From Key Largo to Key West, Cottage Home Care connects Monroe County families with trusted, background-screened caregivers, clear Florida Medicaid guidance, and flexible private-pay care—all coordinated by our Florida care team.
Request care in Monroe County
Living in the Florida Keys means island life on your own terms, and for many older adults and people with disabilities that means staying in the home they love rather than moving to a facility on the mainland. Cottage Home Care supports Monroe County seniors, recovering patients, and families across the island chain with personal care, companionship, homemaking, Alzheimer's and dementia memory care, and 24-hour or live-in support—help that lets a loved one wake up to the same water views and neighbors they have always known.
From your very first call, our Florida care team walks you through Florida Medicaid step by step, including the Statewide Medicaid Managed Care Long-Term Care program (SMMC-LTC)—a statewide benefit that reaches families throughout Monroe County. We explain what it covers, help gather the paperwork, and answer questions in plain language. In many situations a qualified family member or trusted friend can even be hired and paid to provide the care, through Florida's participant-directed Medicaid options. Every caregiver we coordinate is trained and background-screened for your peace of mind.
Not everyone wants to wait on an eligibility decision, and that is exactly what private pay is for. With flexible hourly, overnight, and live-in schedules, care in the Keys can often begin in about 24 hours—no eligibility wait required. Whether you need a few hours of companionship in Marathon or around-the-clock support in Islamorada, we build a schedule that fits your family and your budget.
Cottage Home Care proudly serves families throughout the Florida Keys, including Key West, Marathon, Islamorada, Key Largo, Tavernier, Big Pine Key, and Key Colony Beach.
Cities we serve in Monroe County
Cottage's offices are in South Florida, but Florida Medicaid and the SMMC-LTC program are statewide—so families from Key Largo down to Key West can access covered in-home care without anyone having to leave the islands. Our Florida care team coordinates everything remotely and through your local care plan, so distance from the mainland is never a barrier to getting help along the Overseas Highway.
Sorting out long-term care benefits can feel overwhelming, especially when the nearest state offices are a long drive up US-1. We handle the Florida Medicaid and SMMC-LTC application and eligibility process for Monroe County residents at no charge—checking whether you qualify, organizing documents, and following up—so your family can focus on life in the Keys instead of red tape.
In an island community where neighbors and family look after their own, it makes sense that the person caring for your parent might be their daughter, son, or close friend. Through Florida's participant-directed Medicaid options, a qualified family member or friend in Monroe County can often be hired and paid to provide that care—keeping support in familiar hands from Big Pine Key to Tavernier.
If you would rather not wait on an eligibility decision, our private-pay option lets Monroe County families arrange care in about 24 hours with no Medicaid approval needed. Choose hourly visits, overnight coverage, or full live-in support, and adjust the schedule as needs change—ideal for recovery after a hospital stay or extra help through hurricane season in the Keys.
Whether you qualify for Florida Medicaid or prefer to start privately, Cottage makes South Florida home care simple — and we’ll help you find the right fit in one free call.
Statewide Medicaid Managed Care — Long-Term Care (SMMC-LTC)
For eligible seniors, Florida Medicaid covers in-home care at no cost — and in many cases a family member can be hired and paid to provide it.
Flexible care with no Medicaid paperwork or waiting
Choose exactly the schedule you need — a few hours a week, overnights, or full live-in care — and we match a trusted caregiver right away.
Not sure which path is right for your family? We’ll walk you through both — free, with no obligation.
Ready to find the right care for your family?
From everyday personal care to specialized memory support, our South Florida caregivers deliver personalized care at home — through Florida Medicaid or private pay, we’ll help you find the right fit.
Bathing, dressing, grooming, toileting, and everyday mobility support.
Companionship, supervision, errands, and genuine emotional support.
Specialized, patient memory care delivered in familiar surroundings.
Light housekeeping, laundry, and home-cooked meal preparation.
Around-the-clock and live-in care for higher-need routines.
Free help with SMMC-LTC eligibility, or flexible private-pay plans.
Real reviews from the families we care for across Miami-Dade, Broward, and Palm Beach.
Cottage made it so easy to arrange care for my mother. Our caregiver treats her like family, and I finally have peace of mind knowing she is safe at home.
From the first call, the team was warm and organized. They matched us with a caregiver quickly and the care has been outstanding every single day.
After my husband’s surgery we needed help fast. Cottage handled everything and the caregivers were compassionate, punctual, and truly skilled.
Being able to be paid to care for my dad through the Medicaid program changed everything for our family. Cottage walked us through every step.
The team went above and beyond to make sure I understood every option. Patient, kind, and genuinely caring — five stars without hesitation.
Cottage made it so easy to arrange care for my mother. Our caregiver treats her like family, and I finally have peace of mind knowing she is safe at home.
From the first call, the team was warm and organized. They matched us with a caregiver quickly and the care has been outstanding every single day.
After my husband’s surgery we needed help fast. Cottage handled everything and the caregivers were compassionate, punctual, and truly skilled.
Being able to be paid to care for my dad through the Medicaid program changed everything for our family. Cottage walked us through every step.
The team went above and beyond to make sure I understood every option. Patient, kind, and genuinely caring — five stars without hesitation.
Quick answers about Florida Medicaid, private pay, and getting started with in-home care in Monroe County.
Yes. We coordinate in-home care for families throughout Monroe County and the entire Florida Keys—from Key Largo and Tavernier in the Upper Keys, through Marathon and Islamorada, down to Big Pine Key, Stock Island, and Key West. Because Florida Medicaid and private-pay care are arranged through our Florida care team rather than a walk-in office, we can support families all along the island chain.
Stop by, call, or send us a message. Our local team is here to answer your questions and help you get started.
