The 10 Best Home Care Agencies for Seniors in Bellevue, WA for 2025

Seniors in Bellevue pay $6,769 per month for full-time home care services, according to data in the Genworth 2021 Cost of Care Survey. This exceeds Washington’s monthly average by about $220, and it’s over $1,800 over the national norm. Seniors in Bremerton pay about $100 less per month for this level of care, and in Kennewick, monthly fees are even lower at $6,197. In Longview, home care agencies charge $6,054 for nonmedical services, and seniors in Wenatchee pay about $860 less per month than home care clients in Bellevue.

Home care agencies in Bellevue charge $6,769 per month for nonmedical services. Home health care, which includes skilled nursing, is available for the same average monthly rate. Older adults seeking a low-maintenance lifestyle may opt for assisted living, which is comparably priced to home care at $6,750 but includes most living expenses. Adult day health care is a budget-friendly alternative to in-home care at $2,600 per month, and nursing home care is considerably more expensive with base rates at $9,916.

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.