The cost of respite care is usually the responsibility of the caregiver and care receiver. In general, in-home respite care is more cost effective than out-of-home care. MetLife’s Mature Market Institute Study of Long-term care costs indicated the following national averages (costs vary considerably from state to state):
- Home Care Agencies – $21/hour for home health aides and $19 hour for homemakers/companions.
- Adult Day Care Centers – $67/day. Some offer sliding scales for low-income families.
- Nursing Homes – $200-230/day.
Possible Sources of Funding
- Medicare. Respite care is only covered by Medicare when the patient is in a hospice program. However, Medicare covers the cost of some services, medications, etc..for patients receiving in-home care as well as a certain amount of a patient’s stay in an out-of-home facility for up to five days at a time.
- Long-term Care Insurance. The amount of coverage varies widely from plan to plan.
- SSI Disability covers some respite care for qualified individuals.
- Veterans Administration. Inpatient respite care in a Veterans Hospital is covered for up to 30 days a year for qualified veterans.
- Medicaid doesn’t directly cover respite care but some states are able to use federal funding to help cover the cost.
- State Agencies – more than half of U.S. states have programs allowing family members to be compensated for respite care. Varies greatly between states.
- Disease Specific Organizations, like the Alzheimer’s Association, provide some respite care funding.
- Alzheimer’s Association. A Respite Care Guide is available by calling 1-800-272-3900 or going online to the Alzheimer’s Association website.
- Family Caregiver Alliance provides fact sheets and a newsletter for caregivers. Call 1-415-434-3388.
- National Adult Day Care Services Association. 1-703-610-9005 or http://www.nadsa.org.
- National Alliance for Care giving. http://www.caregiver.org.