Cost For In-Home Care Services in California

Home care allows seniors to receive professional support while living in their own homes. It helps with daily tasks for older adults and people who need assistance.

In-home care can help prevent falls and accidents, reduce the risk of certain health complications, and support people with disabilities. The average cost in the U.S. is around $4,957 per month.

Home health care services—which typically include nursing or therapy—cost more, averaging $5,148 per month. The price depends on several factors: how many hours the caregiver works, what services are provided, and what supplies are needed.

Costs vary by region, state, and agency. This article focuses on in-home care pricing in California.

• How much do in-home care services cost in California?
• How to calculate in-home care costs
  • Cost per hour
  • Cost per day
• How do you pay for in-home care?
• Final thoughts

How much do in-home care services cost in California?

According to Genworth's cost of care survey, in-home care in California ranges from $4,000 to $4,500 per month on average, though regional prices vary from $3,175 to $5,853.

Marin County and surrounding areas like Napa, Santa Cruz, San Luis Obispo, and San Jose are the most expensive, with monthly costs between $5,250 and $5,853.

Marin County averages $4,750 per month. Los Angeles and Sacramento are comparable at around $4,500 per month.

Inland cities—Riverside, Stockton, Merced, Madera, and Bakersfield—are the most affordable, ranging from $3,175 to $3,650 per month.

How to calculate in-home care costs

In-home care agencies will assess your loved one's needs and provide a cost estimate. Some agencies charge a fee for this evaluation; others don't.

A licensed care worker or agency conducts the assessment. The estimate reflects the specific help your family member needs.

Cost per hour

In California, in-home care is usually priced hourly. If your family member is fairly independent, they may not need 24-hour care.

Part-time care—say, 4 to 5 hours a day—costs less than full-time. Still, the rate depends on the agency's experience and reputation. Most agencies set a minimum: typically two or four hours per day.

Cost per day

Some families prefer daily rates, which work well for around-the-clock care. Daily rates include time for caregiver breaks.

Most agencies charge $200 to $350 per day. The actual cost depends on location and the level of care needed.

How do you pay for in-home care?

Most families in California pay out of pocket for in-home care. Others use coverage from Medicaid, Medicare, Veterans Affairs, health insurance, managed care plans, or community organizations and churches.

• Medicaid
• Medicare
• Veterans Affairs
• Health insurance
• Managed care plans
• Community organizations
• Churches
• Family and friends
• Other sources

Final thoughts

In-home care in the U.S. averages $4,000 to $4,500 per month, with similar pricing in California depending on region. When choosing a service, prioritize qualified and experienced caregivers. Get a clear cost estimate before you decide.