The 10 Best Home Care Agencies for Seniors in Bethesda, MD for 2025

Q: What types of services can a home care agency in Bethesda provide?

Home care agencies in Bethesda provide companionship care and personal care services, depending on your needs. Companionship care may include activities such as conversation, transportation for errands, preparing snacks and meals and helping with physician-ordered exercises. Personal care services, also called custodial care, may include helping with daily living activities such as bathing, grooming and dressing. Both types of care can help you maintain your safety and independence at home.

Q: How many home care agencies are there near Bethesda?

To match the high demand for in-home care in Bethesda, <a href="https://www.caring.com/senior-care/in-home-care/maryland/bethesda">72 home care agencies</a> serve the region. When determining which agency is right for you, consider factors such as their screening and training procedures, staff qualifications, the scope of services they offer and whether their pricing structure fits your budget. It&#8217;s also a good idea to consider others&#8217; experiences with an agency by researching their reviews.

Q: What is the difference between in-home care and home health care?

<a href="https://www.caring.com/senior-care/in-home-care/">In-home care</a> provides assistance with everyday tasks that often become more difficult with age, including meal planning and preparation, driving to grocery stores and medical offices and personal care activities such as bathing and dressing. Home care attendants may also provide medication reminders, mobility assistance and companionship. Like home care, <a href="https://www.caring.com/senior-care/home-health-agencies/">home health care</a> takes place in the individual’s home. However, it’s for those with medical needs. This type of care provides skilled nursing services such as managing catheters and intravenous lines, administering injections and medications and wound care. In Bethesda, both types of care <a href="https://www.genworth.com/aging-and-you/finances/cost-of-care.html">cost $5,339 monthly</a>.

Q: Assisted living homes vs. home care: how to decide?

<a href="https://www.caring.com/senior-living/assisted-living/">Assisted living</a> and home care both provide solutions for older adults who need help with some daily living activities. Deciding the right option for your needs requires considering your preferred environment, whether you can continue navigating your home safely, whether you’re at risk of isolation and your budget. Assisted living costs more than home care, but because it includes housing and meals, it’s affordable for many seniors. It offers a social environment with scheduled activities, but seniors have limited control over their caregivers and schedule. Home care may be costlier for some but lets seniors live in their own homes.

Q: What is in-home respite care?

Many seniors rely on assistance from friends and family with activities such as transportation, light housework, meal preparation and companionship. When regular caregivers go on vacations, become ill or otherwise need time away, this can disrupt their loved one&#8217;s care. To avoid this, many seniors and families arrange in-home respite care. This care is typically provided by private home care agencies and can be on an intermittent basis or monthly, weekly or daily, depending on your needs.

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Paying for Home Care in Bethesda, MD

The Cost of Home Care in Bethesda, MD

The 2021 Genworth Cost of Care Survey estimates home care costs in Bethesda at $5,339 per month based on rates in nearby Washington, DC. This is high compared to the Maryland average of $5,148, as well as the national norm of $4,957. Seniors in Hagerstown pay $5,148 for monthly services, and in Baltimore, care costs align with the national average. In California, rates are hundreds of dollars below Bethesda’s average at $4,576.

Bethesda

$5,339

Maryland

$5,148

The United States

$4,957

California

$4,576

Baltimore

$4,957

Hagerstown

$5,148

The Cost of Home Care vs. Other Senior Care Options in Bethesda, MD

Home care agencies in Bethesda charge $5,339 per month for non-medical care. Despite providing specialized skilled nursing services, home health care agencies charge the same rate. Home care is an affordable alternative to assisted living, which costs residents approximately $5,948 per month. Nursing home care is the costliest long-term care option in Bethesda at $11,467 for shared accommodations. Adult day health care, which features personal care services, meals and recreational activities in a daytime community environment, is the cheapest at $2,282.

Home Care

$5,339

Home Health Care

$5,339

Adult Day Health Care

$2,282

Assisted Living

$5,948

Nursing Home Care (semiprivate room)

$11,467

Note: Data for Bethesda was unavailable, so data for the nearest city, Washington, DC, was used instead.

Financial Assistance for Home Care in Bethesda, MD

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 Bethesda, MD

Bethesda seniors who want to live in their own homes but need help with some tasks may be able to obtain the assistance they need through community-based programs. The region is home to several nonprofit agencies that provide low-cost services, including an Area Agency on Aging, a veterans’ services office and Meals on Wheels. These organizations can help older adults find services in the community or identify ways to fund private home care.

Resource	Contact	Service
Bethesda-Chevy Chase Meals on Wheels	(301) 654-4610	The local Meals on Wheels program delivers meals to Bethesda residents unable to obtain meals due to advanced age or disability. Two meals are delivered daily, including a frozen dinner and a hot, freshly prepared noontime meal. The cost is $9.60 per day, but financial assistance may be available.
Area Agency on Aging	(240) 777-1120	The Area Agency on Aging provides services for those aged 60 and over in the community, helping them obtain the support and resources they need to remain independent at home. It administers several financial programs, including utility and rental assistance, home care services and respite services.
Montgomery County Commission on Veterans Affairs	(240) 777-1246	The county’s Commission on Veterans Affairs advocates for older veterans in Bethesda, helping them apply for programs and benefits that may reduce out-of-pocket home care expenses. At the local office, seniors can get information on the veterans' home care program as well as Aid and Attendance.
Greater Bethesda Senior Services Database	(301) 652-4900	The Greater Bethesda Chamber of Commerce has an up-to-date list of agencies that provide free and low-cost services for seniors in the region. Seniors can search for agencies that offer chore services, in-home care, home and yard maintenance and financial planning.
Montgomery County Senior Services	(240) 777-3000	The county’s Senior Services division operates senior centers throughout the region where members participate in social and recreational activities. It also provides information on resources for seniors throughout the region, including library-based programs, ADA-accessible transportation and the Vital Living Network. It also publishes information on the senior property tax credit.

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 – oftentimes 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.

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Checklist for determining the need for home care

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.

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Talking with Family and Others about a loved one's needs

Frequently Asked Questions

What types of services can a home care agency in Bethesda provide?

How many home care agencies are there near Bethesda?

What is the difference between in-home care and home health care?

Assisted living homes vs. home care: how to decide?

What is in-home respite care?

Reviews of Care Providers Nearby

Home Care

McKinley B

5.0

March 26, 2025

I am a current client of this provider

Review of Griswold Home Care of Bethesda-Chevy Chase

They help me feel confident, and they also help my husband. I think the people that represent them are qualified.

Home Care

Josh Muravchik

5.0

March 24, 2025

I am a current client of this provider

Review of Seniors Helping Seniors Bethesda

My wife, 84, suffers from memory loss. She is able to care for herself bodily but has become greatly dependent. She needed more company than just me; and I needed relief from attending to her...

Home Care

Christine

5.0

February 21, 2025

I am a past client of this provider

Review of Seniors Helping Seniors Bethesda

I am appreciative of the great care they took of my mom. The caregivers were friendly and helpful and it was easy to get in touch with management and make changes.

The 10 Best Home Care Agencies for Seniors in Bethesda, MD for 2025

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On this page:

Paying for Home Care in Bethesda, MD

The Cost of Home Care in Bethesda, MD

The Cost of Home Care vs. Other Senior Care Options in Bethesda, MD

Financial Assistance for Home Care in Bethesda, MD

Free & Low-Cost Home Care Resources in Bethesda, MD

Determining Your Loved One’s Need for In-Home Care

Guidelines for Talking About In-Home Care

Frequently Asked Questions

What types of services can a home care agency in Bethesda provide?

How many home care agencies are there near Bethesda?

What is the difference between in-home care and home health care?

Assisted living homes vs. home care: how to decide?

What is in-home respite care?

Reviews of Care Providers Nearby

In Home Care near Bethesda, MD

Other Options in Bethesda, MD

Home Care near Montgomery County, MD

More Options Near Bethesda, MD

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