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4.6
(199 reviews)
"I have been very pleased with all the girls and the service. They are very caring and open to any requests. They are a pleasure to have around. ..."
READ MOREThe 10 Best Home Care Agencies for Seniors in Saint Louis, MO 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 Saint Louis, MO, residents and their loved ones rate In Home Care agencies across the 100 options below.
Home Care Services in Saint Louis, Missouri
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4.6
(75 reviews)
"This Homecare Company scores a 10 , all away around. Excellent staff, excellent office support and a strong understanding of what is needed for your loved one. My caregiver arrives on time, goes above and beyond performing extra little task, whic..."
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4.9
(56 reviews)
"Assistance Home Care was more than I could have expected. Their services were the perfect option for my mom. They were on time, trustworthy, and compassionate. I highly recommend to anyone considering home care for their loved one...."
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5.0
(11 reviews)
"We've beeen using Interim HealthCare of Fenton, MO since last year. My mother's mobility is the worst thing right now, so for the most part, they're there in case she were to fall. She needs help with just a couple of stairs. She needs a little bit o..."
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4.7
(10 reviews)
"The staff was professional and caring. They spent the time that was needed to learn about my Mom to give her the best services possible. They recognized how hard this process was for me as an individual having to acknowledge Mom needed outside care, ..."
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4.8
(5 reviews)
"My mother continues to be very impressed with her helpers from Home Instead. The owner is personable and is more than willing to work with my mother's schedule and needs. As an adult child living far from her mother, I know my mother is in good han..."
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5.0
(1 reviews)
"We got Visiting Angels Webster Groves for my husband. They offer everything, but he doesn't really need assistance. It's just cognitive because he can't remember anything. He'll leave the faucet running, he gets confused, he thinks he's in other plac..."
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"For nearly 20 years, TheKey—formerly Home Care Assistance—has delivered quality in-home care, supporting older adults with a wide range of n..."
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5.0
(1 reviews)
"Working with Mary and Chris has been an absolute pleasure. They are incredibly personable, responsive, and always available to address any concerns or needs I have. They are genuinely dedicated to providing quality care for their clients. I highly re..."
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"Here at Home Healthcare provides compassionate and personalized in-home care for seniors and individuals with unique needs. Our experienced ..."
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4.7
(161 reviews)
"Seniors Home Care took wonderful care of my Aunt. When we needed their services, they responded immediately. All of their staff were so professional and compassionate. Our family was able to depend on them to help for as long as needed without any ..."
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4.7
(152 reviews)
" Good Samaritan Senior Care is the perfect solution for seniors and others who need support and are not ready to leave their homes for an in..."
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4.5
(106 reviews)
"Just to make sure that the client is getting everything very good care that they deserve my goal is that the customer comes first at all times if for any reason I am doing something that I see that needs to be corrected or needs to be addressed to Ac..."
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4.5
(78 reviews)
"My dad is still at home with home care. I'm using BrightStar Care of Central St. Louis County. It is provided by the VA. They provide help with a bath, blood pressure, cleaning up, helping get dressed, helping out or in bed if needed, and clean up af..."
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4.8
(35 reviews)
"They are wonderful my mother needed them the nursing director came to the nursing home she was at on day she was discharged to meet us she was very warm and caring explained everything to us and the caregiver that was assigned to her met us at her h..."
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5.0
(10 reviews)
"My husband currently receives care from FirstLight. I cannot say enough good things about this company. They have met every need that he has even though he is a "difficult" client. The caregivers have been professional, reliable, and kind while he..."
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Paying for Home Care in Saint Louis, MO
The Cost of Home Care in Saint Louis, MO
Those looking for home health services in Saint Louis might be surprised to learn it is one of the most expensive regions in the state, according to the 2021 Genworth Cost of Care Survey. In fact, it is several hundred dollars more than both the national and Missouri averages for monthly care costs. Other cities in the area, including Kansas City, Columbia and Springfield, are quite a bit less expensive. Cape Girardeau has the lowest average costs of the entire state.
Saint Louis: $5,482
$5,482
Missouri
$4,767
The United States
$4,957
Kansas City
$4,957
Columbia
$5,053
Springfield
$4,767
Cape Girardeau
$3,756
The Cost of Home Care vs. Other Senior Care Options in Saint Louis, MO
Monthly costs for in-home care in Saint Louis are the same whether you choose home care services or home health care services. However, the cost of opting for an adult day health care is considerably less. It is important to note the fees for an assisted living community are more than $1,000 less per month than in-home care, which is remarkable compared to the rest of the country. Those looking for a skilled nursing center with a semiprivate room can expect to pay moderately more.
Home Care
$5,482
Home Health Care
$5,482
Adult Day Care
$1,918
Assisted Living
$4,100
Nursing Home Care (semiprivate room)
$5,627
Financial Assistance for Home Care in Saint Louis, MO
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.
Saint Louis Home Care Resources
Home care services are only one of the pieces needed for seniors to gracefully age in place. There are many services and programs that are low-cost or free, that enable seniors to enjoy an independent lifestyle in the comfort of their own home, such as help with home modifications, meal delivery services, and more. Below, we’ve compiled a few of the most helpful resources in Saint Louis:
| Resource | Contact | Address | Service |
|---|---|---|---|
| Weatherization Assistance Program | (314) 651-3646 | 3701 Grandel Square, St. Louis, MO 63108 | The Urban League Weatherization Assistance Program is federally funded but also takes donations from local businesses. The program enables low-income households to permanently reduce their energy bills by making their homes more energy-efficient. Priority is given to senior citizens on a fixed income and those with disabilities. Services provided by the program include furnace repairs and replacements, installing insulation, window and door repairs and caulking. |
| Community Centers | (636) 207-0847 | Not Listed (Multiple locations) | Aging Ahead is a nonprofit organization that operates 21 senior community centers throughout the city of St. Louis. Each center provides nutritious meals to seniors participating in activities at the centers and delivers meals to the homes of eligible seniors in the surrounding areas. There is no charge for any of the services or meals at the center but voluntary contributions are always welcomed. Activities offered at the centers include exercise classes, health screenings, arts and crafts, social events and guest lectures. |
| Meal Programs | (314) 612-5918 | 1200 Market Street, St. Louis, MO 63103 | This state-funded program provides home-delivered meals to senior citizens five times a week. The meals are delivered hot at lunchtime from Monday to Friday ensuring that seniors in the area are getting nutritious food on a regular basis. The program aims to keep seniors safely in their homes for as long as they are able to be independent. Nutritional supplements are provided with the meals if a dietician thinks that a senior is lacking in certain vitamins or minerals. A three-meal emergency food pack is provided to all seniors in case of an emergency or inclement weather preventing the standard meal delivery from occurring. |
| Chores and Home Repairs Program | (314) 612-5918 | 1200 Market Street, St. Louis, MO 63103 | The program includes both volunteer and state-funded contractors who perform minor home repairs and chores for seniors in the St. Louis area. The home repairs are funded by the state in general but the senior may have to contribute depending on the scale of the work required. Services offered include basic plumbing and electric work, minor home repairs to the interior and exterior of the building and the installation of ramps. The chore program is entirely carried out by volunteers and no cost is involved. Chores and work offered by the program include yard work, painting, cleaning and gutter clearing. |
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.
