Home Instead — West Nyack, NY

In New York, home care agencies are regulated by the New York State Department of Health. Every agency needs a Licensed Home Care Services Agency (LHCSA) License to operate.

The world's largest non-medical home care franchise. Helps older adults live well at home with companion care, personal care, and dementia care.

Home Instead was founded in 1994. Today the brand has 594+ offices across 51 states.

Each Home Instead office is locally owned. That means caregivers, prices, and hours can be different from one office to another. This office hires and trains its own caregivers.

See all Home Instead locations →

Most families pay out of pocket. In the New York metro avg area, home care usually runs $31–$43 an hour.

Other ways to pay:

• •Medicaid: Medicaid may help pay for home care services through programs like Medicaid Managed Long Term Care (MLTC).
• •Long-term care insurance: if your loved one bought a policy, it may cover home care. Call the insurance company to check.
• •VA benefits: veterans and surviving spouses may qualify for help through Aid & Attendance.