Angels Instead has been instrumental bringing peace of mind to my family by providing needed care to my wife. When last minute changes occurred they were quick to make the necessary changes. The quality of the caregivers is impressive. I am pleased to recommend Angels Instead to anyone who is in need of professional help.
How much does home care cost in Houston? Here are our actual rates.
Most agencies make you call before they will say a price. We publish ours. Hourly care with Angels Instead costs $24.92 to $29.50 an hour depending on the schedule and the level of care, 24-hour care is $24.92 an hour, and live-in care is quoted as a daily rate. No assessment fee, no hidden fees, no obligation.
- Licensed by Texas HHS
- Fully bonded and insured
- VA Community Care Network provider
- Care within 24 hours

Two things decide your hourly rate: hours and level of care
Hourly care with Angels Instead costs $24.92 to $29.50 an hour. The more hours you book in a day, the lower the hourly rate, and the three levels of care below sit a dollar or two apart. 24-hour care is $24.92 an hour. Live-in care is quoted as a daily rate. Bundling services never raises your rate.
Rates are per hour of care. Holiday rates apply on major holidays and are explained before the schedule is set. Hourly care is billed in 4-hour minimum shifts; 24-hour and live-in care are billed per day. The rate tool shows your exact figure in about a minute and emails it to you, with no obligation.
Companion care
Conversation, meals, errands, transportation to appointments, light housekeeping and a friendly check-in. Right for someone who is safe alone but should not be alone all day.
Personal care
Everything in companion care plus hands-on help with bathing, dressing, grooming, toileting and moving safely around the home.
Specialized care
Alzheimer's and dementia care, respite for a family caregiver, and recovery after a hospital stay or surgery. Caregivers with the right experience for the situation.
What home care costs per month in Houston
Real schedules families choose, priced with the rates above. Most families start smaller than they expect and add hours only if they are needed.
Three mornings a week
4 hours, three days a week of companion or personal care: about 52 hours a month at $28.75. The most common starting point after a fall or a hospital stay.
Four hours every day
A caregiver every morning for bathing, breakfast, medications and a tidy house: about 122 hours a month at $27.50.
Eight hours a day, dementia care
Daytime supervision and activities for someone living with memory loss while the family works: about 243 hours a month at $27.50.
Awake overnight care, 10 hours
A caregiver awake from 8 pm to 6 am for someone who wanders or needs help at night: about 304 hours a month at $24.92.
Live-in care
A consistent caregiver who lives in the home and sleeps at night. Live-in care is quoted as a daily rate based on the care needed, and is usually the lowest-cost way to cover 24 hours. Call 281-800-1800 for a quote.
24-hour awake care
Two or three caregivers in rotating shifts, always awake, for high needs or end-of-life support: 24 hours a day at $24.92.
They sound the same. They are not.
Both cover the whole day. The difference is who is awake at 3 am, and it changes the price and the fit.
| 24/7 care | Live-in care | |
|---|---|---|
| Caregivers | 2 to 3, rotating shifts | 1, living in the home |
| Overnight | Awake all night | Sleeps in the home |
| Lives there? | No | Yes, with a private room |
| Best for | High nighttime needs | Daytime help and presence |
| Consistency | Several familiar faces | One familiar face |
| How it is priced | $24.92 an hour | Quoted as a daily rate |
The deciding question: how much help is needed while everyone else is asleep? If the answer is "a lot", choose 24/7 care. If nights are mostly quiet, live-in care covers the day for less. Call 281-800-1800 and a care coordinator will help you decide, or read the full 24/7 care vs live-in care guide.
How our rates compare in Houston
In 2026, non-medical home care agencies in Houston typically quote $28 to $38 an hour. The large national franchises publish ranges of about $28 to $30 for companion care, $30 to $32 for personal care and $32 to $35 for dementia care at their Houston offices, and some agencies charge up to $38.
Angels Instead is a locally owned agency, so our overhead is lower and our rates sit at the low end of that range or below it, with the same licensing, bonding, insurance and background checks. For comparison, assisted living in Houston runs roughly $4,500 to $6,000 a month before care add-ons, and a nursing home room is usually more than that. A few hours of care at home is usually the least expensive option for as long as it is safe.
- Published rates, no haggling and no surprise increases
- Free home safety assessment and written care plan
- Caregiver introduced before the first shift, replacement sent if someone is sick
- Family portal with visit notes, schedule and invoices

What you get for the hourly rate, and what you never pay for
Included
A screened, trained, bonded and insured caregiver who is our employee, not a contractor. Payroll taxes, workers' compensation and liability insurance. Supervision by a care coordinator. A written care plan reviewed as needs change. Visit notes in the family portal. Replacement coverage when a caregiver is out.
Never charged
No assessment fee. No sign-up or deposit. No care plan fee. No fee to change the schedule or the caregiver. No invoice surprises: you see every hour in the portal before you are billed. No long-term commitment; care can stop with a short notice.
Extra, and always agreed first
Holiday rates on major holidays. Errands or outings that go far outside the service area. Skilled nursing visits when a plan of care calls for them, which are quoted separately.
Ways families pay for home care in Houston
Many families pay privately. Many others use a benefit they already had and did not know would cover home care. Two minutes with the tools below tells you which group you are in.
Does Medicare pay for home care?
Medicare pays for short-term skilled home health after a hospital stay, not for ongoing help with bathing, meals or supervision. That is why most families pay privately, through long-term care insurance, or through the VA. Texas Medicaid can pay in some cases; our guide explains who qualifies.
Long-term care insurance
If your parent has a policy, it will usually pay most of the daily cost after the elimination period. We handle the claim paperwork.
See what the policy covers →VA benefits for veterans
Veterans and surviving spouses can receive home care at little or no cost through VA Community Care, or an Aid and Attendance pension that helps pay for it.
Check VA eligibility →Private pay
Pay by bank transfer at no extra cost, or by card, with a clear invoice from the family portal. Hours can go up or down from week to week.
Get your exact rate →Tax deductions
When care is medically necessary, home care costs can count as a medical expense on a federal tax return. Ask your tax preparer and keep your invoices.
Read the FAQ →Five ways to lower the cost without lowering the care
- Book longer shifts, fewer daysThe 6-to-12-hour tier is the lowest hourly rate. Two 8-hour days can cost less than four 4-hour mornings and give the family caregiver a real break.
- Choose live-in over 24-hour shifts when nights are quietIf your parent sleeps through most nights, live-in care, quoted as a daily rate, usually covers the whole day for less than awake 24-hour care.
- Claim the benefits you already haveLong-term care insurance and VA benefits go unused in many families. Two minutes with our checkers often finds thousands of dollars a month.
- Start with a safety assessment, not a full scheduleThe free home visit often finds that a few changes at home plus a few hours of care are enough. We never recommend more hours than the plan needs.
- Keep hours flexibleThere is no long-term commitment. Add hours during a recovery, then reduce them as your parent gets stronger.
Questions to ask about any home care quote
A low hourly number can hide a lot. Ask these before you sign, and compare answers side by side.
Home care cost questions from Houston families
How much does in-home care cost per hour in Houston?
At Angels Instead, hourly home care in Houston costs $24.92 to $29.50 an hour in 2026, depending on the schedule and the level of care. 24-hour care is $24.92 an hour and live-in care is quoted as a daily rate. Houston agencies in general quote about $28 to $38 an hour.
How much does 24-hour home care cost in Houston?
Awake 24-hour care with rotating caregivers costs $24.92 an hour at Angels Instead, about $18,200 a month. Live-in care, where one caregiver lives in the home and sleeps at night, is quoted as a daily rate and is usually the lowest-cost way to cover the whole day. Call 281-800-1800 for a live-in quote.
Is there a minimum number of hours?
Yes. Hourly visits are a minimum of 4 hours. There is no minimum number of days per week and no long-term commitment, so three mornings a week is a normal schedule.
Does Medicare pay for home care in Texas?
Medicare covers short-term, doctor-ordered skilled home health after a hospital stay or illness. It does not pay for ongoing non-medical care such as bathing, meals, companionship or supervision. Families pay for that privately, through long-term care insurance, or through VA benefits. Some Texas Medicaid programs pay for in-home attendant care for people who qualify.
Will the VA pay for home care?
Often, yes. Angels Instead is a VA Community Care Network provider. Eligible veterans can receive Homemaker and Home Health Aide care at little or no cost through the VA, and the Aid and Attendance pension helps veterans and surviving spouses pay for care. Our two-minute VA quiz tells you where to start.
Are there any fees besides the hourly rate?
No assessment fee, no deposit, no sign-up fee and no fee to change the schedule. Major holidays are billed at a holiday rate that we tell you about before the schedule is set. Skilled nursing visits, when a plan of care calls for them, are quoted separately.
How do I get an exact quote?
Use the rate tool at angelsinstead.com/quote/. Answer a few questions about the kind of help and the schedule and it shows your hourly rate in about a minute, then emails it to you. Or call 281-800-1800 any time and a care coordinator will walk you through it. There is no obligation either way.
Can care start right away?
Usually within 24 hours across Greater Houston. When it is urgent, the home safety assessment, the care plan and the caregiver introduction happen the same day.
Home care rates are the same across Greater Houston
See your rate in about a minute, no obligation
Answer a few questions about the kind of help and the schedule. You will see the hourly rate on screen and get it by email, and a care coordinator can answer anything else.
Rated 5.0 on Google by the families we serve
Every review below is a public Google review from a family in the Houston or Dallas area, shown as they wrote it.
Angels Instead provided wonderful, compassionate home care. The caregivers were kind, dependable, and truly cared about our loved one. We felt comfortable knowing they were in good hands. Highly recommend!
My experience with Angels Instead was awesome! They took care of my Grandma who has dementia. They sent us a consistent caregiver, Julie, who was fantastic. She always made it on time and she treated my grandma with compassion and respect. She accompanied her to Dr. appointments and played with her… Read more
My experience with Angels Instead was awesome! They took care of my Grandma who has dementia. They sent us a consistent caregiver, Julie, who was fantastic. She always made it on time and she treated my grandma with compassion and respect. She accompanied her to Dr. appointments and played with her piano. She also did daily exercises with her and always kept the house tidy and clean! The agency follows up with us daily after each shift and makes sure all went well. I recommend them to every family who is looking for home care! By the way, they had a family portal that kept all our family up to date on everything my Grandma is doing! No surprises on invoices and their rates are affordable compared to what other agencies quoted us.
Our family is endlessly grateful for Angels Instead, especially for Luisa, the CNA who cared for my grandmother during her final months. We truly believe that when we reached out to Angels Instead, God sent us an actual angel. Luisa cared for my grandma with a level of love, patience, and… Read more
Our family is endlessly grateful for Angels Instead, especially for Luisa, the CNA who cared for my grandmother during her final months. We truly believe that when we reached out to Angels Instead, God sent us an actual angel. Luisa cared for my grandma with a level of love, patience, and compassion that went far beyond anything we expected. She treated her with dignity, tenderness, and genuine affection every single day. Her presence also brought tremendous comfort to my mom, who felt supported, guided, and never alone in the process of caring for her own mother. Losing my grandma has been incredibly difficult, but knowing she was surrounded by such compassionate care brings us so much peace. I cannot thank Angels Instead, especially Luisa and Tammy, enough. If you are looking for a home care agency that treats your loved one like family, this is the place. We will forever be grateful.
I have worked with Angels Instead for many months and they are very responsive in assuring there is always a caregiver on site. This is very important in caring for my bedridden mother.
Good, compassionate care.
Home care across Houston and Dallas
Caregivers who live nearby, so they arrive on time and know the area.
