Top Home Care Agencies in San Antonio, TX
The 116 home care agencies in San Antonio customize services to support seniors as they age in place. The average cost of home care in San Antonio is $27 per hour, but costs vary depending on a client’s needs. Common home care services include companionship, assistance with daily living activities, and even skilled nursing care. Below, we include information on state licensing requirements for home care agencies in Texas. To help you confidently choose a home care agency in San Antonio, we also offer insights into local costs, payment options, and reviews of local agencies.
Home Care Agencies near San Antonio, TX
We could not be happier with the attendant assigned to my father. She has fulfilled the tasks that we have asked of her & then some. It gives me comfort knowing that my father is in good & caring hands....
I had an overall great experience with Right at Home. They took care of my mother for a period of time. I definitely recommend this service to others. The staff and caregivers were great. They did try to get...
From the first meeting (the interview) to today, Home Instead (San Antonio) has been the answer to my prayers. Professional, caring, empathetic, knowledgeable and dependable are just a few words that...
FirstLight Home Care of Central and North San Antonio, TX
900 Isom Road Suite 228, San Antonio, TX 78216All are a 5 the meals have been a plus they have been enjoying the food. My mother in law has an colostomy bag and stepped up to learn how to do what she can to help with it. So far all is going great even...
They staff at Homewatch Caregivers is very open and responsive and easy to get a hold of. And they provide good, professional service.
I am grateful for the exceptional care and support I received from Golden Age Care Home Agency. Their team of healthcare professionals are knowledgeable, compassionate and dedicated to providing top-notch...
This company has good people working for them. They are kind, gentle, helpful, and always on time. They do a great job with the care they provide. I would recommend this service to others and already have
Our expert advisors can help
- Verify your care needs
- Explain home care service options
- Identify home care agencies with availability near you
It was a good experience. Every so often they had some scheduling issues, but for the most part they were really good and easy to work with. And the people who came out were awesome.
HomeWell Care Services was amazing. They took care of my father and did the best I could of asked for. His caregiver went above and beyond to help him with everything we needed. The owner even came out to...
Costs of home care in San Antonio, Texas
Average cost of home care in San Antonio, TX
Average monthly cost of home care vs. senior living in San Antonio, TX
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 San Antonio.
Paying for home care in San Antonio, Texas
In San Antonio, some qualifying individuals use public health insurance like veterans benefits, Medicaid, or Medicare to save on some health-related home care services. However, insurance only covers medically necessary services. This means that nonmedical home care services may not be covered unless they’re part of a medically necessary care plan.
Most families turn to personal funds, including income, savings, pensions, retirement funds, and health savings accounts (HSAs). Some might even use funds from a reverse mortgage, life insurance policies, or long-term care insurance.
Paying for home care
Get an overview of all payment options for home care.
VA home care benefits
See how VA benefits can help veterans and their spouses pay for home care.
Home care and LTC insurance
Learn how to use long-term care insurance to cover home care costs.
Does Medicare pay for home care in San Antonio?
Yes, Medicare will partially pay for home care services in San Antonio as long as they’re a part of medically necessary medical care services prescribed by a doctor. For this care to be covered by Medicare, services must also be provided by a Medicare-certified home care provider.[01] Home care services without a medical necessity will likely not be covered by Medicare.
Does Medicaid pay for home care in San Antonio?
Yes, Texas’ Medicaid program, STAR+PLUS, does pay for some home care services, so long as they’re considered medically necessary. STAR+PLUS and other Medicaid programs help cover medically necessary home care prescribed by a doctor.
For STAR+PLUS to cover home care costs, beneficiaries must meet the qualifications. Eligibility depends on the Medicaid needs assessment questionnaire, which evaluates a person’s ability to navigate the following:[02,03]
- Bathing, grooming, and dressing
- Exercising
- Feeding
- Toileting
- Transfer
- Ambulation
- Housework and laundry
- Meal preparation
- Shopping
- Ability to take medications
- Ability to use the phone
To qualify, a person must receive a score of at least 24. Once a person qualifies, the STAR+PLUS program can help pay for personal assistance services such as assistance with activities of daily living (ADLs) and household chores.
Where do I get information about veterans benefits in San Antonio?
To learn about potential home care veterans benefits and eligibility status, veterans and their qualifying spouses can reach out to a benefits counselor at a veterans service organization (VSO). Most VSOs in San Antonio can be accessed through the Texas Veterans Commission (TVC), which has several offices around the city.
The TVC can put veterans in touch with locally, regionally, and nationally recognized veteran organizations with benefit counselors, like the Veterans of Foreign Wars (VFW), Disabled American Veterans (DAV), and American Legion.
Benefits counselors can help veterans maximize any home care benefits available to them, help them apply, and even appeal denied claims. Veterans can schedule a claims appointment by searching for the nearest veterans service organization in San Antonio or they can call 1-800-252-9397. For more general questions, call 512-463-6564 or email info@tvc.texas.gov.
What other San Antonio services help seniors age in place?
In San Antonio, seniors can reach out to the following programs if they need help understanding or applying for benefits:
- Texas HICAP (Health Insurance, Counseling, and Advocacy Program) is a free program offered by the Texas Legal Services Center (TLSC) to help Medicare beneficiaries understand their benefits and apply. HICAP benefits counselors can answer any questions regarding Medicare.
- The Alamo Area Council of Governments (AACOG) is the local area agency on aging for Bexar County, San Antonio’s county. It offers many programs including benefits counseling and care coordination to help seniors find local resources. They can also assist with applications for Medicaid, Medicare, and Social Security.
What families are saying about home care in San Antonio
Recent reviews for home care in San Antonio
Homewatch CareGivers of San Antonio North, TX
FirstLight Home Care of Central and North San Antonio, TX
Cardinal Senior Care - San Antonio, TX
How to choose the right San Antonio home care agency
To feel confident when choosing a home care agency, it’s important to do research using the information below. We encourage families to use the resources provided here to learn about a potential home care agency’s processes on licensure, accreditation, hiring, and minimum care requirements. Learning this information beforehand can help you narrow down options and find the most suitable home care agency in San Antonio for your needs.
Additionally, if medical or skilled nursing services are needed on top of home care services, you’ll need to check to ensure a home care agency can care for your loved one. Some home care agencies only provide nonmedical services while others provide medical services, and still others both. Nonmedical home care services include caregiver and homemaker services while medical care include medication administration and health monitoring. If medical care is needed, you should talk to a doctor or social worker about next steps.
Licensure and accreditation
In Texas, both nonmedical and medical home care agencies are licensed by the Home and Community Support Services Agencies (HCSSA) under Texas Health and Human Services (HHS). Nonmedical home care is categorized under Personal Assistance Services (PAS) and medical care is categorized under Licensed Home Health Services or Licensed and Certified Home Health Services.[04]
If a home care agency is licensed to provide PAS, they can provide assistance with activities of daily living (ADLs) and daily tasks like meal preparation, assistance with self-administration of medication, running errands, and transportation.[05]
To learn more about a potential home care agency, the general public can use the HHS’ Long-term Care Provider Search. It offers information on whether an agency accepts Medicare, services provided, ownership, recent health code inspection information, and violations.
Hiring practices
Texas home care agencies must create and adhere to written staffing policies. Their staffing policies must outline procedures for orientation, on-the-job training, and background checks. And, agencies must perform an annual evaluation of each staff member.[06] To learn about a prospective community’s hiring practices, ask to view their written staffing policies.
Some home care agencies in San Antonio may have additional requirements for their staff, so be sure to ask when considering an agency. Some additional hiring practices may include required caregiver certifications or annual training.
Fees and minimums
In San Antonio, home care agencies might have fees on top of their standard hourly cost or they may have age minimums. To be prepared, ask potential home care agencies about the following:
- Cost of a needs assessment (sometimes free)
- Deposits
- Minimum hours of care required
- Cost of care overnight, or during holidays and weekends
- Minimum age requirement to receive care
Other questions to ask San Antonio home care agencies
Ask these 10 questions to help you find the right home care agency.
Frequently asked questions about home care in San Antonio
Cardinal Senior Care - San Antonio, TX, Amada Senior Care of Austin, TX and Right at Home of San Antonio, TX are the top-rated Home Care facilities near San Antonio, TX. 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 San Antonio is {{ zipAverageCost }} 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
Medicare.gov. Home health services.
Texas Health and Human Services. (2019, June). STAR+PLUS handbook.
Texas Health and Human Services. (2014, November). Form H2060, needs assessment questionnaire and task/hour guide.
Texas Health and Human Services. (2024). Primary home care (PHC).
Texas Health and Human Services. (2024). 4600, primary home care and community attendance services.
Licensing Standards for Home and Community Support Services Agencies, Texas Administrative Code § 558 (2002 & rev. 2021).
More questions?
Ask an A Place for Mom local advisor at no cost.
- Castroville, Texas
- Cibolo, Texas
- Converse, Texas
- Somerset, Texas
- Helotes, Texas
- Windcrest, Texas
- Schertz, Texas
- Adkins, Texas
- St. Hedwig, Texas
- Sandy Oaks, Texas
- Riomedina, Texas
- Bulverde, Texas
- Alamo Heights, Texas
- Hill Country Village, Texas
- Shavano Park, Texas
- Kirby, Texas
- Live Oak, Texas
- Universal City, Texas
- Comal, Texas
- Santa Clara, Texas