Home care in New York City
How to compare home care costs in NYC
An hourly rate is only one part of the bill. Compare written quotes for the same tasks, hours and days before you choose an agency.
Get the weekly cost in writing
Ask each agency for the rate, minimum hours per visit, number of visits per week and any weekend, overnight or holiday rates. Ask about assessment fees, deposits, cancellations and what happens if you need to change the schedule.
If you need three hours a day on four days, ask what the agency bills for that schedule. An agency with a four-hour minimum could bill 16 hours, while one with a three-hour minimum could bill 12. Compare each weekly total, including fees.
Check which services your coverage may pay for
- Medicare home health. Medicare describes coverage for certain part-time skilled services when you meet its requirements and a provider orders care. Its coverage excludes personal care when that is the only care you need.
- NYC Home Care Services Program. ACCESS NYC says program requirements vary and include Medicaid eligibility. Use the city’s program page for the current application options.
- Private payment or insurance. Ask the agency for a written price and confirm coverage, authorization and any out-of-pocket amount directly with your plan.
What to have ready for a quote
Write down the care ZIP, the tasks that need support, the days and hours you want covered and the earliest useful start date. If you are unsure which program fits, ask your local NY Connects office about options.