Don't Qualify for Medicaid
You're above Medicaid income limits but still need high-quality home care without facility placement.
Private Pay Home Care Services provides seniors and individuals with the support they need to live independently and with dignity.
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.
Private pay removes every barrier between your loved one and the level of care they deserve.
No predefined service lists. We build your care plan from scratch around exactly what your loved one needs with complete flexibility and attention.
No insurance pre-authorizations or waiting periods. Care can often begin within 24–48 hours of your call for immediate support.
Meet multiple caregivers and choose the one that's the best fit — no assignment without your approval and full consent.
Access to our most experienced and highly-rated caregivers with specialized skills and certifications in professional home care services.
A few hours a week, daily visits, overnight care, or 24/7 live-in care — schedule changes anytime based on your needs.
Increase, decrease, or change services anytime as your loved one's needs evolve — no forms, no delays at all with complete flexibility and control.
You're above Medicaid income limits but still need high-quality home care without facility placement.
A sudden change in condition, hospitalization, or family emergency requires care to begin right away.
You want to avoid a nursing home or assisted living facility and prefer the comfort and familiarity of home.
Private pay gives families full control over scheduling, caregiver choice, and scope of care — without waiting on insurance or Medicaid eligibility.
You're above Medicaid income limits but still need high-quality home care without facility placement.
A sudden change in condition, hospitalization, or family emergency requires care to begin right away.
You want to avoid a nursing home or assisted living facility and prefer the comfort and familiarity of home.
You want the ability to interview, select, and request specific caregivers rather than be assigned one.
You need specialized services not typically covered by insurance — overnight care, live-in, or 24-hour support.
You need specialized services not typically covered by insurance — overnight care, live-in, or 24-hour support.
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.
Reach out by phone or complete our eligibility form. A care advisor will call you within hours.
We visit your home (or speak by phone) to understand your loved one's needs, personality, and preferences.
We select 2–3 companion caregivers who match your loved one's interests and introduce you to your top choice.
Your companion caregiver starts their visits. We check in regularly to ensure everything is going well.
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.
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.
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.
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.
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.