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 2026 Assisted Living Winners
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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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Find Home Care and Elder Care in San Antonio, TX

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The 146 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 $29 per hour, but costs vary depending on a client’s needs. Common in-home elder care services include companionship, assistance with daily living activities, and even skilled nursing care. Looking for elder care near you? A Place for Mom can help you find trusted home care providers. 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

Showing 61 home care providers
Last Updated: 5/10/26
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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.
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.
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
Photo of SYNERGY HomeCare of Greater San Antonio, TX
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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.
Welcome to SYNERGY HomeCare, the nation’s leading provider of home care services.We provide care for everyone, helping people thrive at home.Companion care - Friendly and supportive conversation, planning and encouraging social activities, light exercise (if applicable), and active...
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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.
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
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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.
See details

Costs of home care in San Antonio, Texas

Average home care costs in San Antonio, TX

Average hourly rate
$29/hr

Home care costs vs. senior living costs in San Antonio, TX

44 hours of home care/wk
$5,525/mo
$4,688/mo

Home care costs in San Antonio 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
San Antonio, TX$29$116$2,511$30,160
Texas$29$116$2,511$30,160
National$34$136$2,944$35,360
San Antonio, TX
Hourly cost:$29
Daily cost:$116
Monthly cost:$2,511
Annual cost:$30,160
Texas
Hourly cost:$29
Daily cost:$116
Monthly cost:$2,511
Annual cost:$30,160
National
Hourly cost:$34
Daily cost:$136
Monthly cost:$2,944
Annual cost:$35,360
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 San Antonio.

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Paying for home care and senior 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 senior care 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 to pay for elder care.

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 for seniors 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 veterans benefits that can help pay for senior care and their eligibility requirements, 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 senior 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 senior care services are available in San Antonio?

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 elderly 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

5.0
In the beginning it was a little difficult, it was hard for them to secure someone that would be able to come to our loved ones place, the location was not ideal. However they stayed in constant communication with us and were upfront about the struggles they were having. We now have someone ...
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Tindol Healthcare in New Braunfels, TX

5.0
Tindol Healthcare has been absolutely amazing! [name removed], [name removed], [name removed] and their team have work diligently to satisfy our every need. They go above and beyond to make sure all of our questions are answered. They have made our family feel comfortable each time they visit. ...
Read more

Home Instead - New Braunfels, TX

5.0
Providers follow instructions provided to them. They are patient with individual in need. I understand the location is more difficult in coverage for anyone in need but I would like if possible someone that could work Monday, Wed, and Friday from 9-1.

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 in-home senior 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 includes 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, senior care 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.

References

  1. Medicare.gov. Home health services.

  2. Texas Health and Human Services. (2019, June). STAR+PLUS handbook.

  3. Texas Health and Human Services. (2014, November). Form H2060, needs assessment questionnaire and task/hour guide.

  4. Texas Health and Human Services. (2024). Primary home care (PHC).

  5. Texas Health and Human Services. (2024). 4600, primary home care and community attendance services.

  6. Licensing Standards for Home and Community Support Services Agencies, Texas Administrative Code § 558 (2002 & rev. 2021).

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1.

Medicare.gov. Home health services.

2.

Texas Health and Human Services. (2019, June). STAR+PLUS handbook.

3.

Texas Health and Human Services. (2014, November). Form H2060, needs assessment questionnaire and task/hour guide.

4.

Texas Health and Human Services. (2024). Primary home care (PHC).

5.

Texas Health and Human Services. (2024). 4600, primary home care and community attendance services.

6.

Licensing Standards for Home and Community Support Services Agencies, Texas Administrative Code § 558 (2002 & rev. 2021).