Care costs
What senior care costs in the Roanoke Valley.
Our matching service is free. The provider you choose sets the rates. Here is what families in the Roanoke area typically pay, so you can budget and spot a fair quote.
| Type of care | Typical Roanoke-area rate | Includes |
|---|---|---|
| Companion care (non-medical) | $20 to $30 per hour | Companionship, meals, housekeeping, errands, rides |
| In-home personal care | $22 to $35 per hour | Bathing, dressing, mobility, medication management |
| Live-in or 24-hour care | $300 to $450 per day | Varies widely by agency and level of need |
| Assisted living | $3,500 to $6,000 per month | Private apartment, meals, 24-hour staff |
| Memory care | $4,500 to $8,000 per month | Secure setting, specialized staff |
Ranges reflect what local agencies and communities commonly quote and are for planning only. Most agencies have a minimum visit length, often three or four hours, and may charge more for nights, weekends and holidays.
Ways to pay
Most families combine a few sources.
Traditional Medicare does not pay for non-medical companion care, but several programs can help.
Long-term care insurance
If your loved one has a policy, it may cover companion and home care. Check the elimination period and daily benefit.
VA Aid & Attendance
Veterans and surviving spouses may qualify for a monthly benefit that can be used toward in-home care or assisted living.
Virginia Medicaid waivers
The Commonwealth Coordinated Care Plus waiver can cover home and community-based services for eligible seniors.
Private pay
Savings, retirement income, family contributions or a reverse mortgage. Many providers offer flexible schedules to fit a budget.
Get real numbers
The fastest way to know your actual cost.
Tell us what you need and compare written estimates from two or three vetted local providers. Free, and it usually takes a day.
Get matched and compare quotes- Ask for the hourly rate, the minimum visit length and any mileage fees
- Ask whether rates change for weekends, overnights or holidays
- Ask how much notice is needed to change or cancel a shift
- Ask whether the agency accepts long-term care insurance assignment
Common questions
Answers before you ask.
Still wondering about something? Read the full FAQ or send us a message.
Read all FAQsWhat exactly does Roanoke Companion Care do?
We are a free matching service for families in Roanoke and Southwest Virginia. You tell us what kind of help your loved one needs, where they live and when care should start. We review your request and connect you with vetted, local companion care and home care providers who serve your area and fit your needs. The providers then contact you directly to schedule a free consultation.
Is there a cost to families?
No. Our matching service is free to families. We are compensated by the providers in our network, so you never pay us anything. You pay only the provider you choose, at the rates you agree to with them.
Are you a home care agency?
No. We do not employ caregivers or provide care ourselves. We are a referral and matching service that connects you with independent, licensed home care agencies and placement advisors in the Roanoke Valley and surrounding counties.
What is companion care, and how is it different from home health care?
Companion care is non-medical support: conversation and companionship, meal preparation, light housekeeping, transportation, errands and medication reminders. Home health care involves skilled medical services such as wound care or physical therapy ordered by a doctor. Many families start with companion care and add personal care as needs change.
Ready to find the right care?
Tell us what your family needs. It takes two minutes, it is free, and a trusted local provider will reach out within one business day.