Transparent 24/7 Care Pricing
Lexington, MA & nearby
See live-in vs 24-hour shift care, typical rates, and payment options for 24/7 home care in Lexington. Get a clear, personalized quote today.

How 24/7 Home Care Pricing Works in Lexington
Worrying about a loved one overnight is exhausting. When safety can’t wait, families need fast, transparent numbers for 24/7 home care in Lexington, MA. The unknowns—rates, coverage, caregiver schedules—can make urgent decisions even harder.
We make pricing clear from the start. In Greater Boston, 24-hour shift care typically ranges $40–$50 per hour, while Live-In Care is billed at a flat daily rate. We build a plan around your routines and budget—no weekly minimums, dementia-trained caregivers, and 24/7 availability.
Live-In vs. 24-Hour Shifts
- Live-In Care: One primary caregiver lives in the home, sleeps overnight, and provides daytime support. Best for consistent companionship and routine. Learn more about our Live-In Care.
- 24-Hour Shift Care: Two to three caregivers rotate in 8–12 hour shifts with no sleep time, billed hourly. Ideal for higher-acuity needs or frequent nighttime assistance.
What drives your quote
- Level of help: from Personal Care (bathing, mobility, meals) to advanced dementia support (Dementia Care).
- Complexity: fall risk, transfers, cognitive changes, or post-hospital recovery.
- Schedule: live-in vs. continuous shifts, plus add-ons like errands or transportation.
How we start care
- Step 1: Free home or virtual consultation in Lexington.
- Step 2: Personalized Care Plan and clear proposal—review numbers together (see how our process works).
- Step 3: Perfect caregiver match—introductions and start date.
- Step 4: Ongoing checks and quick adjustments as needs change.
Coverage basics (2025): For free benefits counseling in Massachusetts, connect with SHINE.
Speak With a Local Care Advisor Today
Call (781) 874-9901 for a transparent quote on 24/7 care—no weekly minimums, dementia-trained caregivers, and fast starts in Lexington.
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Pricing Factors, Payment Options, and Local Resources
Local insight: Lexington’s population is 34,743 with about 21.0% age 65+—roughly 7,300 older adults (U.S. Census Bureau, July 1, 2024 estimates). Demand for reliable support is growing, and we’re here to help you compare live-in vs. 24-hour shift models and right-size the schedule.
- Sample cost scenarios
- Scenario A: 24-hour shift care for safety and dementia. 168 hrs/week × $40–$50/hr = $6,720–$8,400 per week. Pair with structured routines and nighttime cueing; consider adding Dementia Care strategies.
- Scenario B: Live-in companionship and routine. Flat daily rate with one consistent caregiver who prepares a warm breakfast, offers a steady arm on walks to the mailbox, and enjoys a game of cards after dinner. Often more affordable than continuous shift care—ask for today’s daily rate.
- 3 money‑smart tips for Lexington families
- Check Long‑Term Care Insurance benefits; we help with paperwork and caregiver notes for claims.
- Veterans and surviving spouses: explore VA Homemaker and Home Health Aide for monthly assistance.
- Start with essential hours, then scale. Many families begin with days plus targeted overnights, then adjust after our first quality check.
- How our payment options work
- Private Pay: Most common for non‑medical care; typical local range is $40–$50/hour for shift care.
- LTC Insurance: We verify benefits and submit required documentation.
- Public programs: Medicare doesn’t cover ongoing custodial care; contact local resources for guidance.
Helpful local resources
- Lexington Senior Services at the Community Center: programs, caregiver groups, and transportation info.
Related services: Consider short‑term relief with Respite Care, specialized support through Dementia Care, and benefits guidance via our Veteran Care team. See why families choose us in our client reviews.