Care guide
Companion Homecare
Companion homecare is non-medical support at home: company, conversation and help with daily routines. It costs about $35 an hour nationally.
That rate is the national median for non-medical caregiver services in the CareScout Cost of Care Survey 2025, published by Genworth in March 2026. It is the least intensive paid help at home, and usually the first kind a family buys.
What a companion actually does
The job is the ordinary business of a day, done alongside someone rather than for them. It is deliberately not clinical, and no nursing license is involved.
- Conversation and company, which is the whole point and the part families undervalue
- Meal preparation and eating together
- Light housekeeping, laundry, tidying
- Reminders for medication, appointments and routines
- Errands, shopping, and transport to appointments
- A pair of eyes on the house, so a change gets noticed early
Companion care against personal care
The line is the body. Companion care stops at conversation, meals and the household. Personal care adds hands-on help with bathing, dressing and toileting. Agencies often quote the same hourly rate for both, which hides the fact that they are different jobs and not every caregiver is trained for both. Ask specifically which one you are booking.
What it costs on a real schedule
Arithmetic on the same $35 an hour, so treat it as a planning frame rather than a quote. Rates run higher in the Northeast and on the West Coast and lower across much of the South and Midwest.
For comparison, assisted living has a national median of $6,200 a month in the same survey. Companion care at full weekday hours costs roughly the same as a facility, which is the point most families reach before they start reconsidering the plan.
Who pays for it
Not Medicare. Medicare.gov states plainly that it does not pay for homemaker services unrelated to your care plan, nor for custodial and personal care that helps with daily living activities when that is the only care needed. Companion care is precisely that, so it is private pay by default.
- Medicaid waivers. Home and community based services waivers fund in-home support for people who meet the financial and clinical tests. State by state.
- Long-term care insurance. Check whether the policy covers non-medical care, and read the elimination period first.
- VA Aid and Attendance. For qualifying wartime veterans and surviving spouses.
- Area Agency on Aging. Sliding-scale respite and companion programs. Underused and usually the first call worth making.
The fuller picture on what Medicare will and will not cover at home is on our Medicare home health page.
Where a daily call fits, and where it does not
Call Mabel is not companion homecare. Nobody comes to the house. It cannot cook a meal, drive to an appointment, or notice that the laundry has piled up. If your parent needs a person there, they need a person there, and this page is meant to help you price that honestly.
What a daily call does cover is the part families most often describe when asked what actually worries them: that nobody speaks to their mother most days, and that if something changed they would not know for a while. Mabel calls whatever phone is already in the house, has a real conversation, remembers what was said yesterday, and tells the family if a call goes unanswered or something sounds off.
Plenty of families run both. A companion twice a week for the hands-on part, and a call on the days in between. At $29.97 a month against $35 an hour, the two are not really competing for the same budget.
Sources
- CareScout Cost of Care Survey 2025, published by Genworth Financial, 2 March 2026, for the $35 an hour national median for non-medical caregiver services and the $6,200 a month assisted living median.
- Medicare.gov, “Home health services” coverage page, for the exclusion of homemaker services unrelated to a care plan and of custodial or personal care when that is the only care needed.
Published 2026-08-21. National medians that change yearly; check the current CareScout survey before relying on a figure. General information about what care costs, not medical, legal or financial advice.