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What In-Home Care Costs

Texas's home health aide hourly median, and the weekly-hours crossover point where a community becomes the cheaper option.

HomeCosts & PayingWhat In-Home Care Costs
Short answer

The 2024 CareScout survey puts Texas's home health aide median at roughly $28/hour. At around 40 hours a week, that approaches Texas's $5,250/month assisted living median -- push past that into near round-the-clock coverage and a community frequently becomes the less expensive option.

Hours per weekApproximate monthly cost at $28/hr
10 hours/week~$1,213
20 hours/week~$2,427
40 hours/week~$4,853
60 hours/week~$7,280
168 hours/week (round-the-clock)~$20,384

Round-the-clock in-home care almost always costs more than assisted living's $5,250/month Texas median -- run the actual weekly-hours math for your specific situation rather than assuming home care is automatically the cheaper path.

Source: 2024 CareScout Cost of Care Survey

Questions families ask

I'm a long-distance caregiver for a parent in Fort Worth. What should I set up first?

Build a plan that survives a bad week -- one where you can't get on a plane and nobody can safely drive to check in person. Recruit local eyes (a Meals on Wheels driver, a neighbor, a geriatric care manager), and get medical power of attorney and HIPAA authorizations in place early so you can actually get information when you need it.

Which Area Agency on Aging covers Tarrant County?

The Area Agency on Aging of Tarrant County, a program of United Way of Tarrant County, covers all of Tarrant County including Fort Worth, Arlington, Keller, Southlake, Grapevine, Bedford, Hurst, Euless, Colleyville, Watauga, Haltom City and Mansfield. Reach them at 817-258-8000.

Which agency covers Burleson and the rest of Johnson County?

Burleson and the rest of Johnson County are covered by the North Central Texas Council of Governments (NCTCOG) Area Agency on Aging, not the Tarrant County agency -- reach NCTCOG at 800-272-3921.

What senior care resources exist in Parker County?

Parker County residents are served by the North Central Texas Council of Governments (NCTCOG) Area Agency on Aging (800-272-3921), and the Texas Abuse Hotline (1-800-252-5400) and HHSC's facility complaint line (1-800-458-9858) both apply statewide, including throughout Parker County.

Are there Medicaid managed care differences between counties in this metro?

STAR+PLUS, the Medicaid managed care program most Fort Worth-area seniors use for long-term-care services, operates statewide including throughout Tarrant, Parker, Johnson, Denton and Wise counties, though specific managed care organization plan options can vary slightly by county.

Not sure where to start?

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