What Is Private Pay?
Care funded directly by families, without program restrictions
Private pay means your family pays for care directly — rather than through a government program or managed care organization. This gives you full control over what services are provided, who provides them, and when.
Many families choose private pay because they want care to start immediately, want more hours than a program allows, or simply want the freedom to design care around their loved one rather than around a funding formula.
Ask About PricingWhat Families Pay For
Hourly care
Choose the hours that make sense — a few hours a day, specific shifts, or structured weekly schedules. Billed transparently per hour with no surprise fees.
Live-in care
A caregiver lives in the home and is available around the clock. Ideal for families who need maximum support without a facility placement.
Overnight care
A caregiver stays overnight to handle nighttime needs — wandering, bathroom assistance, medication — so family caregivers can sleep.
Companion & errand care
Non-medical support including companionship, grocery runs, appointments, light housekeeping, and social outings.
Why Private Pay
The advantages of paying privately for home care
No waitlists
Private-pay clients can start care in days, not months. There are no program enrollment queues or eligibility delays.
No program restrictions
Government programs limit what services can be provided. Private pay gives your family the freedom to build care around your loved one's actual needs.
Consistent caregiver
Private-pay families receive priority caregiver matching and greater continuity — the same person shows up, every shift.
Flexible scheduling
Start with a few hours and scale up or down as needs change. No long-term contracts required.
Premium caregiver selection
Private-pay clients can request caregivers with specific skills, experience, or language ability.
Family-directed care
You and your family lead the care plan. We follow your priorities, not program requirements.
Not sure if private pay is right for your family?
Many families use a combination of private pay and insurance benefits. We also work with families covered by long-term care insurance, the VA, and other programs. Our care advisors will help you understand every option — at no cost.
Ready to get started?
Speak with a care advisor today — no commitment, no pressure. Available 24/7 across Massachusetts.