The 10 Best Home Care Agencies for Seniors in Nassau County, NY 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 Nassau County, NY, residents and their loved ones rate In Home Care agencies 4.6 out of 5 stars across the 100 options below.

Due to the proximity of Nassau County to New York City, the areas share the same monthly cost of $5,529. Care in Nassau County is slightly more expensive than the average cost of care across the state of New York and around $600 more expensive than the national average. Close by in Poughkeepsie, seniors pay around $5,339 for care, which is slightly lower than Nassau County. Care is the most affordable in Buffalo, averaging around $4,957 per month, and considerably more expensive to the south in Ithaca, where it costs $6,101 per month.

The most affordable care option in Nassau County is adult day care, which costs around $1,950 per month. For seniors who prefer to age in place, home care, which includes personal care, costs around $5,529, and home health care, which includes light medical services, costs slightly more at $5,720. Seniors in assisted living communities typically pay slightly more than home care ($5,750) and seniors in nursing homes pay significantly more, costing around $12,471 on average.

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.