Free Guide — A-Team Home Care
Get the 2025 Home Care Cost Guide for Philadelphia Families
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How Philadelphia Home Care Costs Are Calculated
Home care in Philadelphia is priced primarily by the hour for non-medical services, or by the visit for skilled nursing. The final cost depends on the type of care needed, how many hours per week, the county you live in, and which payment program — if any — covers your situation.
For many Philadelphia-area families, the out-of-pocket cost is $0. Pennsylvania’s Community HealthChoices (CHC) Medicaid waiver covers personal care and companion care for eligible seniors and adults with disabilities — typically 20 to 56 hours per week with no copay required. Veterans may qualify for the VA Aid & Attendance benefit, which provides $1,478–$2,902 per month toward care costs.
For private-pay families not covered by Medicaid or VA benefits, the typical cost ranges from $25 to $48 per hour depending on the level of care. 24-hour live-in care (with rotating aides) typically runs $420–$580 per day.
Factors That Affect Home Care Costs in Philadelphia
No two care situations are identical. Here are the main variables that move the number up or down:
Level of care
Companion care (errands, meals, conversation) costs less than personal care (bathing, transfers, incontinence). Skilled nursing visits cost the most, and are billed by the visit, not the hour.
Hours per week
Most agencies have a minimum of 3–4 hours per visit. Fewer weekly hours generally mean a higher hourly rate. Families needing 40+ hours/week often get more favorable rates — and are more likely to qualify for Medicaid waiver coverage.
County
Philadelphia city rates are typically slightly higher than Bucks, Montgomery, Delaware, or Chester counties. Cost of living, caregiver wages, and travel time all factor in.
Agency accreditation
ACHC-accredited agencies like A-Team Home Care carry higher operating standards — background checks, RN supervision, and clinical oversight. Rates reflect this. Unaccredited agencies may charge less but provide fewer protections.
Overnight and weekend rates
Some agencies charge a premium for overnight shifts (10 PM–6 AM) or weekend hours. A-Team does not charge different rates for overnight or weekend shifts for Medicaid-covered clients.
Specialty conditions
Dementia, Parkinson’s, autism, or complex pediatric needs may require aides with specialized training. This affects both matching time and, in some cases, cost — especially for private-pay families.
Who Pays $0 for Home Care in Philadelphia
Pennsylvania has several programs that cover home care at little to no cost. A-Team is enrolled in all of them.
Community HealthChoices (CHC) — Medicaid Waiver
The primary Medicaid program covering non-medical home care in Pennsylvania. CHC covers personal care and companion care for income-eligible seniors (60+) and adults with physical disabilities. Coverage is typically 20–56 hours per week with no copay. Enrollment is through OLTL (Office of Long-Term Living) and one of three CHC managed care organizations: Keystone First CHC, UPMC Community HealthChoices, or PA Health & Wellness. A-Team is enrolled with all three MCOs.
ODP Waivers (Consolidated and Community Living)
Pennsylvania’s Office of Developmental Programs funds home care for adults and children with intellectual disabilities and autism. The Consolidated Waiver covers up to $97,000/year in services including personal care, respite, and behavioral support. A-Team is an ODP-enrolled provider in Philadelphia, Bucks, Montgomery, Delaware, and Chester counties.
VA Aid & Attendance — VetAssist Program
Wartime veterans and surviving spouses who require help with activities of daily living may qualify for the VA Aid & Attendance pension benefit. Benefit amounts range from $1,478 to $2,902 per month depending on veteran status and care needs. A-Team is an enrolled VetAssist provider and handles the entire VA application at no cost.
OPTIONS Program — Philadelphia Corporation for Aging
Philadelphia residents age 60 and older who do not qualify for Medicaid may still receive subsidized home care through PCA’s OPTIONS Program. Funding is limited and cost-sharing is based on income. Call A-Team to check your eligibility before going private-pay.
Home Care Cost FAQ — Philadelphia Families
Get an Exact Quote
Find Out What You’ll Actually Pay
Our intake team checks Medicaid, VA, and OPTIONS eligibility on one call — usually 10–15 minutes.
Or request a callback · ACHC-Accredited · Medicaid Enrolled
Related Pages
Philadelphia home care ·
Personal care services ·
Companion care ·
Family caregiver program ·
Veterans home care ·
Home care FAQ