Home health care in California averages about $22 per hour, depending on the locale and type and intensity of care. It is often the least expensive form of care, and because of increased competition among providers, costs have held fairly steady for the past decade.
How home health care is paid for depends on what services are required and when and how long they are needed. For example, home health care combined with some skilled nursing or physical therapy after a hospital stay is often covered at least partially by insurance or a government program such as Medicare or Medi-Cal. But those who use home health services for longer periods, or require care beyond that covered by their insurance plans or by government programs, usually pay out of pocket.
Potential added expenses: Many people must modify their homes — for example, widen hallways to accommodate a wheelchair or add safety bars to bathrooms — to receive care more easily and safely at home.
Some people also supplement home health services with care outside the home in adult day programs at an average cost of $74 a day, or with adult day health care, slightly pricier at an average of $77 daily. Common sources of help with paying for long term care — such as Medicare, Medigap, private insurance, and US Department of Veterans Affairs (VA) benefits — typically do not cover these costs. However, Medi-Cal does cover some adult day health care for its beneficiaries. Also, some providers offer sliding fee scales and need-based scholarships. And some financial aid is available through local Resources for Living Independently.
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