Comfort and Care
for your family in Seattle

In-home companion care is non-medical help provided in a senior's home by a trained caregiver. It covers companionship and conversation, light housekeeping, meal preparation, errands and transportation, medication reminders, and safety monitoring. It does not include hands-on body care like bathing or dressing — that's personal care, a related service.

No. Medicare covers only skilled home health — nursing, physical therapy, occupational therapy — when ordered by a physician for a specific medical issue. Non-medical companion care falls outside that. Families typically pay privately, use long-term care insurance, or qualify for Medicaid waiver programs in their state. Some Medicare Advantage plans now offer limited supplemental companion benefits.

Most agencies can start care within 48 to 72 hours of signing a service agreement and completing the in-home assessment. If you're facing a hospital discharge or family emergency, ask about urgent-start availability — many agencies hold capacity for exactly this situation and can have the first caregiver in your parent's home within 24 hours of the first call.

A typical visit blends companionship with everyday tasks: conversation and shared meals, light housekeeping, meal preparation, errands and grocery shopping, transportation to appointments, medication reminders, and hobbies. The caregiver does things with your parent, not just for them — gardening together, looking at photos, playing cards. That mix is what makes the service meaningful, not any single task.

Most modern long-term care insurance policies cover companion care once the policyholder meets the activities-of-daily-living trigger — usually needing help with 2 of 6 ADLs. Read the policy carefully: many have a 30 to 90 day elimination period (out-of-pocket cost before coverage kicks in) and a daily or monthly benefit cap. Older policies sometimes restrict coverage to clinical care only.

In the Seattle area, expect to invest between $45 and $55 per hour for companion care services. Your actual rate will depend on factors like the intensity of care your loved one needs, your preferred schedule, and the specific caregiver or agency. If you require evening, weekend, or holiday coverage, plan for an additional 10 to 20 percent premium, as these time slots face higher demand and greater staffing constraints.

Companion care is non-medical, hands-off — conversation, meals, errands, housekeeping. Personal care adds hands-on help with the activities of daily living: bathing, dressing, toileting, and safe transfers. Most families start with companion care and layer in personal care when their parent's needs grow. Personal care is provided by Certified Home Health Aides; companion care doesn't require certification.

Yes — and they should. We try to match every family with a small team of caregivers rather than relying on just one person. This approach helps ensure reliable coverage if a caregiver is unavailable due to illness, vacation, or other scheduling needs. For clients with higher-acuity care needs, we typically use a dedicated caregiver team approach to provide greater continuity, consistency, and assurance that qualified care is always available when needed.