The average hourly cost for elderly home care varies significantly by state in the United States.  In-home care cost is influenced by several factors, including the type of care needed (home care vs. home health care), the location, and the level of care required. The following are some insights into the average costs by state in 2023:

   1. National Averages:

• Home Care Aide: Approximately $27 per hour.
• Home Health Aide: Around $28 per hour.

   2. The Outliers:

• Minnesota, Alaska and Maine are some of the most expensive states, with costs averaging about $40 per hour in MN and AK, and $50 per hour in ME.
• Louisiana is among the least expensive states, with rates around $21 per hour. Other lower costs states include Arkansas, Alabama and Mississippi.
• Other states vary within this range. For example, Massachusetts and Washington are on the higher end at about $35 and $38 per hour, respectively, while West Virginia is on the lower end at $25 per hour.

   3. Monthly Averages:

• The monthly average can be estimated based on a 44-hour week. For example, in Minnesota, the average monthly cost is around $6,793, while in Louisiana, it is approximately $3,671.
• Other states like California and New York have average monthly costs around $6,101 and $5,434, respectively.

   4. Costs Based on Care Type:

• The type of care needed also affects the cost. Basic home care, which includes services like housekeeping and companionship, is generally less expensive than home health care, which involves more personal duties and health-related services.

   5. Payment Methods:

• Long-term in-home care services are commonly paid for out-of-pocket unless you have private, long-term care insurance, veteran benefits, Medicaid or other third-party payers. Medicare does cover some in-home care for certain circumstances, so be sure to check your loved one’s policy for exact information.

   6. Hourly, Daily, and Overnight Rates:

• Agencies typically charge hourly rates, with minimum hour requirements, and the rates can differ for overnight or round-the-clock care.  According to SeniorResource.com, the national average for 24/7 care at home is approximately $19,292 per month.

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