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Cancer Care at Home

6 minute readLast updated February 28, 2023
Written by Rebecca Schier-Akamelu, assisted living writer
Reviewed by Vicki Demirozu, home care expertVicki Demirozu is a 30-year veteran in the home care industry and founder of Giving Care with Grace, an educational platform aimed at improving the client and caregiver experience.
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A cancer diagnosis can be one of the hardest things in life to deal with. While your loved one may have had plans to age in place, you may wonder if that’s possible for them as they undergo cancer treatment. How do you find a caregiver who can assist with the typical needs of someone who requires personal assistance as well as more complicated care needs related to cancer?

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Key Takeaways

  1. At-home cancer care typically falls under personal care assistance, home health care, or hospice care. Narrowing down the level of care can help you choose a caregiver.
  2. Interview potential caregivers to find out whether they have experience caring for cancer patients. Some agencies and caregivers may advertise this experience, but not all will.
  3. Applying for grants may help offset the cost of care. Look at applications carefully, as each has different requirements.
  4. Medicare or other private insurance may cover the cost of some in-home care. You’ll likely still have some out-of-pocket expenses, though.

Types of home care for cancer patients

As with home care of any sort, you’ll need to decide with your loved one and their care team what level of care they need at home. If you are a long-distance caregiver, you may need to utilize video calling or plan an in-person visit.

Personal care

Assistance with personal care tasks, also known as activities of daily living, includes dressing, transferring and mobility, toileting, and grooming. For this level of nonmedical care, you could work with an independent caregiver or hire a caregiver from a home care agency. A home care aide may offer homemaker services, too.

Common homemaking tasks include the following:

  • Meal preparation
  • Shopping or running errands
  • Transportation to and from medical appointments or other outings
  • Companionship
  • Light cleaning or other housework

The national median cost of an in-home caregiver in 2021 was $25 per hour.[01]

Home health care

Home health care differs from home care in that it’s medical in nature. The caregivers at a home health agency will have specialized training, even if they’re not registered nurses. Additionally, home health care requires a prescription from a doctor.

For skilled care, depending on what your loved one needs, a home health aide or a nurse can offer the following:

Outside of nursing care, your loved one can also receive physical, occupational, speech, and respiratory therapy at home. Additionally, a social worker can help with the emotional needs that your loved one may face as a cancer patient.

The national median cost of a home health aide in 2021 was $27 per hour according to Genworth’s annual Cost of Care Survey.[02]

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Hospice care

If your loved one has a terminal cancer diagnosis, you may be able to work with their care team to find in-home hospice care. This typically includes a blend of personal care assistance and home health care.

Hospice caregivers will work with the patient’s family to make a senior’s final days as comfortable as possible and prepare everyone for their loved one’s final days. Hospice care may also incorporate emotional and spiritual support.

Hospice care can include home care and home health care, so you may work with caregivers and medical professionals during this time. The cost would depend on whether your caregiver comes from a home care agency or home health agency.

How to pay for in-home cancer care

Depending on whether you use home care or home health care services, some of the costs may be covered by Medicare or other private health insurance. It’s a good idea to speak with the agency you’ll be working with to find out if they’re Medicare-approved or if they’re within your parent’s insurance network.

If your loved one is eligible for Medicaid, you may be able to apply for a Home and Community Based Services (HCBS) waiver. These waivers can help you avoid moving to a Medicaid-approved facility. Since Medicaid is administered at the state level, specific waivers and availability will vary depending on your state. You can find information about your state’s Medicaid offerings using Medicaid’s state links page.

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Grants

Several grants are available to help pay for cancer-related costs. Each grant is slightly different, and not all offer money for home care specifically, but they can still be helpful resources to help you save money. In addition to grants, you may want to reach out to your local United Way office to find out about resources in your area.

The following organizations offer grants that may be of help to you:

  • One Catalyst Foundation. This grant is eligible to individuals who need financial assistance for a range of medical conditions, including cancer. You’ll need to submit proof of this condition and describe why it’s a financial hardship.
  • KAMMCares. This foundation is dedicated to improving the lives of people with cancer. To apply, you’ll need to include a recent photo of your loved one, personal information including their interests, and how their diagnosis has affected their daily life. You’ll also need a letter from a doctor describing their treatment.
  • Selma Schimmel Vital Grant. This grant is offered through Vital Options International and offers assistance in the form of a monetary gift to people with financial hardship due to their diagnosis.
  • National Cancer Assistance Foundation. Grants are offered periodically to families and individuals, though recipients must meet certain income limits.
  • Cancer Care. This organization offers a financial assistance program and copayment assistance.
  • Leukemia and Lymphoma Society. This group offers a range of financial aid programs, including for nonmedical expenses such as home care and transportation.
  • Modest Needs. This organization offers grants to individuals and families living slightly above the poverty level. It gives special consideration to veterans and to people who live alone.
  • The COC Cares. Their Dollars Allocated to Assist (DATA) grant helps people in active cancer treatment connect with local resources to prevent eviction or utilities becoming disconnected.
  • Cancer Research and Life Foundation. This foundation offers assistance for expenses related to cancer treatment, including the treatment itself.
  • Family Reach. This organization offers grants for specific types of cancer, as well as general funding to help offset the cost of care.

Tailoring care to your loved one’s cancer diagnosis

To find the best fit for your loved one, you’ll have several things to consider — including an individual caregiver’s or agency’s experience caring for someone with cancer. This is one of the most important steps to choosing the right caregiver.

When considering an agency, ask if they specialize in or have experience caring for cancer patients. You may even want to ask how many of their caregivers have this experience, in case your usual caregiver is ill. Some agencies advertise whether they have caregivers trained to handle specific health conditions. For other agencies, you may have to ask for this information, which could take a lot of your time — and you’re likely already working hard to care for your loved one.

Consider working with an oncology case worker or a Senior Living Advisor at A Place for Mom. At no cost to you, a Senior Living Advisor can help you find caregivers who have experience caring for seniors with cancer. They’ll help you find a home care agency that fits your location and budget.

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  1. A Place for Mom. (2022). A Place for Mom 2021 Home Care Rates.

  2. Genworth. (2022, June 2). Cost of care survey.

Meet the Author
Rebecca Schier-Akamelu, assisted living writer

Rebecca Schier-Akamelu is a senior copywriter at A Place for Mom, specializing in topics such as assisted living and payment options. With more than a decade of experience as a content creator, Rebecca brings a person-centered approach to her work and holds a certificate in digital media and marketing from Duke University.

Edited by

Danny Szlauderbach

Reviewed by

Vicki Demirozu, home care expert

The information contained on this page is for informational purposes only and is not intended to constitute medical, legal or financial advice or create a professional relationship between A Place for Mom and the reader. Always seek the advice of your health care provider, attorney or financial advisor with respect to any particular matter, and do not act or refrain from acting on the basis of anything you have read on this site. Links to third-party websites are only for the convenience of the reader; A Place for Mom does not endorse the contents of the third-party sites.

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