--- title: "Home Care in San Antonio, TX: Live-In, 24-Hour and Companion Care" description: "Non-medical home care in San Antonio, TX: live-in, 24-hour and companion care, no minimums or contracts. Local median $30/hour, plus Texas programs and resources." url: https://homecare.preview.multisites.ai/state/texas/san-antonio-metro/ publisher: HomeCare.com phone: 800-974-3458 start: https://care.homecare.com/?source=homecare.com --- # Home care in San Antonio, TX Non-medical caregivers across the San Antonio area, from a few hours a week to live-in care. No minimums, no contracts. [Call 800-974-3458](tel:+18009743458)[Find a caregiver](https://care.homecare.com/?source=homecare.com) **Is your parent's county in the San Antonio metro area?** Tap a county on the map, or check a ZIP code. Shaded: the 8 counties of the San Antonio metro area. Dashed lines: state borders. ## San Antonio Metro at a glance Typical home care rate**$30/hour**Median for the San Antonio area. The same as the Texas median. Adults 65 and older**370,517**13.9% of residents in the San Antonio metro area Seniors living alone**91,604**households in the San Antonio metro area where someone 65+ lives alone Age 85 and older**38,260**residents of the San Antonio metro area Sources: [CareScout Cost of Care Survey 2025](https://www.carescout.com/cost-of-care); U.S. Census Bureau, American Community Survey 2020-2024. ## Care for your parent in San Antonio, on your schedule. What it costs**$30/hour median**About $2,600 a month for 20 hours a week (estimate).Who can help pay**STAR+PLUS HCBS, STAR+PLUS / CFC, PHC / CAS**Texas programs for people who qualify, plus VA benefits and long-term care insurance. Who to call[800-974-3458](tel:+18009743458)A HomeCare.com care advisor. Free local help: Bexar Area Agency on Aging (AACOG), [210-477-3275](tel:+12104773275). ### Counties in the San Antonio metro area - Atascosa County, TX - Bandera County, TX - Bexar County, TX - Comal County, TX - Guadalupe County, TX - Kendall County, TX - Medina County, TX - Wilson County, TX Central counties (OMB definition) ### Also in Texas - [Austin](https://homecare.preview.multisites.ai/state/texas/austin-metro/) - [Dallas](https://homecare.preview.multisites.ai/state/texas/dallas-metro/) - [Fort Worth](https://homecare.preview.multisites.ai/state/texas/fort-worth-metro/) - [Houston](https://homecare.preview.multisites.ai/state/texas/houston-metro/) - [Live-in care](https://homecare.preview.multisites.ai/live-in-care/) - [24-hour care](https://homecare.preview.multisites.ai/24-hour-care/) - [Companion care](https://homecare.preview.multisites.ai/companion-care/) - [Personal and advanced care](https://homecare.preview.multisites.ai/personal-care/) - [Dementia care](https://homecare.preview.multisites.ai/dementia-care/) - [Respite care](https://homecare.preview.multisites.ai/respite-care/) About home care in San Antonio Home care in San Antonio, TX has a CareScout 2025 median of $30 an hour in the San Antonio Area (San Antonio-New Braunfels), the same as the Texas median. Care is non-medical help with daily tasks. Call a HomeCare.com care advisor at 800-974-3458 to start. Among the five Texas metros on this site, the San Antonio metro has the highest share of older adults. Census figures show 198,597 adults 65 or older live in the city, or 13.4% of residents. The San Antonio-New Braunfels metro is higher, at 13.9%, with 370,517 adults 65 or older. In the city, 22,615 residents are 85 or older, and 54,577 households have someone 65 or older living alone. AACOG runs the Bexar Area Agency on Aging, which offers respite for family caregivers at no charge. It also runs the Alamo Service Connection, the local Aging and Disability Resource Center. The separate Alamo AAA covers 12 surrounding counties, such as Comal and Guadalupe. Families often turn to University Health, Methodist Healthcare System or CHRISTUS Health. HomeCare.com serves families in San Antonio with non-medical caregivers, and its app confirms each visit. ## Plan care in San Antonio. Choose what your parent needs. We use the San Antonio area median rate to estimate the monthly cost. We'd suggest [Companion care](https://homecare.preview.multisites.ai/companion-care/) A caregiver keeps your parent company and helps with meals, errands and the house. about $2,600/month 4 hrs x 5 days x 52 weeks / 12 x $30/hr (San Antonio, TX) [Talk through this plan](tel:+18009743458) Market medians from the CareScout Cost of Care Survey 2025, not HomeCare.com prices. A care advisor prices your actual schedule. [Companion care**~$2,600/mo**Talk it through](tel:+18009743458) ## Free local help for San Antonio families. Area Agency on Aging ### [Bexar Area Agency on Aging (AACOG)](https://aacog.gov/who-we-serve/area-agencies-on-aging/) AACOG runs the Bexar AAA, which offers respite for family caregivers at no charge, and the Alamo Service Connection ADRC; the separate Alamo AAA covers 12 surrounding counties such as Comal and Guadalupe. [210-477-3275](tel:+12104773275) Coming home from the hospital? ### Health systems near San Antonio - [University Health](https://www.universityhealth.com/) - [Methodist Healthcare System](https://www.sahealth.com/) - [CHRISTUS Health](https://www.christushealth.org/) [Plan care before discharge](https://homecare.preview.multisites.ai/guides/home-care-after-hospital-discharge/) Concern about care? ### [State Long-Term Care Ombudsman program](https://ltco.texas.gov/) Free, confidential advocacy for people receiving long-term care. [800-252-2412](tel:+18002522412) ## Texas programs that can help pay. [Rules and programs in Texas](https://homecare.preview.multisites.ai/state/texas/) [HCBS waiver**STAR+PLUS HCBS**Adults age 21 or older who meet nursing home level of care and are at risk of nursing home placement.Official page](https://www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus) [managed care**STAR+PLUS / CFC**Adults who have disabilities or are age 65 or older and who qualify for Texas Medicaid. HHSC assesses the need for long-term services when the person applies.Official page](https://www.hhs.texas.gov/services/health/medicaid-chip/medicaid-chip-members/starplus) [state plan personal care**PHC / CAS**People who qualify for community Medicaid, have a medically related functional limitation in personal care, score at least 24 on the state assessment form (Form 2060), and need at least six hours of service a week.Official page](https://fhb.hhs.texas.gov/handbooks/community-care-services-eligibility-handbook/4600-primary-home-care-community-attendant-services) Rules change; confirm eligibility with the state. A care advisor can talk through payment options. ## Questions about care in San Antonio. Rather talk it through? A care advisor can answer these by phone. [800-974-3458](tel:+18009743458)[Call a care advisor](tel:+18009743458) ### How much is home care in San Antonio, TX? CareScout's 2025 survey lists $30 an hour for a non-medical caregiver in the San Antonio Area, the same as the Texas median. It lists assisted living at $5,885 a month, nursing home care at $210 a day and adult day care at $90 a day. A HomeCare.com care advisor can talk through payment options. ### Does the Bexar Area Agency on Aging offer free respite? Yes. AACOG runs the Bexar Area Agency on Aging, which offers respite for family caregivers at no charge. Call 210-477-3275 or visit 2700 NE Loop 410, Suite 101, San Antonio. AACOG also runs the Alamo Service Connection, the local Aging and Disability Resource Center. ### Where do seniors in Comal or Guadalupe County find help? The Bexar Area Agency on Aging serves Bexar County only. The separate Alamo Area Agency on Aging covers 12 surrounding counties, such as Comal and Guadalupe. Call the agency that matches your parent's county. A HomeCare.com care advisor at 800-974-3458 can talk through care at home in the San Antonio metro. ### How does HomeCare.com keep visits accurate in San Antonio? The HomeCare.com app confirms the caregiver is at your home on time and your billed hours are accurate. Every caregiver HomeCare.com refers must pass a background check, which covers at least the past seven years. Call 800-974-3458 to learn how this works for your family. ## Find a caregiver in San Antonio. Free consultation. No minimums, no contracts. [800-974-3458](tel:+18009743458) [Call a care advisor](tel:+18009743458)[Find a caregiver online](https://care.homecare.com/?source=homecare.com) ![A caregiver and an older woman looking at a tablet together](https://homecare.preview.multisites.ai/_astro/personal-hero.DqUYygP8_1Sv1FH.webp)