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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 St 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 St Louis, MO, residents and their loved ones rate In Home Care agencies 4.7 out of 5 stars across the 47 options below.
Home Care Services in St Louis, Missouri
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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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"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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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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4.5
(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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5.0
(9 reviews)
"Private Care did an amazing job of having caring staff and always keeping me informed if they could not make the time alotted for my mother. They really did show care and compassion and that made my mom feel so good. ..."
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4.9
(10 reviews)
"This is an awesome resource. I used Griswold for temporary care after surgery and found the people to be wonderful and the scheduling process very accommodating. Highly recommended. ..."
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5.0
(7 reviews)
"I called this company last week and spoke to a senior specialist. He was very knowledgeable in the veterans services that are offered. ..."
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5.0
(6 reviews)
"Im happy that I choose On The Go Homehealth as my provider. They are Professional and Helpful in many ways. My staff goes above and beyond expectations. I love my Aide more like family...Im very pleased. Thank you, Miss J.P...."
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5.0
(6 reviews)
"Excellent service, caring, professional, dependable. Would be happy to be a reference...."
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5.0
(3 reviews)
"A Savvy Healthcare was the reassurance I needed to feeling comfortable to finding assistance for my father’s home needs. Denise went above and beyond to get us the best provider who make sure all of our needs are met, and definitely takes extra care ..."
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5.0
(2 reviews)
"I am a current client of 2 years. I love them! They are so adorable. I don't know what I'd do without them. They really helped me with everything. When I first started as a quilter, 'Melanie' bought me my first big hoop. If I could rate them from 1-5..."
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5.0
(1 reviews)
"Absolutely delightful. The caregiver was wonderful, clean, prompt, polite and really seemed to take pride in her role...."
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Cooperative Home Care Inc
1924 Marconi Avenue, Saint Louis, MO, 63110
5.0
(1 reviews)
"Cooperative Home Care was established in 1986. This means we have significant experience caring for aging parents and for individuals of al..."
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Paying for Home Care in St. Louis, MO
The Cost of Home Care in St. Louis, MO
According to Genworth’s 2020 Cost of Care Survey, seniors in St. Louis pay an average of $4,481 per month for in-home care. This rate matches the U.S. average but is slightly higher than Missouri’s statewide average of $4,372 per month. Other cities across Missouri generally have less expensive home care costs with the exception of Kansas City and Columbia, which are tied at $4,576 per month. Home care in Jefferson City, located 130 miles west of St. Louis, costs $4,052 per month. Cape Girardeau, less than 120 miles south of St. Louis, has the most affordable home care services in the Show-Me State with a monthly average of just $3,318.
St. Louis
$4,481
Missouri
$4,372
United States
$4,481
Cape Girardeau
$3,318
Columbia
$4,576
Jefferson City
$4,052
Kansas City
$4,576
The Cost of Home Care vs. Other Senior Care Options in St. Louis, MO
Although home health care includes skilled clinical services, it costs the same as basic home care in St. Louis, averaging $4,481 per month. Adult day health, which provides weekday care for seniors, costs just $1,842 per month. Assisted living facilities in St. Louis average $3,750 per month, while nursing homes generally require a monthly fee of $5,355.
Home Care
$4,481
Home Health Care
$4,481
Adult Day Health
$1,842
Assisted Living
$3,750
Nursing Home Care (semi-private room)
$5,355
Financial Assistance for Home Care in St. 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.
Free & Low-Cost Home Care Resources in St. Louis, MO
The second-largest city in Missouri, St. Louis is home to many resources that help seniors age in place. Federally funded programs help seniors save money by weatherizing their homes and paying for utility bills. Nonprofit organizations also offer assistance by providing minor home repairs. Seniors can learn more about these programs by reaching out to the agencies below.
| Resource | Contact | Service |
|---|---|---|
| Urban League Weatherization Assistance Program | (314) 615-3646 | Provided by the Urban League of Metropolitan St Louis, a 501(c)(3) nonprofit organization, the Urban League Weatherization Assistance Program lowers seniors' utility bills and improves the comfort and safety of their homes by having professional handymen make repairs and installations that boost energy efficiency. Under the Weatherization Assistance Program, qualified volunteers may caulk air leaks, install insulation, replace doors and replace furnaces. |
| Saint Louis Minor Home Repair Program | (314) 771-5000 | Funded through a combination of federal and local grants, the Saint Louis Minor Home Repair Program promotes in-home safety and boosts seniors' quality of life by offering nonemergency, minor home repairs to local senior citizens aged 62 and up who own and live in their own home. The organization dispatches trained volunteer handymen to fix electrical, plumbing and HVAC deficiencies. The program can also install security-boosting features, including exterior lights and deadbolt locks, and complete accessibility modifications, such as installing handrails and grab bars. |
| Low Income Home Energy Assistance Program | (314) 615-3632 | The Low Income Home Energy Assistance Program is a federal program that helps St. Louis seniors afford utility bills to prevent safety and health hazards caused by insufficient heating and cooling. LIHEAP consists of two subprograms: Energy Assistance, which provides a one-time payment for heating or cooling costs, and the Energy Crisis Intervention Program, which helps seniors through sudden, unexpected resource problems by paying as much as $1,600 toward outstanding utility bills. |
| County Older Resident Program | (314) 615-4516 | St. Louis County offers a lineup of essential services to older adults aged 60 and up who reside in St. Louis County. Allowing three to four days of lead time for scheduling, seniors can arrange rides to local medical appointments and other high-priority destinations thanks to local volunteers. The county arranges volunteers to call homebound seniors by phone to check on their well-being and combat loneliness. Other services provided include senior-oriented presentations, local resource referrals, insurance claims assistance and help filing income tax returns. |
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.
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
Anonymous_7648
5.0
Review of BrightStar Care Central St. Louis County
The caregivers have always been very polite. They ask me if I need to got to the doctor or out shopping. They are very good at what they do. The young lady that comes, is very polite and no...
Home Care
Beth B_23
4.0
Review of BrightStar Care Central St. Louis County
The agency can be more aware of my care needs. The services were not what I thought they would be. The services were not as needed as I thought I would.
Home Care
Paul Z_4
5.0
Review of BrightStar Care Central St. Louis County
It has helped me cope post hospitalization. They have been efficient and are nice.