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ElderCareCosts
UPDATED JUL 2026 · DATA AS OF 2025

In-Home Care in Birmingham, Alabama

Birmingham, AL has 1 licensed in-home care provider listed on ElderCareCosts. The median estimated cost is $5,364/mo. That's above the Alabama state median by about 4%. Compare providers below, or request a personalized shortlist to start your search.

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Starting tier, Birmingham

$2,438/mo

About 20 hours a week: a common starting point for a new home-care client

Full-time care (44 hrs/week, survey standard)

$5,364/mo

Typical range $4,930 – $5,573

Birmingham $5,364 at 44 hrs/wk National median $6,848 at 44 hrs/wk

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Three steps

1. Call the county aging agency

Free: (205) 458-3330 (United Way Area Agency on Aging of Jefferson County)

2. Shortlist 3 options

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3. Prepare for the assessment

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What senior care costs in Birmingham

Birmingham figures as of 2025. Method and sources below.

Modeled median costs for in-home care in Birmingham versus Alabama and a multi-state national aggregate. Figures are estimates, not quotes.

In-Home Care cost comparison (2025)
In-Home CareBirminghamAlabamaNational
25th percentile$4,930/mo$4,914/mo$6,537/mo
Median$5,364/mo$5,148/mo$6,848/mo
75th percentile$5,573/mo$5,595/mo$7,443/mo

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Why is this number different on other websites? Most sites average "starting at" prices. Base rent, before care fees. We estimate the full monthly cost families actually pay. Budget from the all-in number. Our methodology →

What home care really costs by the hour

The $5,364 monthly figure assumes 44 hours of care a week. The survey standard. At Birmingham's implied rate of about $28 an hour:

Hours of careWhat it looks likeEst. monthly cost
20 hrs/weekMornings or afternoons, weekdays~$2,438
44 hrs/weekMost of every weekday$5,364
24/7 (168 hrs/week)Round-the-clock coverage~$20,481

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Ways families typically pay

  • Private pay (savings, income, home equity)
  • Long-term care insurance
  • VA Aid & Attendance for eligible veterans and surviving spouses
  • Medicaid home- and community-based services (HCBS) waivers, where eligible. Rules vary by state

Medicare generally does not cover long-term custodial care. State-specific Medicaid waiver guides are coming soon.

Nearby: Mountain Brook $5,364 · Homewood $5,364 · Tarrant $5,021 · Vestavia Hills $5,364 · Fultondale $5,021

What can you afford?

Every family starts with a number. Here's what different monthly budgets realistically cover in Birmingham, grounded in local medians on this page.

Under $2,500/mo

Adult day, family care, or affordable senior housing

Adult day care in Birmingham runs about $1,298/mo at the median. Income-restricted affordable senior housing is often the real under-$2,500 path when eligibility fits. Birmingham lists 30 such properties in our directory. Call the county aging agency at (205) 458-3330 for free navigation help. Medicaid/waiver paths can stretch a tight budget when eligibility fits.
$2,500 – $7,000/mo

Part-time home care or entry assisted living

Part-time home care often lands in this band (full survey month for in-home care is $5,364). Local assisted living median is $4,610/mo. Small homes can sit below that midpoint. Ask about waiver programs if Medicaid may apply.
$7,000 – $11,000/mo

Assisted living with room to spare

Covers the Birmingham assisted living median ($4,610/mo) comfortably. Or near-full-time home care around the $5,364/mo survey month.
Over $11,000/mo

Nursing care or heavy home-care schedules

Nursing homes in Birmingham run about $8,683/mo at the median. Round-the-clock home care usually costs more. Compare before deciding.
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Every licensed in-home care provider: 1

A note on counting: we show 1 licensed in-home care provider listed for Birmingham proper. Other sites show bigger numbers when they count a wide radius. Nearby options are linked below, labeled by city.

How we rank these: we don't. Sort them yourself.

Providers appear with their government data: CMS star ratings where they exist, license status, capacity, and inspection history. You can sort them yourself. Nobody pays to appear, and nobody pays to move up. If a listing says "Sponsored," a provider paid for that placement and the label says so.

Looking for a transparent sort by CMS stars, inspection records, and staffing? That is a separate data ranking, not an editorial pick.

Sponsored placements, when they appear, are always labeled. How we make money →

Compare agencies you choose
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Free local help worth saving

Birmingham has an estimated population of 198,173. About 32,486 residents (16%) are age 65 or older. Birmingham is located in Jefferson County, Alabama. The median household income is $46,051. Our directory currently lists 1 licensed in-home care provider in Birmingham. Estimated median cost in Birmingham is $5,364 per month, compared with $5,148 per month statewide in Alabama.

Source: US Census Bureau (ACS) · Updated Jul 2026.GOV

These services are public and free. We list them before anything we could earn from.

  • United Way Area Agency on Aging of Jefferson County205-458-3330uwaaa.org

    Jefferson County AAA (Older Americans Act). Contact from Alabama ADSS Help & Services directory.

    State aging agency
  • Alabama Long-Term Care Ombudsman Programltcombudsman.org

    State Long-Term Care Ombudsman program.

    State LTC Ombudsman
  • Alabama State Health Insurance Assistance Program (SHIP)shiphelp.org

    State Health Insurance Assistance Program (SHIP).

    Medicare counseling (SHIP)
  • Alabama Ageline1-800-243-5463alabamaageline.gov

    Aging & Disability Resource Center hub for this state.

    State aging agency
  • Birmingham VA Medical Centerva.gov

    VA Medical Center in Birmingham.

    VA open data
  • Home and Community-Based Waiver for the Elderly and DisabledOfficial program page

    Can help pay for care if your parent qualifies. Rules change. Confirm on the official page.

    State Medicaid program

Free national starting points. Official sites only; we do not scrape these directories.

Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. Official info only. How Aid & Attendance works →

Questions families ask

How many in-home care providers are listed in Birmingham, AL?

We currently list 1 licensed in-home care provider in Birmingham, AL.

What does in-home care cost per hour in Birmingham?

Based on the modeled median, in-home care in Birmingham runs about $28 an hour. A 20-hour week runs about $2,438/month.

Is in-home care in Birmingham more expensive than the rest of Alabama?

Birmingham's median in-home care cost is about 4% higher than the Alabama state median.

Want a Birmingham shortlist?

Tell us needs and budget once. We send licensed matches with real prices. Data stays free either way.

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Get a shortlist →

Reading up first? In-Home Care across Alabama → · In-Home Care cost breakdown → · Adult Day Care vs In-Home Care →

Assessment scheduled this week? Print our checklist: what to ask during your in-home assessment, what to notice, and the license paperwork to request. Free, no email required. Optional send-to-email when you want it on your phone.

Trust & methodology

Cite this: According to ElderCareCosts' 2026 index, in-home care in Birmingham, AL costs $5,364/month (median), at the 44-hour-a-week survey standard.