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How Much Help at Home Do You Actually Need?

Older woman with curly white hair rinsing vegetables at her kitchen sink

By Stephanie Cheney, Founder & CEO, Licensed Insurance Agent | Last reviewed: October 10, 2026

It depends on what’s hard. Some people need a few hours a week of help with errands and meals; others need daily help with bathing and dressing, or someone there around the clock. At a national median of about $35 an hour, the cost of home care scales directly with the hours of help you need.

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What does the range look like?

Level of help What it looks like Hours / week About / month
A little help Check-ins, errands, meals ~10 ~$1,500
Regular help Daily visits, some personal care ~20 ~$3,000
Close to full-time Help most of the day ~44 ~$6,700
Around the clock Someone always there 24/7 Several times more

Monthly figures are illustrative, calculated from the national median rate of about $35 an hour (CareScout 2025 Cost of Care Survey). Actual rates vary by location and provider.

How do needs change?

Help often starts small and grows. Planning for a range, not a single number, gives you room to adjust.

A son carrying groceries into his mother's kitchen while she holds the door

Are there alternatives to more hours at home?

Adult day programs offer daytime supervision and activities, often at a lower cost than equivalent hours of in-home care. Many families also mix paid help with family support.

When does long-term care insurance start paying?

Once you meet a benefit trigger, such as needing help with two of six daily activities. Lighter help earlier on, like errands or companionship, is usually paid out of pocket. Once benefits begin, the coverage we offer pays monthly cash you can put toward whatever hours you need. See What Happens When You File a Long-Term Care Insurance Claim?.

Staying Power is a licensed insurance agency that helps people plan for a range of help at home.

To see what care costs and how to fund it, get started. See also Questions to Ask Before Hiring In-Home Care.

Frequently asked questions

How do I know how much help is needed?

An aging life care professional or a home care agency can do an assessment.

Can insurance pay for part-time help?

Once you’re eligible for benefits, the coverage we offer pays monthly cash you can use for any number of hours.

Is live-in care priced differently than hourly care?

Often, yes. Some agencies offer live-in arrangements at different rates. Ask agencies directly.

Get more details about long-term care insurance

Sources

  • CareScout: 2025 Cost of Care Survey

About the author

Stephanie Cheney is the founder and CEO of Staying Power and a licensed insurance agent (OK License #3004465615 · TX License #3562695). She became a caregiver at 20 and saw firsthand what caregiving asks of a family: time, career, and money. After her father died, her mother bought long-term care insurance in her 50s. When brain surgery in her 60s left her mother needing full-time care, that coverage meant Stephanie could keep working and hire help when she was away. Her mother has lived with her for about 10 years. Stephanie started Staying Power to help people plan to stay in their own homes as they age, beginning with how they'll pay for care.

About the cost figures

Cost figures are national medians from CareScout's 2025 Cost of Care Survey and are not projections. Actual costs vary by location, provider, and level of care.

About the coverage described

Features described reflect the coverage Staying Power offers, issued by Nationwide Life and Annuity Insurance Company through the CareMatters product line. Guarantees are backed by the claims-paying ability of the issuing insurer. Benefits may be reduced by loans, withdrawals, or unpaid charges. Features vary by product and state; coverage is governed by the terms of the issued policy.

Disclosure

Staying Power is a licensed insurance agency. This article is intended to solicit insurance business and is provided for educational purposes only. It is not tax, legal, medical, or financial advice, and it is not a recommendation to purchase, an offer of coverage, or a quote. Long-term care insurance is subject to medical underwriting and is not available to everyone. Benefits, limitations, and exclusions vary by policy, carrier, and state. Medicare and Medicaid rules vary by state and change over time; see Medicare.gov and your state Medicaid agency for current details.

More in Living Well at Home

  • Making Your Home Age-Ready, Room by Room

    A room-by-room guide to making your home safer and easier to live in as you age, from the bathroom to the front door.

  • Questions to Ask Before Hiring In-Home Care

    What to ask a home care agency or independent caregiver before hiring: screening, training, costs, scheduling, and red flags.

  • Staying Connected as You Age

    Why social connection matters as you age, and practical ways to stay involved, find purpose, and get around when driving gets harder.

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Staying Power is a licensed insurance agency. Insurance products are offered through licensed insurance agents and are issued and underwritten by third-party insurance companies. Products, features, and availability vary by state and are subject to underwriting approval. Individual care needs and expenses vary; no policy is guaranteed to cover the entire cost of care. Policy guarantees are backed by the claims-paying ability of the issuing insurer. Any values shown in interactive tools are illustrative only and do not constitute a quote, offer, or guarantee of coverage or benefits. This site provides general information and is not financial, legal, or tax advice.

Staying Power is not affiliated with or endorsed by any government agency. State license information is available on our license information page.

This website is intended to solicit insurance business.

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