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

At $4,957, seniors in Pikesville typically pay less for home care when compared to their peers across the state, where the average fee is about $150 higher. The 2021 Genworth Cost of Care Survey also reveals that Pikesville’s median fee is equal to the national average. Pikesville isn’t the only city in Maryland with a median fee of $4,957, as seniors in Salisbury and Cumberland also pay similar fees. Savings are possible in California, where the average is about $400 less, although seniors considering relocating to Hagerstown should budget for higher costs, as its monthly cost is about $150 higher.

Pikesville’s most affordable option is adult day care, which is roughly $3,000 less than home care. Assisted living is also lower than home care in cost, but seniors considering this option will need to relocate. Home care’s average fee of $4,957 pays for the most affordable one-on-one service, which typically includes personal care. Home health care’s median of $5,053 pays for additional medical care from registered professionals, while nursing home care is Pikesville’s costliest option at more than double the cost of home care.

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.