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Private Pay Home Care

Work directly with us to get exactly the services you need.

Private pay – also known as “paying out of pocket” – is one of your options when considering how to pay for home care services. It simply means that you or your loved one chooses to pay for the services yourself. Often, you can take advantage of a variety of funding options to subsidize these services. These options, combined with our competitive rates, can make private pay surprisingly affordable.

Our highly trained nurses and aides provide care – either hourly or 24/7 – for seniors in eastern, southern, and central Massachusetts.


Homemaking and Companionship

Private Pay Care is available from AHCS

This includes:

  • Bed-making
  • Dusting
  • Vacuuming
  • Changing linens
  • Laundry
  • Drop off and pick up dry cleaning
  • Errands and shopping
  • Sorting mail
  • Grocery list preparation
  • Meal planning and preparation
  • Conversation

Personal Care

This includes:

  • Assist with morning wake-up or evening tuck-in
  • Arrange/remind for appointments
  • Personal hygiene
  • Medication reminders
  • Bathing assistance
  • Skin care
  • Foot care


This includes:

  • Washing floors, windows, and walls
  • Tacking down loose rugs
  • Moving furniture
  • Cleaning appliances, cabinets, carpets, drapes, and ceiling fixtures
  • Removing clutter
  • Removing unsafe or unsanitary conditions


We can drive you anywhere you need to go, including:

  • doctor’s appointments
  • religious services
  • hairdressers and barber shops
  • stores and shopping centers
  • senior centers
  • club meetings
  • banks
  • pharmacies

Special Conditions

Our nurses and aides are specially trained to provide care to clients with dementia and other conditions, including:

  • Alzheimer’s
  • Parkinson’s
  • Difficulty walking
  • Difficulty seeing
  • Difficulty hearing
  • Down syndrome

24/7 Care

Private Pay Care is available from AHCS in Framingham, Springfield and Worcester Counties

You can receive this service in two ways:

  • Our care team is available to come to your home around the clock. If you call us, we will respond within 15 minutes, no matter the time of night or day.
  • One of our employees can live in your residence on a full-time basis.

Medication Management

Private Pay Care is available from AHCS in Framingham, Springfield and Worcester Counties

This includes:

  • One of our nurses will come to your home, with authorization and instructions from your doctor.
  • The nurse will help you organize your medications in boxes or a medication dispensing machine.
  • The nurse can advise you regarding medication storage, administration, disposal, and possible side effects. The nurse can also train you in the use of a dispensing machine, if needed.

Respite Care

Private Pay Care is available from AHCS in Framingham, Springfield and Worcester Counties
  • We will be happy to send home care aide to serve your needs if the regular caregiver is unable to visit.
  • We can do this on a short-term or long-term basis, by the hour or 24/7.


Our nurses and home care aides can provide private pay home care services to you in a variety of settings, including:

We can also provide discharge services if you or your loved one is leaving an organization that provides assistance for the elderly.



Home care can be significantly more cost-effective than a nursing home. According to Genworth Financial, an expert consultancy on senior care costs, the average cost of private nursing home care is $8,365 per year. By comparison, the average cost for a trained and certified home health aide is about $4,195 per year – about half the cost of a nursing home.


Rapid advances in home care for seniors and home health services are allowing more seniors to remain independent at home. Today, nearly every level of non-medical and skilled medical care can be coordinated and delivered seamlessly to clients and patients at home. These improvements translate into shorter hospital stays, lower overall healthcare costs and a better quality of life for seniors.


It’s no secret that elderly people prefer to live at home. Studies show that staying at home is significant for many seniors and allows them to take a more active role in their care. Maintaining independence and sense of control over one’s life can provide a powerful psychological boost to seniors and can even speed up post-hospital recovery time.


The average cost of care in an assisted living facility is increasing 6-7% per year – much faster than the rate of inflation. Some of this increase is due to overhead costs needed to maintain stand-alone healthcare facilities. Meanwhile, the average cost of home care has increased only about 2% annually in recent years, about even with inflation.


Why pay a nursing home for a full menu of round-the-clock care when your loved one may only need several hours of personal care and companionship services a day? Private home care is customized to meet the individual needs of each client — and that is all you pay for. And you can change the services you receive any time you wish.


There is an increasing network of supplemental federal, state and local resources that provide social, financial and referral support services to at-home seniors for private home care. Learn more about home care funding options, including private health insurance, long-term care insurance, reverse mortgages, worker’s compensation, Veterans Administration benefits, and GAFC funding.

Click here to learn more about the benefits of home care