The 10 Best Home Care Agencies for Seniors in Chesapeake, VA for 2025

In Chesapeake, the Genworth Cost of Care Survey reports that home care agencies charge $4,767 per month for care. This is equal to Virginia’s median rate but roughly $200 below the national average. Rates are moderate compared to those in other surveyed cities, with seniors in Charlottesville paying about $1,525 more for care and residents in Lynchburg paying around $580 less per month than in Chesapeake. In Richmond, care costs exceed Chesapeake’s average at $5,148, and in Staunton, care costs exceed the local norm by about $570.

In Chesapeake, home care agencies charge $4,767 per month for nonmedical services as well as for specialized home health care. Assisted living rates are comparable at $4,690 but include most living expenses, which may make it an affordable alternative for some. Adult day health care clients spend about $3,100 less per month on care, but in-home care is a cost-effective option compared to nursing home placement, which costs $8,410 per month.

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 to pay 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 nonmedical 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 services 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 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 tax-free portion of your home's equity in cash. 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 have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.