The average starting cost of home care in Nebraska is $34 per hour, according to A Place for Mom’s proprietary data. Based on our ranking methodology, the top-rated home care agencies in Nebraska are Sunlight Senior Care-Lincoln, NE, Seniors Helping Seniors - Greater Omaha, NE or Home Instead - Lincoln, NE. Home care can help older adults remain in familiar surroundings while receiving support with personal care, meals, companionship, and everyday routines.
From Omaha and Lincoln to Bellevue, Papillion, Grand Island, and smaller communities, provider availability can differ across Nebraska. Families often compare caregiver reliability, scheduling flexibility, communication, and whether services can adjust as their loved one’s needs change.
Home care provides nonmedical assistance with activities such as bathing, dressing, meal preparation, light housekeeping, errands, and companionship. Home health care is different because it includes medical services delivered by licensed health professionals. Some companies provide both, but A Place for Mom’s network consists of nonmedical home care providers. A Place for Mom partners with 58 home care agencies in Nebraska to help families compare local options.
Reviewer Ranking
5.0/ 5.0
(3)I have already recommended Sunlight to several friends. We picked this community because of the flexible schedule and price per hour.
Reviewer Ranking
5.0/ 5.0
(3)They were fantastic to work with as I attempted to figure out options for my mom. I wish my mom's circumstances had allowed her to accept their assistance. I think she would have received a higher standard...
Reviewer Ranking
3.8/ 5.0
(5)The main thing that we liked was that you didn't have a minimum number of days that had to be scheduled. Yes, we would recommend their services to others
Reviewer Ranking
5.0/ 5.0
(3)I have already recommended Sunlight to several friends. We picked this community because of the flexible schedule and price per hour.
Reviewer Ranking
5.0/ 5.0
(1)They're really good. They were really nice people. I thought the cost was very reasonable. They did everything that was required of them and they went a little bit beyond so it was good. My mother has since...
Reviewer Ranking
5.0/ 5.0
(2)A Place At Home Caregivers, Omaha, NE took care of our mother for the last few months of her life. They were excellent, she was 92 years old and lived alone. She was very independent so we were very...
Reviewer Ranking
5.0/ 5.0
(3)I have already recommended Sunlight to several friends. We picked this community because of the flexible schedule and price per hour.
Reviewer Ranking
5.0/ 5.0
(2)A Place At Home Caregivers, Omaha, NE took care of our mother for the last few months of her life. They were excellent, she was 92 years old and lived alone. She was very independent so we were very...
Reviewer Ranking
5.0/ 5.0
(1)They're really good. They were really nice people. I thought the cost was very reasonable. They did everything that was required of them and they went a little bit beyond so it was good. My mother has since...
Reviewer Ranking
5.0/ 5.0
(3)I have already recommended Sunlight to several friends. We picked this community because of the flexible schedule and price per hour.
Reviewer Ranking
5.0/ 5.0
(2)A Place At Home Caregivers, Omaha, NE took care of our mother for the last few months of her life. They were excellent, she was 92 years old and lived alone. She was very independent so we were very...
Reviewer Ranking
5.0/ 5.0
(1)They're really good. They were really nice people. I thought the cost was very reasonable. They did everything that was required of them and they went a little bit beyond so it was good. My mother has since...
Reviewer Ranking
5.0/ 5.0
(2)A Place At Home Caregivers, Omaha, NE took care of our mother for the last few months of her life. They were excellent, she was 92 years old and lived alone. She was very independent so we were very...
Reviewer Ranking
5.0/ 5.0
(3)I have already recommended Sunlight to several friends. We picked this community because of the flexible schedule and price per hour.
Reviewer Ranking
4.6/ 5.0
(5)Even though we no longer use Synergy HomeCare for my mom we were more than pleased with the care they were able to give her. The care giver bent over backward to help her even though she was very difficult...
Home care in Nebraska costs $34 per hour, compared with the national average rate of $32 per hour. Rates are fairly close across the state’s largest markets, with Omaha-area costs currently trending slightly higher than Lincoln.[01] The amount a family pays will also depend on the agency, the services provided, and how often care is scheduled.
Monthly expenses depend largely on the number and length of caregiver visits. A lighter schedule may provide enough time for companionship, meal preparation, errands, or help around the house. Someone who needs regular assistance with bathing, dressing, mobility, or other personal care may need more frequent visits. The estimates below use Nebraska’s average hourly home care rate:
Home care rates in Nebraska may also be affected by:
Average monthly costs
Nebraska
US National average
Average monthly costs
Average monthly costs
Average monthly costs
| Community type | Nebraska | U.S. | Cost difference |
|---|---|---|---|
| Assisted Living | $5,699/mo | $5,830/mo | 2.2% below national average |
| Memory Care | $7,160/mo | $6,999/mo | 2.3% above national average |
| Independent Living | $3,335/mo | $3,520/mo | 5.3% below national average |
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
Nebraska families may use private funds, public benefits, or a combination of both to pay for nonmedical home care. Depending on eligibility, VA benefits or Nebraska Medicaid programs may help cover some support delivered at home.
Private pay can give families more control over the agency, schedule, and type of assistance their loved one receives. Common private payment sources include:
Families may rely on one payment source or combine several. For example, long-term care insurance may cover part of the cost, while Social Security benefits, retirement income, or savings help with the remaining monthly expenses.
Eligible veterans and surviving spouses in Nebraska may qualify for benefits from the U.S. Department of Veterans Affairs (VA) that help with care at home. Depending on the program, this support may include help with daily activities, temporary relief for family caregivers, or additional pension payments that can be used toward care.
Veterans enrolled in VA health care may qualify for home- and community-based services, including:[02,03,04]
Eligibility and availability can vary based on the veteran’s needs and local VA resources. Some veterans may also have a copay.
VA Aid and Attendance provides additional monthly pension payments to eligible veterans and survivors who need help with daily activities or are largely confined to their homes. Families may be able to use these funds toward the cost of nonmedical home care.[05]
Nebraska families can contact the Nebraska Department of Veterans’ Affairs State Service Office or a local County Veterans Service Officer for help understanding benefits and filing claims.[06]
Read more: Home Care Options for Veterans: Eligibility and Services
Medicaid is a joint federal and state program that helps eligible people pay for health care and long-term services. In Nebraska, the program is called Nebraska Medicaid. It may help eligible residents pay for nonmedical assistance through Personal Assistance Services or the Aged and Disabled Waiver.
Nebraska Medicaid’s Personal Assistance Services program helps people of any age who have a chronic medical condition or disability and need help with daily activities. To qualify, a person must receive Medicaid, live at home rather than in an institution, and have an assessed need for the service. Participants can choose their provider and direct their own care.[07]
Personal Assistance Services may help with activities of daily living, such as bathing, dressing, and other tasks identified during the person’s assessment. A family member may serve as the paid provider if the person meets program qualifications and isn’t legally responsible for the participant. A spouse or the parent or guardian of a minor child can’t be paid through this program.[07]
Personal Assistance Services is part of Nebraska’s regular Medicaid State Plan, so it is an entitlement for people who meet the program requirements. The Aged and Disabled Waiver isn’t an entitlement and is subject to the number of waiver spaces available.[08,09]
The Aged and Disabled Waiver helps eligible older adults and people who have disabilities receive services at home or in the community instead of entering a nursing facility. To qualify, a person must receive Nebraska Medicaid, be age 65 or older or have a disability, meet nursing facility level-of-care requirements, and need waiver services.[10]
Nonmedical services that may help someone remain at home include:[10]
Nebraska also offers LRI Personal Care for participants who meet the state’s extraordinary care standard. This service may allow a spouse to provide paid hands-on care, generally as an agency employee except in limited circumstances.[11]
Read more: Medicaid Home Health Care and Nonmedical Home Care: Your Questions, Answered
Medicare is a federal health insurance program for adults 65 and older and some younger people with disabilities. It may cover limited help with bathing, dressing, grooming, or toileting when your loved one is also receiving qualifying skilled care through Medicare’s home health benefit. Medicare generally doesn’t pay for ongoing personal care, companionship, meal preparation, or housekeeping when those are the only services needed.[12]
Read more: Does Medicare Cover Home Health Care?
Nebraska doesn’t license private-pay nonmedical home care businesses as health care services. State law refers to these providers as in-home personal services agencies, while home health agencies that provide skilled nursing or therapeutic services are licensed separately by the Nebraska Department of Health and Human Services (DHHS).[13,14,15]
No. Nebraska specifically excludes in-home personal services agencies from the state definition of a licensed health care service. An agency that also provides skilled nursing or other therapeutic home health services must meet Nebraska’s separate home health agency licensing requirements.
No. Nebraska doesn’t conduct routine licensing inspections of private-pay nonmedical home care agencies because these businesses aren’t licensed as health care services.[13,15]
Nebraska law requires in-home personal services workers to be at least 18 years old, have good moral character, and have sufficient training for the services they provide. Workers can’t have certain disqualifying criminal convictions or adverse findings on specified abuse, aide, medication, or sex offender registries. They must also be able to communicate in English or in the language of the person receiving care.[16]
Agencies must complete a criminal history record check for each worker. When transportation is part of the worker’s duties, the agency must also check the worker’s driving record. Nebraska law requires sufficient training but doesn’t set a fixed number of training hours, so families should ask each agency how it prepares caregivers for the tasks their loved one needs.[16,17]
When comparing agencies, be sure to ask about reference checks, caregiver training, supervision, backup care, and how the provider handles complaints or missed visits.
Choosing a home care agency is easier when you understand how caregivers are selected, how care will be supervised, and what happens when plans change. Look for a provider that communicates clearly, explains its policies, and can offer the services and schedule your family needs. Consider the following as you compare agencies:
A Place for Mom helps families compare home care agencies and find providers that match their loved one’s care needs, budget, and preferences. In states that require nonmedical home care agencies to be licensed, A Place for Mom verifies the licensing status of agencies in its network twice each year.
Read more: How to Choose a Home Care Agency
Let our care assessment guide you
Our free tool provides options, advice, and next steps based on your unique situation.
The average cost of home care in Nebraska is $34 per hour.
Medicare covers home health care and may cover nonmedical assistance, such as help with bathing, grooming, dressing, or toileting, when those services are medically necessary and provided along with qualifying skilled services. It generally doesn’t cover ongoing nonmedical help when that is the only care needed.
Yes. Nebraska Medicaid may cover nonmedical in-home care for eligible residents through Personal Assistance Services or the Aged and Disabled Waiver.
Possibly. Personal Assistance Services may allow certain relatives to serve as paid providers, but not the participant’s spouse. Under the Aged and Disabled Waiver, LRI Personal Care may allow a spouse to provide paid care when the participant meets the extraordinary care requirements.
Eligibility depends on the program. Both Personal Assistance Services and the Aged and Disabled Waiver require Nebraska Medicaid eligibility, which includes financial requirements. Personal Assistance Services also requires residence in the community and an assessed need for help with daily activities. The waiver additionally requires the person to be 65 or older or have a disability, meet nursing facility level-of-care requirements, and need waiver services.
Nebraska home care agencies may help with companionship, personal care, meal preparation, light housekeeping, laundry, errands, transportation, and support with daily routines.
Your parent may benefit from home care if everyday tasks are becoming harder or less safe, such as bathing, getting dressed, preparing meals, keeping up with housework, remembering to take medications, or moving around the home. For more guidance, see these signs that your aging parent needs help.
A Place for Mom. (2026). A Place for Mom proprietary data.
U.S. Department of Veterans Affairs. (2026, March 6). Geriatrics and extended care: Home and community based services.
U.S. Department of Veterans Affairs. (2026, March 6). Geriatrics and extended care: Homemaker and Home Health Aide Care.
U.S. Department of Veterans Affairs. (2026, March 6). Geriatrics and extended care: Respite Care.
U.S. Department of Veterans Affairs. (2026, May 8). VA Aid and Attendance benefits and Housebound allowance.
Nebraska Department of Veterans’ Affairs. State Service Office.
Nebraska Department of Health and Human Services. Home and Community-Based Services: Personal Assistance Services.
Nebraska Department of Health and Human Services. Services on the Aged and Disabled Waiver.
Nebraska Department of Health and Human Services. (2025, September). LRI Personal Care.
U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.
Nebraska Legislature. Nebraska Revised Statute 71-415: Health care service, defined.
U.S. Centers for Medicare and Medicaid Services. Home health services. Medicare.gov.
Nebraska Legislature. Nebraska Revised Statute 71-415: Health care service, defined.
Nebraska Legislature. Nebraska Revised Statute 71-6501: In-home personal services, definitions.
Nebraska Department of Health and Human Services. Home Health Agencies.
Nebraska Legislature. Nebraska Revised Statute 71-6502: In-home personal services worker qualifications.
Nebraska Legislature. Nebraska Revised Statute 71-6503: In-home personal services agency duties.
Overview of Home Care in NE
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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