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516-367-2266
516-367-1067
294 West Merrick Road, Suite 12, Freeport, NY 11520, United States
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including New York, New Jersey, Michigan, Maryland, Florida, and more.

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Cottage caregiver providing private pay home care to a senior

Private Pay Home Care

Private Pay Home Care Services provides seniors and individuals with the support they need to live independently and with dignity.

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What Is Private Pay Home Care

Care on Your Terms

Private pay home care means you fund the care directly — giving you complete control over every aspect of the care plan. You're not limited by insurance authorizations, restricted service lists, or pre-approved hour caps.

This option is ideal for families who don't qualify for Medicaid, want care that exceeds what insurance covers, or need care to start immediately without waiting for approvals.

Private pay can be combined with long-term care insurance, veterans benefits, or other funding sources to reduce out-of-pocket costs.

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A Cottage caregiver and a senior client seated together, smiling and holding hands.
Private Pay Advantages

Why Families Choose Private Pay Home Care

Private pay removes every barrier between your loved one and the level of care they deserve.

  • Fully Custom Care Plan

    No predefined service lists. We build your care plan from scratch around exactly what your loved one needs with complete flexibility and attention.

  • Rapid Start — Often Same Week

    No insurance pre-authorizations or waiting periods. Care can often begin within 24–48 hours of your call for immediate support.

  • Caregiver Selection

    Meet multiple caregivers and choose the one that's the best fit — no assignment without your approval and full consent.

  • Premium Caregiver Matching

    Access to our most experienced and highly-rated caregivers with specialized skills and certifications in professional home care services.

  • Flexible Scheduling

    A few hours a week, daily visits, overnight care, or 24/7 live-in care — schedule changes anytime based on your needs.

  • Easy Plan Adjustments

    Increase, decrease, or change services anytime as your loved one's needs evolve — no forms, no delays at all with complete flexibility and control.

Cottage Home Care caregiver assisting a senior man standing up from a chair at home.

Don't Qualify for Medicaid

You're above Medicaid income limits but still need high-quality home care without facility placement.

Caregiver and senior woman smiling while using a tablet together at the kitchen table.

Need Care to Start Immediately

A sudden change in condition, hospitalization, or family emergency requires care to begin right away.

Caregiver walking outdoors with a senior man using a cane on a sunny neighborhood path.

Prefer to Stay Home

You want to avoid a nursing home or assisted living facility and prefer the comfort and familiarity of home.

Who Chooses Private Pay

Private Pay Is the Right Choice For You If…

Private pay gives families full control over scheduling, caregiver choice, and scope of care — without waiting on insurance or Medicaid eligibility.

Don't Qualify for Medicaid

You're above Medicaid income limits but still need high-quality home care without facility placement.

Need Care to Start Immediately

A sudden change in condition, hospitalization, or family emergency requires care to begin right away.

Prefer to Stay Home

You want to avoid a nursing home or assisted living facility and prefer the comfort and familiarity of home.

Want to Choose Your Caregiver

You want the ability to interview, select, and request specific caregivers rather than be assigned one.

Need More Than Insurance Covers

You need specialized services not typically covered by insurance — overnight care, live-in, or 24-hour support.

Want Specific Services

You need specialized services not typically covered by insurance — overnight care, live-in, or 24-hour support.

Getting Started

Private Pay Care Can Begin
in as Little as 24 Hours

Private pay care is flexible and can start as soon as you're ready — no waiting for approvals or pre-authorizations. Care can often begin within 24–48 hours of your call for immediate support.

  1. 1

    Call Us or Apply Online

    Reach out by phone or complete our eligibility form. A care advisor will call you within hours.

  2. 2

    Free Home Assessment

    We visit your home (or speak by phone) to understand your loved one's needs, personality, and preferences.

  3. 3

    Caregiver Matching

    We select 2–3 companion caregivers who match your loved one's interests and introduce you to your top choice.

  4. 4

    Care Begins

    Your companion caregiver starts their visits. We check in regularly to ensure everything is going well.

Frequently Asked Questions

What is private pay home care and how does it work?

Private pay home care means your family pays directly for care services — without going through Medicaid or insurance. You choose the type of care, the number of hours, and the schedule that works for you. Cottage Home Care starts with a no-cost in-home assessment, builds a personalized care plan, and matches a caregiver to your loved one's needs and personality. There is no eligibility waiting period and no bureaucratic delays.

Can I get home care without Medicaid or insurance?

Yes — and many families prefer it. Private pay gives you full control. You are not waiting for authorization, not limited by what a plan will cover, and not assigned a caregiver based on availability alone. You get the same high-quality, carefully matched caregivers that Medicaid clients receive — just with more flexibility in scheduling and scope of services.

Is private pay home care a better value than assisted living?

For many families, yes — especially when your loved one only needs a few hours of support per day rather than around-the-clock care. Assisted living facilities carry significant monthly costs and require your loved one to leave a familiar home and community. Private pay home care keeps them where they are most comfortable, with one-on-one attention from a caregiver who knows them personally.

Can I transition from private pay to Medicaid coverage later?

Yes — and this is something Cottage Home Care actively helps families plan for. If your loved one becomes Medicaid-eligible while already receiving private pay care, our team will guide you through the application process and ensure there is no gap in services during the transition. You do not have to start over or find a new agency.

Is private pay home care available after surgery with a fast start?

Yes — private pay is ideal for post-surgery recovery, especially when you need to act immediately and cannot wait for insurance authorization. Cottage Home Care can arrange private pay caregivers within 48 to 72 hours of a hospital discharge. We work directly with discharge planners to make sure your loved one has support from day one at home.

Real Stories

What Families Say About
Private Pay Care

Also Consider

Services Available Through
Private Pay

  • Caregiver spending time with a senior client in a comfortable home setting.

    Companion Care

    Reliable Anytime Home Care for Your Loved Ones

    Learn More about Companion Care
  • Caregiver supporting a senior with daily activities at home.

    Personal Care

    Compassionate Daily Support for Loved Ones

    Learn More about Personal Care
  • Healthcare professional providing attentive medical support.

    Specialized Care

    Expert Care Tailored to Every Individual Need

    Learn More about Specialized Care