In Home Care is designed to support those who do not desire or need to leave their homes, but do require assistance with one or more of their daily activities. Care in the home can take on a variety of shapes and sizes and can incorporate family, friends, and professional assistance. I think most people, given a choice, would prefer to receive assistance from someone they know, family or friends. There are certainly situations, however, that family or friends providing care is not appropriate, or does not appeal to everyone, including the family and friends. If professional support needs to be hired, here are a few considerations and questions to ask the agencies you are interviewing.
1. Most In-Home Care agencies have hourly minimums, usually 2-4 hrs. If a shift does not meet these minimums, the client may still have to pay for the full shift.
2. Make sure the agency you are considering is licensed, and caregivers are bonded and insured.
3. What kind of training and orientation do the staff participate in?
4. Is there a nurse to oversee the caregivers and provide training?
5. What is the process if a caregiver is sick or does not show up for a shift?
6. What are the fees? Do you pay less for longer shifts? Does the agency bill monthly or weekly? Do they provide transportation to doctor appointments, grocery store, etc...?
7. Does the agency have access to other resources in the community should you need them?
8. Check inspection results at medicare.gov medicare.gov.
9. Ask to see references and testimonials. You can review online ratings from other consumers.
What is the advantage of hiring my own private caregiver?
* generally less expensive than working with an agency
* caregiver is your employee, they work for you.
* may be able to exchange care services for room and board, this works well for students
What is the advantage of hiring an agency?
* agency pays taxes, insurance, etc... No liability on your part, less risk
* shift will always be covered
* agencies are regulated and must pass inspections to operate
What type of Assistance can a caregiver provide?
* Bathing/ Grooming
* Light Cleaning
* Shopping
* Laundry
* Meal Preparation
* Toileting
* Dressing
* Mobility
* Night care
How Much Does In-Home Care Cost?
I have seen quite a range for costs, anywhere from $12-$22 per hour, depending on geography and duties of the caregiver. If the caregiver is a CNA, the cost will typically increase due to training that the individual has received.
Who Pays for In-Home Care?
* Private Pay (you)
* Long Term Care Insurance- check your policy for restrictions and make sure agency is able to accept payment from Insurance provider
* Some Health Insurances- check your policy
* Medicaid- offers limited in-home care programs for those who qualify
Amie Clark, Founder, The Senior List (theseniorlist.com theseniorlist.com).
Amie has worked as a medical social worker for the past 10 years of her career. She is a strong advocate for seniors and is well known as resource for seniors and their families who are navigating the maze of long term care.
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