Navigating the Cost of Home Health Care in California

Exploring in-home care for a loved one can feel like stepping into unfamiliar territory. For many California families, home care offers a comforting alternative to institutional settings, allowing aging adults to remain in a space that feels familiar. But understanding what it really costs, and how to plan for it, is essential before making any decisions.

Here's a straightforward breakdown of what home health care costs in California, what influences those numbers, and how families can make it work:

What is the hourly cost of Home Care in California?

If you're hiring a caregiver by the hour, you can expect to pay an average of $24.15 per hour in Los Angeles. The typical range falls between $24 to $30/hour, slightly below California's statewide average of $24.67/hour.

These rates apply to non-medical home care, such as help with everyday activities, companionship, errands, and light household support.

Monthly Cost for 40 Hours of Weekly Care

A standard 40-hour schedule costs around $6,436/month in Los Angeles-just below the statewide average of $6,620/month.

This level of care is common for aging adults who live independently but benefit from regular assistance during the day.

Cost of 24/7 Live-In Care

For round-the-clock support, the cost increases significantly. In Los Angeles, 24/7 live-in care averages $27,030/month, slightly under the statewide average of $27,804/month.

National comparisons show this level of care ranges from $250 to $350 per day, or about $7,500 to $10,500/month.

How Do California's Rates Compare?

California's home care costs vary widely. Statewide, rates range from $17/hour to $76/hour. Cities like San Jose and Santa Monica tend to have the highest rates. The median rate for home health aides in the state is $36/hour.

What Affects the Cost of Care?

• Level of care: Basic companionship is more affordable than personal or specialized care (e.g., dementia).
• Number of hours: More weekly hours = higher monthly costs.
• Caregiver training: More specialized credentials usually mean higher rates.
• Location: Urban areas typically have higher rates due to local cost of living.

What's Included in In-Home Care?

• Assistance with daily living (bathing, grooming, dressing)
• Medication reminders and light medical oversight
• Meal preparation and housekeeping
• Companionship and conversation
• Transportation to errands and appointments
• Fall prevention and safety monitoring

For individuals with cognitive decline, caregivers can also provide memory care activities and safety support.

How to Pay for Home Health Care in California

• In-Home Supportive Services (IHSS): A Medi-Cal program that can pay family caregivers for non-medical home care.
• Long-Term Care Insurance: Can help if purchased before care is needed.
• VA Benefits: Aid & Attendance helps veterans and spouses afford in-home care.
• Local Resources: Grants, respite care funding, and nonprofit assistance may be available.

Why Long-Term Planning Matters

With prices expected to rise, planning ahead is crucial. Projections show:

• By 2040, 40-hour-per-week care in L.A. could reach $10,027/month
• 24/7 care could exceed $42,000/month

Every family's situation is different. With the right guidance and tools, home care in California can be accessible, affordable, and impactful. Speaking with a care coordinator can help you build a plan that works for your family and your budget.

1+1 Cares is a referral agency that works for clients and caregivers. We match caregivers with clients and inform them of your requirements. We work for you so you and your loved one can have a safe, enjoyable caregiving experience.