings, weekends and bank holidays. However, opting for hours outside of the usual working hours are likely to incur extra charges, increasing the price of your home care.

Average Home Care Prices per Hour by Location

Home care

For families across different states, it’s essential to note the variances in the hourly rates because location does matter. Here's a snapshot of the swing in domiciliary care prices across a range of states according to our research:

Average cost of Home & Domiciliary Care based on location
Location Average cost (hourly)
North Dakota$27
North Carolina$18
Rhode Island$25

The information can be used as a point of reference, but remember that proactive research in your local area is key to finding the right carer for your budget.

Finding and Choosing Home Care for an Elderly Relative

Home care

Selecting the right home care provider is a critical decision. Families should look for services that not only align with their budget but also cater to the individual needs and preferences of the senior citizen. Here’s how to approach the search:

  • Assessment:

    Begin with a thorough evaluation of the care recipient’s needs. This will narrow down the type of service required, be it companionship, personal care, medical aid, or home helper services.

  • Research:

    Utilize a combination of online resources, word-of-mouth recommendations, and official directories to compile a list of potential care providers. Use services like Bark to find local professionals who can give you no-obligation quotes and chat to your about your needs.

  • Interview Process:

    Once a shortlist is developed, conduct face-to-face or virtual interviews to gauge compatibility, professionalism, and the ability to meet specific care needs.

  • Trial Period:

    Consider starting with a short trial to ensure that both the caregiver and your relative feel comfortable with the arrangement.

Why It's Worth Paying for Domiciliary Care

The financial commitment to domiciliary care should be reinforced by an understanding of its benefits. Home care promotes independence, provides personalized care, and allows the senior to maintain a routine within the comfort of their own home. It also often results in faster recovery times and reduced rates of hospital readmission.

Families considering private home care should weigh the cost against the value of individualized attention and flexible scheduling. Home caregivers, while potentially more expensive depending than group homes depending on how many hours they work, can offer a deeper one-on-one approach that some seniors might prefer.

Funding Sources for Home Care in the US

Home care

Many may wonder if insurance covers domiciliary care. The support landscape is as varied as the states themselves. Here's a snapshot:

  • Health Insurance:

    Some private health insurance plans offer coverage for home care, especially when deemed a medical necessity. Check with your provider for more details.

  • Medicaid Waivers:

    Medicaid funds home care services under certain circumstances, catering to those who meet specific financial and health criteria.

  • Medicare:

    Limited coverage for home care can be obtained through Medicare's home health services for beneficiaries who meet the criteria for skilled nursing care at home.

In the absence of comprehensive coverage, personal savings, long-term care insurance, and Veterans Affairs benefits can help fill the funding gap.

Domiciliary Care Costs vs. Elderly Care Home Costs

According to the National Council on Aging, the average monthly cost of nursing home care in the US is $9,034 for a private room, although the price will vary depending on the location and the facilities offered.

Comparing the costs of domiciliary care with those of elderly care homes is not a straightforward task, as it largely hinges on individual circumstances. However, the flexible and personalized nature of home care, especially when contrasted with the expense of residential care facilities, often proves to be an economical and emotionally rewarding option.

So, Should I Hire a Home Care Specialist?  

Home care

Home care specialists can provide a high level of care and support within your own home. From helping with shopping and preparing meals, to assisting with your personal care, a home care specialist can enable you to maintain your independence whilst offering the support you need.

For those who only require a couple of hours of care each day, home care typically works out cheaper than moving into a care home. It also means that you can stay living in your own home, in familiar surroundings and near to your friends and family. You can also continue living with any pets you might have.

Opting for in-home care also allows you to choose how much care you require. You can increase or decrease the hours you need as your circumstances change and choose which aspects of your life you require support with, making your care completely customizable.

When you’re hiring a home care specialist, you’ll need to put a lot of consideration into your decision. Bark can help. Search for home care specialists, read reviews from genuine customers and request quotes from local carers today

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