The 5 Best Home Care Agencies for Seniors in Alton, IL 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 Alton, IL, residents and their loved ones rate In Home Care agencies across the 9 options below.

The average monthly rate for home care in Alton is $5,482, according to Genworth’s 2021 Cost of Care Survey. Because Alton is just 30 minutes north of downtown St. Louis, the average cost for that city was used. The average rate in Illinois is $5,339 per month, and the national average is $4,957, which are both less than what seniors pay in Alton. Cities close to Alton all have lower monthly rates for home care, including Carbondale at $4,576 and Springfield at $5,100, while Decatur’s residents pay a higher monthly average of $4,767.

The costs of other types of senior care fluctuates throughout the state. Home care and home health care have the same monthly costs of $5,482, even though home health differs slightly by offering light medical services that include skilled nursing and therapy. Adult day care has a monthly average of around $1,918 per month, and an assisted living community costs around $4,100. A semiprivate room in a nursing home is the costliest at $5,627.

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.