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Costs & Insurance

How Much Does 24/7 In-Home Care Cost Per Month?

Around-the-clock care is the biggest cost question families ask. Here's how 24/7 hourly care and live-in care are priced, roughly what they cost per month in Florida, and the ways families pay for it.

DavidStar Home Care··Updated July 19, 2026·8 min read

Key takeaways

  • There are two ways to provide around-the-clock care: 24/7 hourly care (caregivers in shifts, always awake) and live-in care (a caregiver who stays in the home with sleep breaks)—and they are priced very differently.
  • 24/7 hourly care is the most expensive option because you pay for every hour; in Florida it commonly runs into the high-teens to low-twenties of thousands of dollars per month.
  • Live-in care is usually less expensive per month than 24/7 hourly care, because it is billed at a daily rate rather than hour by hour.
  • Real costs depend on the care level, the number of caregivers required, and the agency—always get a written quote based on an in-home assessment.
  • Most families combine funding sources: private pay, long-term care insurance, VA benefits, and Florida Medicaid waivers (APD/iBudget). DavidStar Home Care helps Broward County families build a plan that fits.

Quick answer: In Florida, 24/7 hourly (shift) care—with a caregiver awake and on duty every hour—commonly runs in the high-teens to low-twenties of thousands of dollars per month (hourly rates are typically the mid-$20s to mid-$30s). Live-in care, billed at a flat daily rate with sleep breaks, usually costs meaningfully less per month. Your exact cost depends on the care level and how many caregivers are needed—always get a written quote from an in-home assessment.

When a loved one can no longer be safely left alone, families ask the same practical question almost immediately: what does around-the-clock care actually cost? It is a fair question, and the honest answer is that it depends, but you deserve real numbers to plan with, not a shrug. Here is how 24/7 care is priced and roughly what to expect each month in Broward County.

First, there are two different models

'24/7 care' can mean two very different arrangements, and the cost gap between them is large:

  • 24/7 hourly (shift) care. Caregivers work in shifts, usually two or three per day, and someone is awake and on duty the entire time. This is the right choice when the person needs frequent help overnight, has advanced dementia, or has serious medical or fall risks.
  • Live-in care. One caregiver stays in the home for a 24-hour period (with a few caregivers rotating across the week) and is allowed sleep and meal breaks. It suits someone who is generally settled at night and does not need constant overnight attention.

Roughly what it costs per month

Home care is usually billed by the hour, and in Florida hourly rates commonly fall in the mid-$20s to mid-$30s per hour depending on the care level. Do the math on a full month:

  • 24/7 hourly care: paying for all 24 hours, every day, typically lands in the high-teens to low-twenties of thousands of dollars per month. It is the most expensive option precisely because no hour is unbilled.
  • Live-in care: because it is charged at a flat daily rate rather than hour by hour, it generally comes in meaningfully lower per month than 24/7 hourly care.

These are planning ranges, not a quote. Your actual cost depends on how much hands-on help is needed, whether two caregivers are ever required at once, and the agency's rates. Always insist on a written estimate based on an in-home assessment. (For the broader picture across all care levels, see our guide to home care costs in 2026.)

How it compares to a facility

Families are often surprised that part-time or live-in home care can cost less than a private room in a nursing home, while full 24/7 hourly care usually costs more. The trade-off is one-to-one attention in familiar surroundings. The right answer depends on how many hours of care are truly needed, which is exactly why an honest assessment matters before you decide.

How families actually pay for it

Very few families pay for around-the-clock care out of one pocket. Most combine sources:

  • Private pay — savings, income, or proceeds from a home or investments.
  • Long-term care insurance — if a policy is in place, it can cover a large share; check the daily benefit and elimination period.
  • VA benefits — programs like Aid & Attendance can add to a veteran's or surviving spouse's income; see our guide to VA benefits for in-home care.
  • Florida Medicaid waivers (APD / iBudget) — for eligible adults with disabilities, waiver programs can help fund in-home support.

At DavidStar Home Care, we help Broward County families understand what level of care is genuinely needed and build a funding plan that combines these sources sensibly. If your family is weighing around-the-clock care, the best next step is a free in-home assessment so the numbers are real, not guesses. Learn more about our 24-hour and live-in care.

Frequently asked questions

How much does 24/7 in-home care cost per month?
It depends on the model. 24/7 hourly (shift) care, where a caregiver is awake and on duty every hour, commonly runs into the high-teens to low-twenties of thousands of dollars per month in Florida. Live-in care, billed at a daily rate with sleep breaks, is usually meaningfully less. Exact cost depends on the care level and agency, so get a written quote based on an in-home assessment.
What is the difference between 24/7 care and live-in care?
With 24/7 hourly care, caregivers work in shifts and someone is awake and on duty the entire time, ideal when overnight help is frequent. With live-in care, a single caregiver stays in the home for a 24-hour period with allowed sleep and meal breaks, suited to someone who is settled at night. 24/7 hourly care costs more because every hour is billed.
Is 24/7 home care cheaper than a nursing home?
It varies. Live-in or part-time home care can cost less than a private nursing-home room, while full 24/7 hourly care usually costs more. The benefit of home care is one-to-one attention in familiar surroundings. The deciding factor is how many hours of care are genuinely required.
How do families pay for around-the-clock home care?
Most combine sources: private pay, long-term care insurance, VA benefits such as Aid & Attendance, and Florida Medicaid waivers (APD/iBudget) for eligible adults with disabilities. DavidStar Home Care helps Broward County families assemble a plan that fits.
Does Medicare pay for 24/7 home care?
Generally no. Medicare covers limited, short-term skilled home health care that is medically necessary, not ongoing around-the-clock non-medical caregiving. Around-the-clock home care is typically funded through private pay, long-term care insurance, VA benefits, or Medicaid waivers.

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