Serving Richmond and Chesapeake VA and surrounding areas

Serving Richmond and Chesapeake VA areas

Who Pays for Home Care in Virginia?

Most Virginia families pay for non-medical home care privately, and many of them also qualify for help they did not know existed. Long-term care insurance, veterans benefits, and workers’ compensation all pay for care at home in the right circumstances. Medicare works differently than most people expect: it may cover short-term skilled home health care when a doctor certifies it, but it generally does not pay for ongoing help with bathing, dressing, meals, or supervision when that is the only need. This free guide from Life’s at Home Care, serving Chesapeake, Richmond, and the surrounding communities, walks through what care costs in Virginia using the most recent published survey data, explains each payment option in plain language, and gives you a worksheet to turn a weekly schedule into a monthly number.

What the guide covers

  • The difference between non-medical home care and skilled home health, and why that distinction decides who pays
  • What in-home care costs in Virginia, using the 2025 CareScout Cost of Care Survey released in March 2026
  • A planning formula that turns hours per week into an estimated monthly cost
  • The five ways Virginia families pay: private pay, long-term care insurance, veterans benefits, workers’ compensation, and Medicare or Medicaid where applicable
  • How VA Aid and Attendance differs from VA Community Care, and how each is accessed
  • How Virginia home care costs compare with assisted living and nursing home care
  • A fill-in worksheet for your household budget and a checklist of documents to gather
  • Twelve questions to ask any home care agency about cost
  • Five things families are commonly told that are not quite right
  • Free local resources across Hampton Roads and Central Virginia

Who it is for?

Adult children helping a parent stay at home. Spouses who have been providing care alone. Veterans and surviving spouses. Families holding a long-term care policy they have never read. Anyone who has been quietly putting off a phone call because they are afraid of the number.

Why this matters now

Costs moved in 2025, and not the way most families assume. The 2025 CareScout survey put Virginia’s annual median for an assisted living community at $83,328 and for forty-four hours a week of non-medical home care at $80,080, while Virginia nursing home costs rose 18 to 19 percent year over year. For many families, staying home is not the extravagant option. It is the one that has not been priced honestly.

Would you rather just talk it through?

Request your free home care assessment.
Chesapeake and Hampton Roads: (757) 337-5160.
Richmond and Central Virginia: (804) 396-6000.

Not ready to talk? Read the cost breakdown on our blog first, then call when you have your questions lined up.

Get the free guide

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Local service area

Our Chesapeake office serves Chesapeake, Suffolk, Norfolk, Virginia Beach, Portsmouth, Hampton, Newport News, and surrounding communities. Our Richmond office serves Richmond, Chesterfield, Hanover, Henrico, and nearby areas.

Richmond office: 1806 Summit Ave, Suite 112, Richmond, VA 23230

Chesapeake office: 870 Greenbrier Circle, Suite 400, Chesapeake, VA 23320