Do Medicare or Medicaid Cover Companion Care?

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Medicare and Medicaid certainly play an important role in the long-term health care of older adults, but do they provide companion care coverage? If you're enrolled in one (or both) of these benefits and considering companion care, it's essential to understand the options available. Below, we'll cover where companion care falls under Medicare and Medicaid benefits, whether it's covered, and how to find quality care in your area. Companion care comes at a cost, so we'll also discuss common ways to pay for quality home care.

From the Pros: Before you finalize your companion care provider, check out our senior companion care services guide for critical questions to ask during your search.

What Is Companion Care?

What is companion care?

As we age, it's common to need extra social and emotional support or help with nonmedical care such as housekeeping and errands. It may be challenging to find when family or friends aren't near, or busy schedules get in the way. Companion care is an excellent option for older adults who want to remain independent but need a helping hand.

According to Pew Research Center, 27 percent of adults aged 60 or older live alone in the United States, and 46 percent share their home with only a spouse or partner.1 This can lead to isolation and depression. Companion care helps create an engaging and supportive environment. From conversations to keep your brain healthy and active to assisting with challenging activities of daily living, the benefits of companion care are abundant!

Did You Know: In-home companion care is most common, but it can occur in various settings, including nursing homes and independent living facilities.

Does Medicare Cover Companion Care?

Medicare provides health insurance coverage for over 55 million beneficiaries aged 65 or over. Some home health services are eligible under Medicare Part A or Part B, but many older adults are surprised to find that Medicare doesn't pay for a homemaker or home health care when it is the only care you need.

That means Medicare doesn't pay for:2

  • 24-hour care at home
  • Stand-alone homemaker services such as shopping, cleaning, and laundry
  • Stand-alone personal care such as bathing, using the toilet, and help getting dressed

What Are the Requirements for Medicare to Cover Companion Care?

Medicare will pay for part-time or occasional home health aide services, including personal care, if the services are needed to maintain your health (or treat an illness or injury).3 Medicare won't cover home health aide services unless you're also getting skilled care, such as:

Does Medicaid Cover Companion Care?

Medicaid provides health coverage to over 7 million low-income seniors also enrolled in Medicare. Through Medicaid's Home- and Community-Based Services (HCBS) programs, people have access to in-home care benefits not covered by Medicare, such as:4

  • Home health services
  • Personal care
  • Caregiver and client training
  • Transportation to medical care

What Are the Requirements for Medicaid to Cover Companion Care?

The first step in exploring companion care through Medicaid is to qualify for Medicaid benefits. Unsure if you are eligible? Requirements and income levels vary from state to state, so complete your application by contacting your state Medicaid office.

Medicaid's HCBS programs also vary by state — as do some in-home care benefits — so it's important to confirm eligibility before starting companion care.

Where Can I Find Medicaid and Medicare Companion Care Near Me?

If a home health agency accepts Medicare or Medicaid, it must be certified by the Centers for Medicare and Medicaid Services. Medicare's Find and Compare tool allows you to search for home health care providers near you, and review their services, quality, and patient ratings.

The Programs of All-Inclusive Care for the Elderly are run by Medicare and Medicaid to help people meet their health care needs in the community rather than in a nursing home or other care facility.5 Find a qualifying program in your area by visiting the PACE website.

USAging (formerly the National Association of Area Agencies on Aging) supports family caregivers, as well as people with chronic illnesses and dementia and those who want to age well at home.6 For an in-depth look at all the program offers, visit our Area Agency on Aging report.

The U.S. Administration on Aging's Eldercare Locator connects older adults and their caregivers with trustworthy local support resources nationwide, such as meals, transportation, and home care.7

Quick Tip: If your care needs don't involve help with activities of daily living, such as dressing or getting to the toilet, then a senior sitter or elderly companion may be an excellent option.

Curious about adult day care companion care? More than a quarter-million Americans enjoy the wide range of social and recreational activities found at adult day care centers. In the video below, Jeff Hoyt, editor-in-chief of SeniorLiving.org, talks about the types, costs, and benefits of adult day care.

How Much Does Companion Care Cost?

How much does companion care cost?

We've talked about Medicare and Medicaid's companion care benefits and what is (and isn't) covered. The elephant in the room is the cost, and it can be high. According to a study at the Center for Retirement Research at Boston College, over one-third of retirees won't have the resources to pay for even the minimal level of long-term services and support as they age.8 Let's take a look at the financial impact of companion care.

FYI: Our companion care cost guide breaks down companion care pricing and the key factors that impact costs.

Genworth's most recent Cost of Care Survey reports the monthly median cost for homemaker services is $4,481. Employing a home health aide comes at a median monthly price of $4,576. Falling in line with in-home care costs is an assisted living facility (median cost of $4,300 per month). Nursing home facilities come with a much higher price tag of $8,821 each month for a private room. Keep in mind, these figures are based on the national monthly median, and the cost will vary based on your location and needs.

How Else Can I Pay for Companion Care Without Medicare or Medicaid?

There are many different ways to pay for companion care, but finding the best option for your needs requires a hard look at your finances — especially if you're on a fixed income and living solely on your monthly Social Security payments.

After you've reviewed your savings and assets, consider which of these five popular options fit into your budget:

  1. Out of pocket
  2. Long-term-care insurance
  3. Home equity line of credit
  4. Reverse mortgage
  5. Veterans benefits

Pro Tip: Before making a final decision on how to pay for companion care, head to our in-depth report on private payment options for senior living and home care.

Written By

Maureen Stanley

Writer & Editor

Maureen joined SeniorLiving.org with more than 10 years of experience writing in health, lifestyle, and nutrition for premium brands like General Mills, Westinghouse, and Bristol Myers Squibb. Her passion for empowering older adults is evident in coverage of topics like retirement, health… Learn More About Maureen Stanley

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Citations
  1. Pew Research Center. (2020). Older people are more likely to live alone in the U.S. than elsewhere in the world.

  2. Medicare.gov. (2022). Home health services.

  3. Medicare.gov. (2022). CENTERS for MEDICARE & MEDICAID SERVICES.

  4. Medicare.gov. (2022). Mandatory & Optional Medicaid Benefits.

  5. Medicare.gov. (2022). PACE.

  6. USAging. (2022). Our Mission And Work.

  7. Administration for Community Living. (2022). Connecting People to Services.

  8. Center for Retirement Research at Boston College. (2021). WHO WILL HAVE UNMET LONG-TERM CARENEEDS AND HOW DOES MEDICAID HELP?