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

Leesburg’s average monthly prices for home care are roughly 11% higher than the statewide average of $4,767 and 14% higher than the national average of $4,500. According to Genworth’s reporting, the state’s price range for home care extends from $6,292 in centrally located Charlottesville to $4,185 in Lynchburg, which is roughly 75 minutes south of Charlottesville. Richmond residents see above-average prices that are nonetheless cheaper than those in Leesburg, while Winchester residents see a price of $4,671 that falls between the U.S. and Virginia averages.  

A few other options for long-term care are available in Leesburg. Adult day health care is the least expensive choice and often makes a good fit for seniors who require minimal supervision but whose main caregivers need respite. Assisted living care is slightly more expensive than home-based care. Nursing home care is by far the most expensive choice. In Leesburg, the average monthly cost for a semiprivate room in a skilled nursing facility is well into five digits.

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.