Funding Programs

Paying for Home Care

If you are considering in-home care for your loved one, you probably have a lot of questions about how to pay for care. Virginia Kares is here to help you find the best options based on your situation.

What are some of the ways we might pay for in-home care?
There are several ways to help pay for in-home care. Some options include; Medicaid, PACE, Long-Term Care insurance (LTCi), life insurance, Veteran’s benefits, a home equity loan, or a reverse mortgage. We will briefly address each of these.
Can I use Medicare to pay for in-home care? 
Medicare Parts A and B cover some aspects of in-home care, such as skilled nursing care, physical therapy, speech-language therapy, or occupational therapy through a certified home health agency. This is typically associated with an episode of care. Medicare typically does not cover long-term home care, such as services provided by a home health aide.

If I am a Veteran can I apply for any benefits that will help cover home care costs? 

This needs to be added: A homemaker or home health aide is a trained person who can come to a veteran’s home and help the veteran take care of himself and his daily activities. Homemakers and home health aides are not nurses, but they are supervised by a registered nurse who will help assess the veterans daily needs.

Homemaker Home Health Aides work for an organization that has a contract with VA. A homemaker or home health aide can be used as a part of an alternative to nursing home care, and as a way to get respite care at home for veterans and their family caregiver. The services of a homemaker or home health aide can help veterans remain living in their own home and can serve veterans of any age.

Veterans who are age 65 or over, or otherwise classified as “totally disabled” according to VA guidelines, and who require assistance with Activities of Daily Living, may qualify for monthly assistance for home health care through the Department of Veterans Affairs Aid and Attendance or Housebound Approved Pension benefits. The requirements are less stringent than Medicaid requirements to qualify for a home health aide. Veterans may qualify to receive up to $1,788 monthly, as of 2015. Widowed spouses of Veterans may qualify to receive assistance on a monthly basis. To see if you qualify, check limits, and apply go to VeteranAid.Org.

Does LTCi pay for in-home care?
LTCi is an additional insurance policy that specifically covers long-term care costs. There are two different kinds of long-term care insurance: tax-qualified and non-tax-qualified. Tax-qualified insurance payments count as a deductible medical expense but may have stringent requirements that must be met prior to opening a claim. Non-tax-qualified policies are not deductible, but you may be able to open a claim without meeting criteria depending on your medical condition. Upon opening a claim, you may encounter a waiting or “elimination” period. This is typically a period when you are responsible for paying your long-term care costs out of pocket prior to being eligible for reimbursement.

Depending on the carrier and plan, an LTCi policy may reimburse a daily amount for nursing home care, and a percentage of that daily benefit for in-home care. Since in-home care is typically less expensive than nursing home care, your out-of-pocket costs may be the same regardless of whether you choose a nursing home or the comfort of receiving care in the home. Shop carefully and make sure you understand the policy before making a purchase. You need to make certain that it will meet your expectations if you need long-term care at some point.

How can I use my life insurance to help pay for long-term care? 
There are several ways to use a whole (universal) or term life insurance policy to pay for home care, including cashing in your policy at face value, “surrendering” it for a predetermined amount, or selling it to a settlement firm for a cash value. You may also take advantage of “Accelerated Death Benefits,” which permit you to cash in your policy for a monthly benefit of one to two percent of the cash value, up to 50 percent of the policy’s total value, to pay for home care. Finally, you may be able to convert your policy into a long-term care benefits plan, which provides monthly payments toward home care without affecting Medicaid eligibility. In many cases, you or your loved one will have to pay taxes on the income derived from the sale or surrender of the policy. Cash from life insurance benefits may also affect other program eligibility such as Medicaid. In some cases, there are no restrictions on the home health aide you hire for long-term care.

Can a home equity loan or reverse mortgage be used to pay for home care? 
If you have equity in your home and a source of income, perhaps through investments or retirement savings, a home equity loan is one option to pay for home care. If you are 62 or older, and on a fixed income, a reverse mortgage lets you tap into your home equity to pay for home care. Under this scenario, you would be granted a loan from the bank based on the equity in your home. You don’t have to pay that money back until you sell the home or die. You must still pay property taxes, insurance, and interest on the reverse mortgage. It’s important to remember that tapping into your home’s equity to pay for home care can create challenges if you want to sell your home or can reduce the inheritance for your surviving family members.

Home owners can never owe more than their home’s value

2) Lenders cannot force seniors out of their homes

3) Loans become due when the last borrower sells the home, moves out of the home for 1 year or passes away

4) Reverse mortgages don not affect one’s medicare or social security benefits but can potentially impact Medicaid eligibility.

5) Reverse mortgage can be re-financed; therefore a down real estate market should not be a consideration factor

6) There is no restrictions on how the money can be used

Does Medicaid pay for home care? 
Medicaid is jointly funded by the federal and state governments, and eligibility is determined at the state level. Medicaid may help pay all or a portion of your home care costs if you meet eligibility requirements based on your finances and your physical health. If your income or assets are too high for you to qualify for conventional Medicaid, you may qualify for one of Medicaid’s Home and Community-Based Services (HCBS) “waiver” programs. The maximum allowable assets to qualify for an HCBS program is higher, as the program is designed to help seniors “age-in-place” longer and to keep individuals out of nursing homes for as long as possible. Go to, and search under your home state to find out if you qualify for Medicaid or an HCBS waiver program.

What is PACE and how can it help me pay for in-home care? 
The Program of All-Inclusive Care for the Elderly (PACE) is a Medicare and Medicaid program designed to help seniors age-in-place. If you are 55 years or older, are currently receiving Medicare or Medicaid benefits, and are in need of long-term care, you may qualify for PACE if it is available in your community.

Funding Options:

One of the most common questions we receive is: Are there any programs available to help pay for non medical Home
Care Services?
Answer: There are some programs available for eligible clients. Here are the most common ways Home Care services
are funded.

Private self-pay:

is typically how non-medical services are paid for. Your family is probably like many others: surprised, shocked,
and even disappointed to discover that non-medical, in-home care services are not covered by Medicare. Self-pay,
otherwise simply known as paying out of your own pocket, is the most widely accepted payment for
non-medical home care.

Long-term care insurance:

allows coverage for home health aides, should your folks be so lucky to have such a policy. Although policies and
plans vary greatly on amount and extent of coverage, they all require that services are provided through a licensed
home care agency.

Veteran aid and attendance:

is a most valuable benefit overlooked by many families with Veterans or surviving spouses. Aid and Attendance
benefits are available to Veterans who served at least 90 days, with at least one day
during wartime.

Reverse mortgages:

are growing in popularity for seniors who are 62 or older and need money to pay for essential expenses. Basically,
it works by allowing your elderly parents to convert the equity of their home into cash without having to
sell the home.

Family caregiver:

support programs reimburse family members to care for loved ones. However, the availability of these programs is
limited due to lack of funding.

  • Local Department of Social Services
  • Galax City
  • 105 E Center st
  • Galax VA 24333
  • 276-236-8111
  • Grayson County
  • 129 state Rte T 1101
  • Independence VA 24348
  • 276-773-2452
  • Wythe County
  • 290 S 6TH St,
  • Wytheville VA 24382
  • 276-228-5493
  • Pulaski County
  • 53 Commerce St
  • Pulaski VA 24301
  • 540-980-7995
  • Carroll County
  • 605 Pine St #8
  • Hillsville VA 24343
  • 276-730-3130
  • Floyd County
  • 120 W Oxford St #B
  • Floyd VA 24091
  • 540-745-9316
  • Patrick County
  • 106 Rucker St #128
  • Stuart VA 24171
  • 276-694-3328

What are the benefits to “private pay” home care? 
When you pay for home care with cash rather than using Medicaid or long-term care insurance, you may hire any home health aide you desire, for as long as you desire, with no restrictions other than the amount of money you are willing and able to pay. Furthermore, you do not need to be concerned about meeting any medical requirements to hire a home health aide. If you need extra support with ADLs, you can hire someone to help, without any restrictions or medical proof from a doctor.

Is in-home care less costly than moving to an assisted living facility? 
As you consider ways to pay for home care for yourself or your loved one, it is best to consider your alternatives before making a decision. Is moving to an assisted living facility less expensive than hiring home care? The median cost for a one-bedroom assisted living apartment is $3,500/month or $42,000/year. If you are living in your own home and your home is or is close to being paid-off, the costs of home care plus your living expenses probably won’t come close to that. Home care offers the flexibility, privacy, and independence you may not receive in an assisted living facility. With home care, you only pay for the services you need. You won’t have the hassle, stress, or additional expense of a move, and you’ll be able to stay in comfortable surroundings. If loved ones can fulfill caregiving duties at least some of the time, you may be able to reduce home care costs even further. As the prices for assisted living continue to rise, and as home care services grow in popularity, more and more seniors are making the decision to age-in-place. Virginia Kares can help by matching you with the Caregiver that’s right for you.

Virginia Kares Home Care Services LLC

Virginia Kares Home Care Services LLC