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The 10 Best Home Care Agencies for Seniors in San Antonio, TX for 2024

Explore In Home Care listings in San Antonio, Texas including 98 authentic reviews covering 87 of San Antonio In Home Care facilities.

On average the cost of In Home Care in San Antonio depends on many factors and your loved one's required level of care. We’ve spent hundreds of hours compiling helpful information below these listings, ranging from San Antonio In Home Care costs statistics, to local laws & regulations in the area, to free & low-cost resources to help older adults in the community thrive, and more.

Home Care Services in San Antonio, Texas

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Paying for Home Care in San Antonio, TX

The Cost of Home Care in San Antonio, TX

In San Antonio, home care agencies charge around $4,767 per month for nonmedical care, according to the 2024 Genworth Cost of Care Survey. This cost runs about $950 below the nationwide median and about $427 above the Texas norm. However, local rates compare favorably to rates in many nearby cities. In Laredo, monthly costs trend about $475 higher than in San Antonio, and in Austin, seniors pay around $1,330 more.

San Antonio

$4,767

Texas

$4,290

United States

$5,720

Laredo

$5,243

Houston

$4,671

Waco

$4,576

Austin

$6,101

The Cost of Home Care vs. Other Senior Care Options in San Antonio, TX

San Antonio seniors typically pay around $4,767 per month for in-home care. This cost offers about $760 in monthly savings over home health care, which encompasses skilled nursing services. However, seniors save money by opting for adult day health care, which provides personal care in a nonresidential community environment for around $758 monthly.

Home Care

$4,767

Home Health Care

$5,529

Adult Day Health Care

$758

Assisted Living Facility

$5,125

Nursing Home Care (semi-private room)

$5,323

Financial Assistance for Home Care in San Antonio, TX

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 San Antonio, TX

Seniors in San Antonio can find numerous programs to help them save money, improve their homes and remain independent as they age in place. These programs are offered through government entities and nonprofit agencies and include everything from home-delivered meals to property tax exemptions. 

ResourceContactService
Bexar Area Agency on Aging(866) 231-4922BAAA provides various services to seniors throughout San Antonio and Bexar County, including care coordination for those aged 60 or older, plus nutrition and transportation services. It also offers caregiver support for those caring for senior relatives.
Alamo Area Council of Governments’ Weatherization Assistance(210) 362-5282AACOG’s Weatherization Assistance program helps low-income seniors and other individuals struggling with high energy costs by installing energy conservation measures. Assistance may include installing additional insulation, weather-stripping and caulking. It may also encompass window glass repair and replacement of HVAC, space heaters, window air conditioners and gas water heaters that aren’t operating efficiently.
Texas Comptroller(210) 342-2300Homeowners aged 65 or older qualify for several property tax exemptions in San Antonio. Senior residents may apply for a $40,000 homestead exemption for school district taxes available to all homeowners, plus an additional $10,000 specifically for seniors and disabled individuals. They may also claim a $3,000 exemption for a county special tax on flood control and farm-to-market roads.
Meals on Wheel San Antonio(210) 735-5115Through a public/private partnership, MOW San Antonio provides home-delivered meals to homebound seniors. Volunteers deliver meals for breakfast, lunch and the weekend, including hot lunches and breakfast food items and/or specialty-made frozen meals. MOW also delivers pet food the third weekend of every month through its AniMeals add-on program.
Blueprint Ministries(210) 533-2761Blueprint Ministries repairs and renovates homes for seniors on low incomes, people with disabilities and veterans in San Antonio at no cost. Applicants must live within the service areas, live in the home being repaired and meet income eligibility.

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.

Download
Checklist for determining the need for home care
Checklist for determining the need for home care

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.

Download
Talking with Family and Others about a loved one's needs
Talking with Family and Others about a loved one's needs

Frequently Asked Questions

Reviews of Care Providers Nearby

Home Care

Laura_8

I am a past client of this provider

Review of Hearts at Home Senior Care - San Antonio

They need consistency with the same caregiver. They had good communication.

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Home Care

Lacy M

I am a current client of this provider

Review of Family Tree In-Home Care San Antonio

They took great care of my grandmother and provided the care needed. The communication can be improved with the caregivers on the weekend.

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Home Care

Anita H_2

I am a current client of this provider

Review of Family Tree In-Home Care San Antonio

I do not drive anymore, so I rely on my caregiver to take me grocery shopping, hair appointments and everything I am not capable of doing. I like the agency because they are very attentive, and...

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In Home Care near San Antonio, TX

KirbyLackland A F BWindcrestShavano ParkHollywood ParkConverse

Other Options in San Antonio, TX

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Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

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