In-Home Care in New York

With lakes, beaches, mountain retreats and big cities, New York is one state that really does have it all. There’s no shortage of amenities for retirees who enjoy art, culture, outdoor recreation, entertainment and sports. The Empire State has a number of practical advantages for older adults too.

Although the cost of living is about 20% higher than the national average, health care is relatively affordable, and residents have access to some of the nation’s best hospitals, including New York-Presbyterian, Mount Sinai and NYU Langone. Additionally, the state has more than 1,300 home care agencies that can give you the freedom to receive some helpful services in the comfort of your own home without the need to give up your friends, neighbors and all the comforts that you’ve come to enjoy. These services cost $5,339 to $5,529 per month depending on whether you’re receiving nonmedical in-home care or doctor-recommended home health care services.

The remainder of this guide takes a look at long-term care costs across New York state and the Northeast. It also provides an overview of financial assistance programs, Medicaid eligibility and free resources that you can start using today.

According to Genworth Financial’s 2021 Cost of Care Survey, which has been tracking long-term care prices for over 15 years, you can expect to pay $5,339 per month for nonmedical in-home assistance in New York. Although prices in the Empire State are almost $400 higher than the national average, it offers a good value for the region. Prices are about $100 cheaper in Connecticut; however, they climb as high as $5,911 in Massachusetts. Vermont’s rates are about $400 higher at $5,720, and seniors in New Jersey pay $190 more per month of care at $5,529.

New York has 10 economic and geographic regions ranging from New York City to the Finger Lakes, so there’s some price variation when it comes to home care rates. Buffalo and Utica are among the most affordable major cities for in-home care. Rates are also lower than the state average in Albany’s Capital Region at $5,148. If you live in the greater New York City metropolitan area, expect to pay slightly more than the state average. Other cities with above-average rates include Rochester at $5,720, Syracuse at $5,911 and Ithaca at $6,101. Worker availability, travel time and expenses and other factors may affect prices in these locations.

In-home care may or may not be the best option for your needs and budget. In some cases, assisted living is more affordable. The median cost for assisted living in New York is $4,580 per month, which is similar to the national average. Adult day health care costs $1,907 if you’d rather travel to a community center instead of having caregivers come to you. For seniors who require medical monitoring, rehabilitative therapy and other services, home care can be significantly cheaper than skilled nursing facilities, which cost $12,775 per month.

New York offers an array of home care programs through regular Medicaid and federally approved waivers. Depending on your needs, you may be eligible for personal care, homemaker services, medical assistance and related supports to help you age in place. Expanded service plans may be available to individuals with more advanced needs. In-home care is covered by the Personal Care Services Program, the Self-Directed Personal Care Services Program and the Managed Long Term Care system. Individuals who don’t qualify for Medicaid can access in-home assistance through a state-sponsored program called Expanded In-home Services for the Elderly Program. Additionally, the state offers several waivers that cover in-home care.

There are several ways to apply for Medicaid in New York. Individuals who are aged 64 or younger should visit the NY State of Health, the state’s official health care marketplace, or call the Medicaid Helpline at (800) 541-2831.

If you’re aged 65 or older or have a disability, your eligibility is not based solely on your modified adjusted gross income. The easiest way to apply for Medicaid long-term care is by contacting your local Department of Social Services. You can review a printed copy of the application and supplement online. Completed applications can be submitted to your nearest DSS office.

What Information You Will Need

Be prepared to provide a variety of information about yourself and other members of your household when you apply. Here are a few items that you may need.

• Personal details
• Proof of identity
• Proof of residence
• Family information
• Existing health coverage
• Citizenship or immigration history
• Health or disability information
• Sources of income
• Housing and expenses
• Financial resources
• Medicare eligibility

In general, Medicare does not cover the cost of non-medical home care. That being said, there are situations in which Medicare provides some coverage for medical home care, referred to as “Home Healthcare.” There are several eligibility restrictions for coverage, including that individuals must be homebound and have a referral from their doctor specifically for home healthcare services.

Below is an overview of some of the skilled medical professionals whose in-home services are typically covered by Medicare – for more in-depth information, refer to our Guide to Home Healthcare.

• Physical Therapists: Physical therapy is used to help patients recover from injuries (broken bones, knee injuries, etc.), treat ongoing conditions such as arthritis, and assist in recovery from surgeries and procedures such as a knee or hip replacement.
• Visiting Nurses: Licensed nurses can provide a number of medical services for those who don’t need to stay in the hospital, but do need regular medical services such as wound care, changing feeding tubes, etc.
• Occupational Therapists: Occupational therapists help seniors regain or maintain the ability to accomplish normal, daily tasks, such as bathing, dressing, eating, and other daily activities.
• Speech Therapists: Speech therapists help seniors who are struggling to adequately communicate due to a stroke, dementia, or any other cause regain the ability to functionally communicate using a variety of means. Additionally, speech therapists help to keep seniors independent by modifying diets, teaching special techniques to swallow safely, and retraining associated muscles.

As mentioned above, in-home care is distinctly different from home healthcare. But, there can be some overlap in services between the two types of care. So, while Medicare doesn’t cover non-medical in-home care, there are in-home care services that may be covered in special circumstances when they’re provided in conjunction with home healthcare (such as an occupational therapist helping with eating or dressing)

To find quality home care providers near you, simply input the zip code or city where you would like to start your search. We have an extensive directory of home care agencies all across the nation that includes in-depth information about each provider and hundreds of thousands of reviews from seniors and their loved ones.