The 10 Best Home Care Agencies for Seniors in Pelham, AL for 2025
Caring.com offers a free service to help families find senior care and authentic reviews to help you in your decision. On average in Pelham, AL, residents and their loved ones rate In Home Care agencies 4.5 out of 5 stars across the 29 options below.
Home Care Services in Pelham, Alabama
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4.9
(13 reviews)
"My uncle was living with me and had to move back to Birmingham for his treatments. I was nervous about this because of family being scarce there. They told me they hired Amanda to help out and I was relieved and nervous. It was actually a great decis..."
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"WestGarden Care's of Alabama – Compassionate In-Home Care for Your Loved Ones At WestGarden Care's of Alabama , we are dedicated to provi..."
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Paying for Home Care in Pelham, AL
The Cost of Home Care in Pelham, AL
Pelham’s average monthly home care cost is roughly $700 less expensive than the national average but also roughly $430 more than the Alabama average, according to data collected by Genworth Financial. Daphne, which is south and near the Gulf Coast, reports Alabama’s highest monthly cost at $4,814, but Mobile, near Pelham, is $1,000 cheaper. Prices drop below $3,000 in the northeastern city of Anniston, while college city Auburn is below the state average at $3,527 monthly.
Pelham
$4,242
Alabama
$3,813
The United States
$4,957
Daphne
$4,814
Mobile
$3,813
Auburn
$3,527
Anniston
$2,955
The Cost of Home Care vs. Other Senior Care Options in Pelham, AL
Seniors who need clinical-level care but still intend to age in place pay $4,338 a month for home health care — slightly more than the price of home care, which doesn’t include light medical services. Assisted living is slightly cheaper at $4,028, while nursing home care is 38% more expensive than home care at $6,768 monthly. Adult day health care is relatively inexpensive at $867 a month, as its hours are limited compared to other options.
Home Care
$4,242
Home Health Care
$4,338
Adult Day Health Care
$867
Assisted Living
$4,028
Nursing Home Care (semiprivate room)
$6,768
Note: Data for Pelham was unavailable, so data for the nearest city, Birmingham, was used instead.
Financial Assistance for Home Care in Pelham, AL
Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.
- Long-Term Care Insurance: Long-Term Care Insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
- Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
- Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
- Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living.Contact the Department of Veterans Affairs to learn more.
- Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.
Free & Low-Cost Home Care Resources in Pelham, AL
Many programs in Pelham and neighboring Birmingham work to support the area’s older adults both physically and financially. Some of the resources in the following chart are overseen by independent nonprofit organizations, while others are government-level initiatives. All are available for low cost or no cost.
Resource | Contact | Service |
---|---|---|
Remedy Center | (205) 783-9170 | This Birmingham-based program collects donations of used durable medical equipment and loans it to area seniors and those with disabilities. There's a small cost to the loan, but seniors can generally get their equipment for under $10. Mobility, safety, assistive and communication devices are available. |
Alabama Weatherization Assistance Program | (334) 242-5100 | Alabama seniors can increase the energy efficiency of their homes and thereby bring down the heating bills through this program. Weatherization upgrades include sealing drafty window and door frames, replacing failing or broken HVAC systems, upgrading lighting and more. |
Senior Property Tax Exemption | (205) 325-5500 | Alabama residents over the age of 65 are no longer required to pay state-level property tax, which can result in saving hundreds of dollars on a tax bill every year. The exemption must be explicitly claimed and renewed each year through the Shelby County Property Tax Commissioner's Office. |
Middle Alabama Area Agency on Aging | (205) 670-5770 | Many services for seniors are available from this agency, including free legal aid, assistance with procuring prescription drugs, limited coverage for primary caregivers and doorstep meal delivery for homebound older adults. Agency representatives can also help seniors claim SNAP benefits to increase food security. |
Determining Your Loved One’s Need for In-Home Care
Aging can be a difficult process, and loved ones may not always ask for help – often times it’s up to their family to evaluate their need for help around the house. While no two situations are exactly alike, this checklist can help you and your loved ones determine when it’s time to start the search for a home care provider.


Guidelines for Talking About In-Home Care
If you’ve determined that your loved one needs the assistance of a care provider in their home, it may be time for a difficult conversation. Handled correctly, however, this process can bring a family together and ensure that everyone’s concerns are addressed. Use this PDF as a starting point to help the conversation stay as positive and productive as possible.


Frequently Asked Questions
Reviews of Care Providers Nearby
Home Care
Carolyn
5.0
Review of Synergy HomeCare of Birmingham, Alabama
We're using Synergy HomeCare of Birmingham for my mother-in-law. They've been very good. We've been very pleased with them. The caregiver is very nice and does everything she needs to do and then...
Home Care
Theresa
5.0
Review of Synergy HomeCare of Birmingham, Alabama
My mother-in-law has someone from Synergy HomeCare once every two weeks or so to help her with shopping or anything she needs assistance with. So far, everything's been OK. The owner of the company...
Home Care
CC
3.0
Review of Synergy HomeCare of Birmingham, Alabama
My overall experience with Synergy is very positive. They are prompt, punctual, and very easy to work with. They helped me when I needed help and did what I asked them to do. However, before the...