Monthly in-home care costs scale with hours; here's what part-time, daily, and 24-hour care typically run in 2025.
What does in-home care cost per month by schedule?
Monthly cost is hours times rate. At a national median near $34 per hour in 2025: 10 hours a week runs about $1,500 monthly; 20 hours about $2,800โ$3,000; 40 hours about $5,800โ$6,000; and 8 hours a day (56 hours a week) roughly $8,000. Continuous 24-hour shift care reaches $15,000โ$25,000+ monthly, while live-in care (with overnight sleep time) often costs $9,000โ$14,000. Companion care lowers these figures slightly; skilled nursing raises them. Your region and agency also shift the totals.
How to plan and reduce monthly costs
Start by matching hours to actual needs โ many families overestimate at first. Consider companion care for lower-need hours and reserve personal or skilled care for when it's truly needed. Live-in care can cut the cost of overnight coverage versus rotating shifts. Then layer funding: Medicaid waivers, VA Aid and Attendance, and long-term care insurance can substantially lower out-of-pocket cost, and blending family caregiving with paid hours helps. Call 1-800-MEDIGAP for a personalized monthly estimate and a review of every program you may qualify for.
