The 10 Best Home Care Agencies for Seniors in Round Hill, VA 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 Round Hill, VA, residents and their loved ones rate In Home Care agencies across the 51 options below.

According to Genworth’s Cost of Care Survey 2021, in-home care from Round Hill is the most affordable in the country, costing $4,671 per month, slightly lower than the national median of $4,767. With the Virginia average being $4,957, Round Hill also compares favorably with other cities within the state. To the southeast, Harrisonburg seniors pay $4,957, while those in Charlottesville spend $6,292 monthly, the highest rate in Virginia. Home care providers charge $5,148 in Richmond, and just across the state line, those in Washington, D.C. charge $5,339 per month.

Round Hill seniors have access to different care types to suit their needs, with costs varying depending on the services provided. At $4,671, in-home care is the second most affordable option behind adult day care, where seniors pay $1,278 per month. Retirees who require basic medical care at home can opt for home health care at $4,814. Although similar to home care, additional services are typically provided by registered nurses or therapists and can include IV administration, wound care and wellness monitoring. Seniors requiring the highest level of care in Round Hill spend the most, with nursing homes charging $11,102 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 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.