Sovena Get started
In-Home Care

In-Home Care in Austin, TX

A guide for families in Austin — TX

Most people, when asked, say they want to stay home as long as possible. In-home care makes that possible for longer than many families expect. With the right support, staying home isn't just a preference — it can genuinely be the best option for physical and emotional wellbeing.

In-home care in Austin ranges from a few hours of companionship and light housekeeping per week to 24-hour live-in care for people with complex needs. The care is brought to the person, not the other way around.

What in-home care covers in Austin

In Texas, in-home care providers are divided into two main categories:

  • Home health agencies provide skilled nursing, physical therapy, occupational therapy, and speech therapy — usually following a hospitalisation or for ongoing medical management. Medicare covers qualifying home health services.
  • Home care agencies (sometimes called non-medical or personal care) provide assistance with bathing, dressing, meals, transportation, medication reminders, and companionship. These services are typically paid privately or through long-term care insurance.

Costs in Austin typically run $22–30/hour for personal care aides, and $35–65/hour for skilled nursing visits.

Questions to ask before hiring an in-home care agency in Austin

Always use a licensed agency rather than hiring directly — in Texas, reputable agencies screen, train, bond, and carry liability insurance for their caregivers. If a privately-hired caregiver is injured in your home, you may be liable.

Ask about consistency: will the same caregiver come each visit? Consistency matters enormously for people with dementia or anxiety. Some agencies rotate caregivers heavily — that's a problem worth knowing in advance.

Ask what happens when the regular caregiver calls in sick. A good agency has backup coverage and calls you before the shift starts. Fill in the form below and we'll connect you with in-home care agencies serving your part of Austin.

Questions families in Austin ask about in-home care

How much does in-home care cost in Austin, TX?
Personal care aides in Austin typically charge $22–$30 per hour for non-medical assistance (bathing, dressing, meals, companionship). Skilled nursing visits run $35–$65 per hour. Live-in care ranges from $250–$400 per day depending on the level of care. Overnight care is typically billed at a flat rate of $180–$280. Most personal care is paid privately or through long-term care insurance; Medicare covers qualifying skilled home health visits.
Does Medicare cover in-home care in Austin, TX?
Medicare covers skilled home health services (nursing, physical therapy, speech therapy) for homebound patients who meet qualifying criteria — typically following a hospitalisation or for management of a chronic condition. To qualify, a physician must certify that you are homebound and need skilled care. Medicare does not cover personal care aides for help with bathing, dressing, and daily activities. That type of non-medical support is generally paid privately or through Medicaid for eligible Texans.
What is the difference between home health care and home care in Texas?
Home health care involves skilled medical services — nursing assessments, wound care, IV therapy, physical and occupational therapy — provided by licensed clinicians and covered by Medicare for qualifying patients. Home care (personal care or non-medical home care) is assistance with daily activities: bathing, dressing, grooming, meals, light housekeeping, transportation, and companionship. Both are delivered at home, but they serve different needs and have different funding sources.
How do I find a reliable in-home care agency in Austin?
Look for agencies licensed by the Texas Health and Human Services Commission (HHSC). Ask how caregivers are screened, trained, bonded, and supervised. Ask specifically about caregiver consistency — will the same person come each visit? Ask what happens when the regular caregiver is unavailable. Avoid hiring independently (without an agency) unless you understand the legal and insurance obligations of being an employer in Texas. We can connect you with licensed agencies serving your neighborhood in Austin.
Can in-home care support someone with Alzheimer's or dementia in Austin?
Yes — many home care agencies in Austin have caregivers specifically trained in dementia care. For earlier stages, consistent in-home support (companionship, supervision, reminders, assistance with daily tasks) can allow someone with dementia to remain safely at home for significantly longer. As needs increase, 24-hour or live-in care may be required. At some point — particularly around safety risks like wandering — a memory care community may become a better option. We can help you understand when that transition makes sense.

Other care options in Austin

Assisted Living in Austin Respite Care in Austin Memory Care in Austin