Most in-home dementia care in the United States is private pay, because Medicare does not cover long-term custodial care and Medicaid requires spending down assets first. Sources include savings, pensions, home equity, long-term care insurance and family contributions.
The hourly rate is negotiable with independent caregivers and fixed with agencies.
Why it matters
Knowing the monthly figure early, and how long it can be sustained, shapes every other decision.
Private pay where you live
The local guide on this, for each city we cover.
- Baltimore, MD
- Boston, MA
- Buffalo, NY
- Charlotte, NC
- Chicago, IL
- Columbus, OH
- Dallas, TX
- Denver, CO
- Detroit, MI
- Houston, TX
- Los Angeles, CA
- Memphis, TN
- Milwaukee, WI
- New York, NY
- Philadelphia, PA
- Phoenix, AZ
- San Antonio, TX
- San Diego, CA
- Seattle, WA
- Tucson, AZ