Senior Care Consulting
Senior Care Consulting

Home-Based Support Options Defined

If you have questions about home alternatives and your options, feel free to call us at (913) 945-2800.


Home Care is a term that has become generic, with many different services in the category of “Home Care”. The list below defines the various types of Home Care and their associated costs as well as other alternatives to facility-level care.



Medicare Certified Home Health Care. This type of “home care” is provided by Medicare certified home health care agencies. These agencies or companies are strictly regulated by the state and must be certified by Medicare to provide home health care services, and then remain in good standing going forward. Services provided include physical/occupational/speech therapies as well as skilled nursing. Services are provided on a “per visit” basis and will terminate when the patient reaches their goals or returns to their previous capabilities, typically within the first 60 day certification period. Medicare certified home health care is typically paid for through the Medicare benefit, with no out-of-pocket cost for the patient.


Private Duty Nursing. This type of “home care” is provided by a company licensed by the state and is also strictly regulated. They provide services like the Medicare Certified companies do, not on a per-visit basis but rather on an hourly basis, up to 24 hours per day. Additional services could include IV therapy, ventilator care, respiratory therapy, and complex nursing care. Private Duty Nursing is typically paid for through a Long Term Care insurance policy or privately paid by the patient. Cost could range from $20-$100 per hour.


Non-Medical In-Home Assistance. “Home Care” is arguably the most appropriate and accurate way to describe this type of care. Home Care companies providing Non-Medical In-Home Assistance can be licensed by the state, however, most are not. In recent years, there has been an explosion in the number of these companies doing business in our area. They provide a very important role in assisting a person needing help with their ADLs or Activities of Daily Living. These ADLs typically include assistance with bathing, dressing, grooming, laundry, housekeeping, errands, and cooking. This service may be paid for with Long Term Care Insurance (if the company is licensed by the state) or privately paid by the patient. The cost ranges from $17-$25 per hour with a 2-4 hour minimum up to 24 hours per day.


Independent Caregivers. “Home Care” can be provided by Independent Caregivers that you hire yourself. Many people do this with no issues and usually save a few bucks per hour over hiring a company for their services. However, buyer beware! By saving a few dollars per hour, you are taking on a tremendous liability. You may find yourself with an insurance claim if the caregiver hurts themselves on your property, hurts themselves in an auto accident, if you are missing property (due to theft), and you may even have to pay employment-related taxes as you are now an employer. Most are not licensed, bonded, and insured so the liability shifts to you. What if they just don’t show up and you REALLY need help? Again, buyer beware. This service is always paid for by the patient.


Other Options. Other Options that can help a person stay at home are services from a Hospice Provider, the use of Family and Friend Caregivers, utilizing Church-based Caregiver Programs, making Home Modifications, and purchasing Home Medical Equipment.

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Attention Medicaid Applicants!

Our Full Service Placement Program qualifies as an allowable "spend down" expense.  In a sense, the service does not cost you any extra out-of-pocket expense.  Contact us at 913-945-2800 or send us an email for more information on exactly how this works and how it may benefit you!  

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