How much does home care cost in Los Angeles and Orange County?
In 2025, the current median cost of at-home care in the Greater Los Angeles area is estimated at $3,218 per month for 20 hours per week, $6,436 per month for 40 hours per week, and $27,030 per month for 168 hours per week (24/7 home care).
The current average hourly cost for in-home care in the Greater Los Angeles area comes out to right around $40 per hour, whether it be a part-time or 24/7 caregiver.
Many older adults prefer to remain at home, so having reliable in-home support is important for both comfort and quality of life. The Greater Los Angeles region, which includes Orange County, offers appealing weather and a wide range of senior services. Still, many families want to know, “How much does it cost for home care for elderly in the Greater Los Angeles area?”.
This article looks at home care prices for elderly individuals, outlining average monthly fees, projected increases, cost factors, and available financial help. We will highlight new data for California as a whole and, more specifically, for the Greater Los Angeles area, covering both part-time (40 hours per week) and full-time (168 hours per week) scenarios. By the end, you will have a clearer sense of how these figures might fit into your own planning.
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Contents
- Cost of Home Care in the Greater Los Angeles Area (including Orange County)
- Looking for In-Home Care in Los Angeles or Orange County?
- Key Takeaways
- Current In-Home Care Costs for Elderly in Los Angeles & Orange County
- Projected Cost Increases (2025–2040)
- Greater Los Angeles (Including Orange County) Median Average At-Home Care Prices and Projections Per Month
- California Median Average Cost of Home Care Services and Projections Per Month
- Comparison With Other Senior Care Services
- Factors Influencing In-Home Care Costs
- Financial Assistance and Payment Options
- Local Resources and Support Services
- Tips for Choosing an In-Home Care Provider
- Wrapping Up
- Additional Helpful Resources
- Los Angeles & Orange County Home Care Services Provided by CARE Homecare
Key Takeaways
- California Statewide Averages (40 hrs/week): In 2025, homemaker services are about $6,620 per month, and home health aides are about $6,804. Los Angeles and Orange County come in slightly lower at $6,436 for each service.
- 24/7 Home Care: By 2025, the monthly cost for around-the-clock, 24/7 care in California is projected at $27,804 for homemaker services or $28,578 for a home health aide. In Los Angeles, each of the two services average around $27,030 per month.
- Future Projections: Home care prices increase each year, reaching over $10,000 per month by 2040 for 40-hour care in some parts of California, and surpassing $40,000 per month for full-time coverage.
- Payment Assistance: Medi-Cal, Veterans benefits, private pay home care rates, and community programs can help families manage expenses.
- Planning Ahead: With costs rising annually, exploring financial strategies early can make a substantial difference in long-term affordability.
Current In-Home Care Costs for Elderly in Los Angeles & Orange County
As of 2025, according to the Genworth Cost of Care Survey, the estimated median monthly cost for 40 hours of homemaker services or home health aide support in the Greater Los Angeles area is about $6,436. For those requiring continuous help, the monthly cost rises to around $27,030 when care is provided 24 hours a day, 7 days a week.
When compared with California’s statewide median, Los Angeles and Orange County sit slightly below the 2025 average of $6,620 to $6,804 per month for 40-hour service, and $27,804 to $28,578 for 24/7 coverage. Housing costs, local labor markets, and whether a person resides in a more urban or suburban neighborhood can cause these figures to fluctuate.
Projected Cost Increases (2025–2040)
From 2025 through 2040, home care expenses show a steady climb across California. Homemaker services in Los Angeles grow from about $6,436 per month in 2025 to roughly $10,027 by 2040 for 40-hour care. For continuous 24/7 care in the same region, monthly costs are predicted to go from $27,030 to about $42,112 in that timeframe.
Statewide figures follow a similar pattern. For 40-hour coverage, monthly charges range from about $6,620 in 2025 to over $10,314 by 2040 for homemaker services. Around-the-clock help moves from $27,804 to $43,318. These estimates serve as a guide for families seeking a baseline when planning future budgets.
Greater Los Angeles (Including Orange County) Median Average At-Home Care Prices and Projections Per Month
*Estimates based on 40 hours per week.
2025
Homemaker: $6,436
Home Health Aide: $6,4362026
Homemaker: $6,629
Home Health Aide: $6,6292027
Homemaker: $6,828
Home Health Aide: $6,8282028
Homemaker: $7,033
Home Health Aide: $7,0332029
Homemaker: $7,244
Home Health Aide: $7,2442030
Homemaker: $7,461
Home Health Aide: $7,4612035
Homemaker: $8,649
Home Health Aide: $8,6492040
Homemaker: $10,027
Home Health Aide: $10,027
*Estimates based on 168 hours per week (24/7 care).
2025
Homemaker: $27,030
Home Health Aide: $27,0302026
Homemaker: $27,841
Home Health Aide: $27,8412027
Homemaker: $28,677
Home Health Aide: $28,6772028
Homemaker: $29,537
Home Health Aide: $29,5372029
Homemaker: $30,423
Home Health Aide: $30,4232030
Homemaker: $31,336
Home Health Aide: $31,3362035
Homemaker: $36,327
Home Health Aide: $36,3272040
Homemaker: $42,112
Home Health Aide: $42,112
California Median Average Cost of Home Care Services and Projections Per Month
*Estimates based on 40 hours per week (standard working hours).
2025
Homemaker: $6,620
Home Health Aide: $6,8042026
Homemaker: $6,819
Home Health Aide: $7,0082027
Homemaker: $7,023
Home Health Aide: $7,2192028
Homemaker: $7,234
Home Health Aide: $7,4352029
Homemaker: $7,451
Home Health Aide: $7,6582030
Homemaker: $7,674
Home Health Aide: $7,8882035
Homemaker: $8,897
Home Health Aide: $9,1442040
Homemaker: $10,314
Home Health Aide: $10,601
*Estimates based on 168 hours per week (24/7 care).
2025
Homemaker: $27,804
Home Health Aide: $28,5782026
Homemaker: $28,638
Home Health Aide: $29,4352027
Homemaker: $29,497
Home Health Aide: $30,3182028
Homemaker: $30,382
Home Health Aide: $31,2282029
Homemaker: $31,294
Home Health Aide: $32,1652030
Homemaker: $32,233
Home Health Aide: $33,1292035
Homemaker: $37,366
Home Health Aide: $38,4062040
Homemaker: $43,318
Home Health Aide: $44,523
Comparison With Other Senior Care Services
Different levels of care come with different costs. Below is a general comparison of in-home care, assisted living, and nursing homes.
In-Home Care
2025 Estimate: $6,436/month, based on a 40/hour week.
- Encourages aging in place with either part-time or around-the-clock service.
- May be more cost-effective than a nursing home if constant skilled medical care is not required.
Read more about How At-Home Care Enhances the Lives of Seniors.
Assisted Living
2025 Estimate: $6,098 average, varies widely based on location, amenities and level of care needed.
- Offers shared facilities, social activities, and help with daily tasks in a community setting.
- Monthly fees vary by amenities and location, often less than 24/7 in-home care but more than part-time service.
Nursing Homes
2025 Estimate: $11,294 – $14,070+ with costs varying widely based on accommodations, location and level of care needed.
- Typically the highest monthly cost due to comprehensive medical oversight.
- Semi-private and private rooms often exceed $10,000 per month in California.
Factors Influencing In-Home Care Costs
The monthly fee for home care can shift due to various local and personal factors. Understanding these elements helps families estimate how much in-home care may cost in their area.
Location
Rates differ between dense urban centers, pricier coastal regions, and more economical inland suburbs.
Type of Care
Homemaker services cover meal prep and housekeeping, whereas skilled nursing or memory care demands higher charges.
Number of Hours / Level of Care Need
Forty hours per week might suffice for some seniors, while others require 24/7 support, which significantly increases the monthly total.
Agencies vs. Private Hires
- Agencies often charge more due to overhead and insurance.
- Private hires can be cheaper but may involve added responsibilities for the family. Particularly in situations where a caregiver is only on-the-clock for 40 hours per week or when the caregiver needs to take time off for personal reasons.
Financial Assistance and Payment Options
Managing the average cost of at-home care services can be less stressful when multiple payment sources are explored. Below are typical ways families cover expenses.
Medi-Cal (California Medicaid)
Some in-home care may be covered if you meet income and asset requirements. Certain waivers originally designed for assisted living also apply to in-home support, subject to state regulations.
Long-Term Care Insurance
Policies vary, yet many offset home health aide costs if hands-on or medical care is needed. Understanding your policy’s terms and waiting periods is important.
Veterans Aid and Attendance
Qualifying veterans and spouses may gain financial support for in-home senior care if they need help with daily tasks. This benefit is separate from a standard VA pension.
Private Pay
Some individuals rely on personal funds or savings for private pay home care rates. Agencies often detail monthly or hourly packages to fit varied budgets
Other Resources
Community organizations and nonprofits sometimes offer grants or subsidized help, which can be a relief for families concerned about how much it costs for elderly home care without government or insurance support.
Local Resources and Support Services
Los Angeles and Orange County have multiple organizations that guide seniors and their families through the steps involved in setting up in-home care.
California Department of Aging and Local AAA Agencies
They connect residents with information on care programs, funding opportunities, and caregiver training. They may also arrange workshops or case managers to help navigate different options.
Long-Term Care Ombudsman
While known primarily for work in nursing homes, this office can point families to reputable in-home care services or other local groups that assist seniors.
Nonprofit Organizations
Groups such as Helping Hands Senior Foundation may offer support and referrals to affordable or subsidized in-home care services, meal deliveries, and volunteer assistance.
Tips for Choosing an In-Home Care Provider
Selecting the right in-home care provider can feel overwhelming, especially when balancing medical needs, personal preferences, and finances.
Before exploring caregiver credentials or contract details, decide how much support your loved one truly requires – whether it’s 20 hours a week for light assistance or 24/7 coverage for total peace of mind.
Having this clarity helps ensure you’ll find the perfect match.
Assess Care Needs
Decide if part-time help is sufficient or if full-time coverage is necessary based on medical and personal requirements. Some families may be able to manage with only 20 hours of help per week while others may require 40 or 24/7 care.
Budget Planning
Compare daily, weekly, and monthly rates, including the difference between 20-hour, 40-hour and 168-hour care. Focus on how much private home care costs in your immediate area.
Caregiver Credentials
Confirm background checks, certifications, and references for any caregiver, whether an agency professional or a private hire.
Contracts and Agreements
Request a clear breakdown of the cost for home care, including any fees for additional services. This helps avoid unexpected bills later.
Read more about How to Choose a Home Care Agency and How to Navigate the Challenges when Hiring a Senior Caregiver.
Wrapping Up
In-home care costs in Los Angeles and Orange County range significantly based on hours of assistance. The latest projections show steady increases from 2025 onward, highlighting why early planning can be worthwhile.
Speaking with agencies or financial professionals is often the best way to get an accurate estimate for your specific needs. Factoring in potential changes over time, as well as which support services you may qualify for, can help families stay ahead of rising costs.
Additional Helpful Resources
Genworth Cost of Care Calculator – Use this tool or any other new data sources for up-to-date cost comparisons, including hourly and full-time care scenarios.
California Department of Health Care Services – Visit their site for more details on Medi-Cal eligibility and the latest benefit structures.
Local Nonprofit or Government Links – County and city programs can help with caregiver training, grants, or other resources to lower the overall expense of in-home care.
- In-Home Supportive Services (IHSS) Program in California – The In-Home Supportive Services (IHSS) program provides in-home assistance to eligible aged, blind, and disabled individuals as an alternative to out-of-home care and enables recipients to remain safely in their own homes.
- Home Care Services Branch (HCSB) in California – HCSB is also responsible for the Home Care Aide application process and maintenance of the Home Care Aide Registry.
- In-Home Supportive Services (IHSS) Los Angeles – In-Home Supportive Services, also known as IHSS, can help pay for services if you’re a low-income elderly, blind or disabled individual, including children.
- In-Home Supportive Services (IHSS) Orange County – The purpose of the IHSS program is to provide supportive services to persons who are aged, blind, or disabled, and who are limited in their ability to care for themselves and cannot live at home safely without assistance.
Disclaimer: The figures presented here are based on data available for 2025 through 2040 and may change over time. Actual costs differ by provider and location, so verifying the most current rates is recommended.
Los Angeles & Orange County Home Care Services Provided by CARE Homecare
If you’re ready to explore personalized in-home care options, CARE Homecare can offer support ranging from a few hours a day to full 24/7 coverage. Our caregivers are thoroughly screened and trained to help with bathing, dressing, medication reminders, light housekeeping, and more.
Whether you or a loved one needs occasional help or consistent, round-the-clock care, call (323) 851-1422 or email info@carehomecare.com to schedule a consultation and get an estimate based on your specific needs.