11 home care communities across 5 cities in Montana. Montana's senior-care market spans Billings, Missoula, and Great Falls, with smaller offerings in rural communities.
Home care brings personal-care services and companionship into the senior's own home rather than moving them into a community.
Pick a city to see communities, compare amenities, and request pricing.

Bozeman, MT

Bozeman, MT

Missoula, MT

Helena, MT

Bozeman, MT

Kalispell, MT

Arlee, MT

Missoula, MT

Missoula, MT

Helena, MT

Missoula, MT
Home Care (typical US range)
$25 - $45 per hour (US, 2026)
Most agencies require a minimum number of hours per visit, often 4 hours. Round-the-clock home care can run $20,000-$30,000+ per month, often more than a private room in assisted living. Long-term care insurance and VA Aid and Attendance can offset costs; Medicare covers medically prescribed home health (a different service) but not non-medical home care.
Surprisingly, the cost of living in Montana is almost 7 points more than the national average, but there is a catch. The cost of living comes from its groceries and housing are much more, but the median home cost and rent are less. Also, the utilities are nearly 12 points below the national average. So, it is possible to find an affordable home to retire to with low utility costs with a bit of luck. If you can find that, you're in for a state that can be breathtaking for you to be in, and we believe that you will love what you see. Montana's cost-of-living index is 106.9 (100 = US average). The median home price is around $230,600. Average rent runs about $810 a month.
Home care fits seniors who can safely stay in their own home with some help, family caregivers who need respite, and households where moving to a community isn't the right answer (because of cost, preference, or a spouse who isn't ready). It's not appropriate for someone who needs 24-hour skilled nursing or active medical treatment - that's home health or a skilled-nursing facility.
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Tell us the city, budget, and care level you're considering. We'll send pricing for Montana home care communities that fit. No phone calls until you ask.
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