Page Reviewed / Updated – Jan. 22, 2024

Staying at home, also called aging in place, is increasingly popular among seniors seeking options for long-term care. There are a variety of services that offer intensive home health care around-the-clock. In 2024, this kind of care has a monthly cost of $20,740 on average in America, but the specific costs will vary depending on where you live.

Around-the-Clock Home Care: Comparative Costs

In-home caregivers provide a wide range of services for seniors. Models that include personal care assistance for activities of daily living are known as homemaker services or as home care. Home health care encompasses the services of home care but extends beyond it to address specific medical needs, and some providers also offer more specialized services like memory care.

According to the Genworth Cost of Care Survey, the average cost of 24-hour home health care in 2024 is $20,740 per month. That, however, is the national average. There can be a lot of variation between states:

State Hourly Rate 24 hours per day: Monthly Cost 12 hours per day: Monthly Cost 6 hours per day: Monthly Cost
California $35 $25,200 $12,600 $6,300
Georgia $24.60 $17,712 $8,856 $4,428
Illinois $30.60 $22,032 $11,016 $5,508
Nebraska $29.50 $21,240 $10,620 $5,310
Pennsylvania $28.40 $20,448 $10,224 $5,112
Texas $26.60 $19,152 $9,576 $4,788
Washington $37.50 $27,000 $13,500 $6,750

How to Offset 24/7 In-Home Care Costs

Finding ways to offset the costs of 24-hour home health care can be complex. Medicare and Medicare Advantage, for example, offer coverage for intermittent forms of home health care and skilled nursing care, but not for 24-hour in-home support. On the other hand, if certain parts of the services you need count as intermittent (such as occupational or physical therapy), they might still be eligible for coverage. 

Medicaid rules are state-specific, and states offer numerous non-Medicaid funding options as well. You can typically contact your local Area Agency on Aging to seek some guidance regarding the options in your state.

Alternatives to 24/7 In-Home Health Care

Part-time in-home options or residence in an assisted living community are considerably less expensive than 24/7 in-home care. The Genworth Cost of Care Survey lists the national average monthly cost for care in an assisted living facility at $4,917 for 2024. For seniors who don’t need care around the clock, these are more affordable alternatives.