About Assisted LivingAssisted living facilities offer housing and care for active seniors who may need support with activities of daily living, like bathing, dressing, and medication management.Complete guide to assisted livingBest of 2025 Assisted Living Winners
About Memory CareMemory care facilities provide housing, care, and therapies for seniors who have Alzheimer’s disease or other forms of dementia in an environment designed to reduce confusion and prevent wandering. Complete guide to memory careBest of 2025 Memory Care Winners
About Independent LivingIndependent living facilities offer convenient, hassle-free living in a social environment for seniors who are active, healthy, and able to live on their own.Complete guide to independent livingBest of 2025 Independent Living Winners
About Senior LivingSenior living is a term used to describe various housing and care options for older adults from maintenance-free, 55+ facilities for active seniors, to secure, fully staffed facilities for seniors with Alzheimer's or dementia. Complete guide to senior livingFind senior living facilities near you
About Nursing HomesNursing homes provide short-and long-term care for seniors who have physical or mental health conditions that require 24-hour nursing and personal care.Complete guide to Nursing Homes
About Senior ApartmentsSenior apartments offer accessible, no-frills living for seniors who are generally active, healthy, and able to live on their own.Complete guide to Senior Apartments
About Care HomesResidential care homes are shared neighborhood homes for seniors who need a live-in caregiver to assist with activities of daily living, like dressing and bathing.Complete guide to care homes
Veteran ResourcesVA benefits for long-term care, such as Aid and Attendance benefits, can help eligible veterans and their surviving spouses pay for senior care.Guide to VA benefits for long-term care
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Top Home Care Agencies in Birmingham, Alabama

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DUPE FirstLight Home Care of Birmingham, AL, Grandma Joan's Live-In Care Consulting and Recruiting and SYNERGY HomeCare of Birmingham, AL are among the top home care agencies in Birmingham, Alabama, offering dependable, compassionate support that helps older adults live safely and comfortably at home. With 120 home care agencies in the area, families have many choices to meet their loved one’s unique needs. The average cost of home care in Birmingham is $26 per hour, making it a flexible and affordable option for aging in place.

Seniors in Birmingham also benefit from several local programs that offer meal delivery, transportation, and wellness activities to help maintain independence at home.

Home Care Agencies near Birmingham, AL

Showing 88 home care providers
Last Updated: 12/8/25
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Photo of Gentle Care LLC
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Photo of Comforting Hearts Personal Care - Birmingham, AL
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Gifted Hands is owned and managed by experience license nurses. We have customization plans to fit each individual. 24-hour on-call staff. All caregivers are CPR certified. Provides care we cure serve Jefferson and Shelby County. More will be added soon.
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Photo of Helping Hearts Senior Care - Birmingham, AL
55 Photos available
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
Helping Hearts Senior Care is your Premier Senior Care Provider serving the areas of Jefferson and Shelby County. Whether your loved one needs 2 hours to around-the clock care, we are readily available to assist with their needs. Helping Hearts is dedicated to delivering compassionate, reliable,...
Photo of All Saints Home Health Care
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
All Saints Home Health Care provides home health care service to people of all ages in Birmingham, Alabama, and throughout the state and any number of other services, we're prepared to assist you. Many individuals find themselves discharged from the hospital or rehab but still in need of help. We...
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Photo of Helping Hands Patient Services, LLC
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Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
HELPING HANDS PATIENT SERVICES is a limited liability corporation with a staff of dedicated lift team technicians and support personnel. HHPS’ mission is to provide safe patient handling, improve patient comfort, safety and recovery, and prevent employee injuries through skillful, compassionate...
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Starting at $XX+ hourly
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.
See details
Provides: Home Care
Care types provided by this community
Home Care: Home care relies on trained aides to provide companionship and non-medical care for seniors living at home.

How much does home care cost in Birmingham, Alabama?

Home care in Birmingham averages $26 per hour, based on A Place for Mom’s proprietary data.[01] Birmingham’s overall cost of living is 8% lower than the national average, and housing costs are 24% lower.[02] This relative affordability may offset some of the cost of in-home care.

Home care’s hourly pricing model allows families to customize a care schedule that fits their needs — whether that’s a few hours a week or round-the-clock assistance.

While hourly care can be cost-effective, seniors who need full-time supervision might also consider other senior living options such as assisted living, memory care, or a nursing home.

Average home care costs in Birmingham, AL

Average hourly rate
$26/hr
Average overnight rate
$25/hr
Average weekend rate
$25/hr

Home care costs vs. senior living costs in Birmingham, AL

44 hours of home care/wk
$4,954/mo
$4,480/mo

Home care costs in Birmingham vs. state and national averages

Daily, monthly, and annual costs in the table below are based on a part-time care schedule of 4 hours of care per day, 5 days per week.
Cost comparison table showing home care costs by location. This table contains 3 rows of data across 5 columns.
Column location: Location (Location name)
Column hourlyCost: Hourly cost (Cost per hour)
Column dailyCost: Daily cost (Cost per day (4 hours))
Column monthlyCost: Monthly cost (Cost per month)
Column annualCost: Annual cost (Cost per year)
LocationHourly costDaily costMonthly costAnnual cost
Birmingham, AL$26$104$2,252$27,040
Alabama$26$104$2,252$27,040
National$30$120$2,598$31,200
Birmingham, AL
Hourly cost:$26
Daily cost:$104
Monthly cost:$2,252
Annual cost:$27,040
Alabama
Hourly cost:$26
Daily cost:$104
Monthly cost:$2,252
Annual cost:$27,040
National
Hourly cost:$30
Daily cost:$120
Monthly cost:$2,598
Annual cost:$31,200
Table showing 5 of 3 items. Click to show less.
Table showing 5 of 3 items. Click to show less.

Compare the costs of aging in place against senior living

Use our cost calculator to compare your loved one’s current living and home care expenses against the cost of senior living in Birmingham.

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How to pay for home care in Birmingham

Families in Birmingham often use a combination of private funds, insurance benefits, and public programs to cover the cost of in-home care.

Private pay options

Common ways to pay include:

  • Savings and investments. Many families rely on retirement accounts or pension income.
  • Life insurance. Certain policies can convert into long-term care benefits.
  • Home equity. A reverse mortgage or HELOC can unlock funds tied up in a home’s value.
  • Long-term care insurance. These plans often reimburse for home care, depending on the policy.

Medicare

Medicare may cover short-term home health care when it’s medically necessary and part of a doctor’s care plan. Covered services can include:[03]

  • Skilled nursing care
  • Physical, occupational, or speech therapy
  • Medical supplies and equipment

Medicare doesn’t typically cover nonmedical home care if it’s the only type of care that’s needed.

Medicare resources in Birmingham

For help navigating Medicare, Birmingham residents and their families can contact the state’s health insurance assistance program, or SHIP, which is offered through the:

For general information and assistance with Medicare, visit Medicare.gov.

Medicaid

Alabama Medicaid supports eligible Birmingham residents who prefer to receive care services in their home through several waiver programs, including:[04]

  • Elderly and Disabled
  • Alabama Community Transition
  • Technology Assisted Waiver for Adults
  • Hospital to Home

These programs may cover services such as:

  • Homemaker assistance
  • Personal care
  • Adult day health care
  • Respite care
  • Case management

Alabama’s Personal Choices program enables waiver recipients to choose how they use their Medicaid benefits.[05]

Medicaid resources in Birmingham, AL

Seniors in Birmingham and their families can contact the United Way Area Agency on Aging of Jefferson County (listed above) for more information about Alabama Medicaid’s waiver programs. The local Medicaid office in Birmingham can also help:

VA benefits

Veterans and their surviving spouses in Birmingham may qualify for VA programs that can help pay for home care, including:

  • Aid and Attendance (A&A). The Aid and Attendance benefit provides additional monthly payments to eligible wartime veterans and surviving spouses who receive a VA pension and require assistance with daily activities.[06] These funds can be used to pay for in-home care services. To apply, visit VA.gov to download Form 21-2680. The completed form can be uploaded online, mailed in, or submitted in person at the nearest regional benefit office in Montgomery.
  • Homemaker and Home Health Aide Care. This program offers trained professionals to assist veterans with personal care needs, allowing them to remain in their homes. Services include help with activities like bathing, dressing, and meal preparation. Eligibility is determined by a VA health care provider, and services are coordinated through the local VA medical center. To apply, contact a VA social worker in Alabama for next steps.[07]
  • Veteran Directed Care (VDC). The VDC program allows eligible veterans to manage their own care services, including hiring personal care aides. This self-directed approach provides flexibility in choosing caregivers and tailoring services to individual needs. Enrollment is coordinated through the local VA medical center’s social work department.​ To access the program, reach out to your loved one’s VA social worker.[08]

Resources for veterans in Birmingham

Families in Birmingham can reach out to the following resources for help with veterans benefits:

Resources in Birmingham that help seniors age in place

Several local organizations in the Birmingham area offer support services that help older adults remain independent at home. The United Way Area Agency on Aging, listed above, coordinates access to housing, in-home care, dental, vision, and hearing services, as well as legal services. Additional resources include:

  • Positive Maturity, Inc.
    Positive Maturity works with United Way and AmeriCorps Seniors to provide volunteer opportunities, information services, and aging resources.
    106 Oxmoor Road, Suite 152
    Birmingham, AL 35209
    Phone: 205-803-3211
  • Jefferson County Senior Services
    The Senior Services division of the County government provides education, case management, transportation, memory screenings, and more to elderly residents.
    716 Richard Arrington, Jr., Blvd. N.
    Birmingham, AL 35203
    Phone: 205-325-5567
  • ClasTran
    ClasTran provides transportation to medical appointments, grocery stores, and other destinations.
    2100 16th Ave. S., Suite 55
    Birmingham, AL 35205
    Phone: 205-325-8787, option 3

Home care laws and regulations in Alabama

Regulations help ensure that home care agencies meet specific standards, providing peace of mind that loved ones receive quality care from qualified professionals.

Licensing and accreditation

In Alabama, nonmedical home care agencies and home health agencies aren’t required to be licensed by the state.[09] However, they may apply for Medicaid and/or Medicare certification to participate in these programs.

Caregiver standards

Alabama law doesn’t require training, licensing, certification, or background checks for nonmedical in-home care workers like companions and homemakers. Therefore, agencies may set their own quality standards and requirements for their employees.

Agencies must meet additional federal requirements to achieve Medicare and/or Medicaid certification. For example, nonmedical caregivers providing services covered by Medicaid programs in Alabama must:[10]

  • Complete an initial training/orientation program before providing services
  • Complete a certain number of training hours per calendar year, depending on the nature of the care provided

How to choose the right home care agency in Birmingham

Use these key tips to help you find the right agency for your loved one.

Compare hourly rates and fees

Ask for written pricing details that outline base rates, minimum hours, and any added costs.

Ask about caregiver training

Inquire about specialties like dementia care or mobility support. Training and certifications matter when complex care is needed.

Review licenses and inspection results

Although home and home health care agencies in Alabama aren’t required to be licensed, you can use the Alabama Department of Public Health’s Facility Search Tool to confirm that an agency is registered with the state.

Read online reviews

Reviews can help you assess real client experiences — especially regarding communication, punctuality, and professionalism.

Frequently asked questions about home care in Birmingham

DUPE FirstLight Home Care of Birmingham, AL, Grandma Joan's Live-In Care Consulting and Recruiting and SYNERGY HomeCare of Birmingham, AL are the top-rated Home Care facilities near Birmingham, AL. These Home Care facilities received the highest rankings based on verified family reviews. See full list of communities.
The average cost of Home Care in Birmingham is $4,954 per month. This cost may vary based on location, amenities, floorplan, level of care and other factors.
Home care is provided by an aide who comes to a senior’s home to help with daily chores and activities of daily living. It can be offered anywhere a senior calls home — including a house, senior apartment, independent living, or assisted living. Learn more about home care.
Home care services are customizable to a senior’s unique needs. Services can include companionship, help with chores like cooking and housekeeping, or assistance with activities of daily living, like toileting and bathing. Explore home care services in more detail.
Home care provides nonmedical services for seniors who require assistance with daily tasks like housework, bathing, dressing, and transportation. In contrast, home health care is prescribed by a doctor and includes services like skilled nursing care and therapies, health monitoring, and medication administration that are provided by licensed medical professionals. Read more about home care vs. home health care.

References

  1. A Place for Mom. (2025). A Place for Mom proprietary data.

  2. Payscale. Cost of living in Birmingham, Alabama.

  3. U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.gov.

  4. Alabama Medicaid. Home and community-based waivers.

  5. Alabama Medicaid. Personal Choices.

  6. U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

  7. U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

  8. U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

  9. Alabama Department of Public Health. Facilities Descriptions.

  10. Centers for Medicare and Medicaid Services. (2022, October 1). Application for 1915(c) HCBS Waiver: AL.0068.R08.00.

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More questions?

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The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.
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1.

A Place for Mom. (2025). A Place for Mom proprietary data.

2.
3.

U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.gov.

4.
5.

Alabama Medicaid. Personal Choices.

6.

U.S. Department of Veterans Affairs. (2024, July 18). Aid and Attendance benefits and Housebound allowance.

7.

U.S. Department of Veterans Affairs. (2025, May 30). Homemaker and home health aide care.

8.

U.S. Department of Veterans Affairs. (2025, June 2). Veteran-directed care.

9.

Alabama Department of Public Health. Facilities Descriptions.

10.

Centers for Medicare and Medicaid Services. (2022, October 1). Application for 1915(c) HCBS Waiver: AL.0068.R08.00.