San Antonio, TX has 241 licensed in-home care agencies listed on ElderCareCosts. The median estimated cost is $5,996/mo. That's above the Texas state median by about 5%.
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Starting tier, San Antonio
$2,725/mo
About 20 hours a week: a common starting point for a new home-care client
Full-time care (44 hrs/week, survey standard)
$5,996/mo
Estimated range $5,292 – $6,393
● San Antonio $5,996 at 44 hrs/wk ○ National median $6,769 at 44 hrs/wk
2025 figures
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Home care in San Antonio runs about $31 an hour. Here is what common schedules cost a month:
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Medicare generally does not cover long-term custodial care. Families usually combine private pay, long-term care insurance, VA Aid and Attendance, or a Medicaid waiver where they qualify. See paying for care and the state Medicaid guides.
Nearby cities: Windcrest · Converse · Castroville
If getting up from the toilet is the hard part, an electric toilet lift does the lifting, day or night. Sponsored
Here is what different monthly budgets cover in San Antonio.
On the most recent inspection on file, state inspectors recorded an average of 4.4 findings per provider here, above the Texas average of 3.4.
In-home care comes to the home, so agencies based one town over often serve San Antonio; their licensed office is simply in a different city. These 9 are based nearby, listed by office location, nearest first. They are separate from the licensed-in-San Antonio count above. Always confirm they cover your address.
Ordered by distance from San Antonio, never by who pays. Office location is shown on every card. How we make money →
In the last 365 days: 895 newly licensed · 8 closed. Counts come from our ingestion diffs, not a complete state registry dump.
Between visits, a medical alert button covers the hours no one is in the house. See plans and the current offer. Sponsored
San Antonio, in Bexar County, has about 1,479,835 residents. About 198,597 of them (13%) are 65 or older. The median household income is $65,056.
Source: US Census BureauArea Agency on Aging serving this city.
State Long-Term Care Ombudsman program.
State Health Insurance Assistance Program (SHIP).
Statewide help for older adults, people with disabilities and caregivers.
VA Medical Center in San Antonio.
Can help pay for care if your parent qualifies.
1 VA Community Living Center or State Veterans Home nearby.
VA Aid & Attendance overview →National helplines, including the Eldercare Locator and 211, are listed on paying for care.
Veterans & surviving spouses: VA Aid & Attendance can help wartime veterans who qualify. How Aid & Attendance works →
Based on the modeled median, in-home care in San Antonio runs about $31 an hour. A 20-hour week runs about $2,725/month.
San Antonio's median in home care cost is about 5% higher than the Texas state median.
Tell us what you need and your budget, and we will email you licensed options right away.
Reading up first? In-Home Care across Texas → · In-Home Care cost across Texas → · 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. Or email it to yourself to have it on your phone.