If you're looking at professional, agency-provided in-home care in Roswell, GA, expect to pay $30–$40 per hour in 2026. Georgia's statewide median is $32 per hour for a non-medical caregiver, per CareScout's published state data, while the national median is $35 per hour, according to the CareScout 2025 Cost of Care Survey. For a common part-time schedule of 20 hours per week, that works out to roughly $2,770 per month at the Georgia median rate.
Your actual cost depends on how many hours you schedule, the level of care needed, and whether you work with an agency or hire a caregiver directly. The demand behind these numbers keeps growing: 77% of adults 50 and older say they want to remain in their homes long term, and the National Alliance for Caregiving counts 63 million family caregivers in the U.S. — up 45% since 2015. This guide breaks down real numbers for Roswell families, what drives the price, and the practical ways people in Georgia pay for care — all backed by current data. You can also see how Castleton Home Care structures its pricing.
Start with the big-picture numbers, then zoom in on Roswell.
The takeaway: Roswell sits in one of Georgia's higher-cost markets. Caregiver wages in North Metro Atlanta run above the state average because the cost of living is higher and demand for quality caregivers is strong. That's why reputable agencies in Roswell and nearby suburbs quote $30–$40 per hour even when statewide charts show $32.
Hourly rates are only half the picture. Here is what common schedules cost at the $32 per hour Georgia median (rounded, for illustration — not a quote):
A practical starting schedule for many families is part-time support — for example, 12 to 20 hours a week — with room to adjust from there. Castleton's schedules start at a 4-hour minimum per visit and a 12-hour weekly minimum.
Companionship, meal prep, light housekeeping, and errands sit at the lower end of the range. Hands-on personal care — help with bathing, dressing, toileting, transferring, and mobility — is more physically demanding and typically costs more. Specialized support requiring extra training also tends to be priced higher.
Short visits carry more scheduling and travel overhead per hour, which is why most agencies (Castleton included) set a 4-hour minimum per visit. Longer, consistent schedules often price more favorably and get more stable staffing.
Weekday daytime hours are the baseline. Evenings, overnights, weekends, and holidays can cost more because caregiver availability is tighter — A Place for Mom's North Atlanta data, for example, shows overnight rates running a few dollars above the daytime average.
This is the biggest single driver. The $19.22 per hour average on Care.com reflects what individual caregivers list on a marketplace — the raw labor cost. Agency rates of $30–$40 per hour also cover recruiting, background checks, training and supervision, payroll and employment taxes, workers' compensation and liability insurance, scheduling, and backup coverage when a caregiver calls out. When you hire independently, your family becomes the employer, which means payroll, taxes, insurance exposure, and finding your own backup are on you.
We'll be direct, since this is the question every family actually asks: Castleton's rates run $30–$40 per hour depending on the level of care and schedule, with a 4-hour minimum per visit and a 12-hour weekly minimum. You'll find the full breakdown on our pricing page.
That rate includes a trained, background-checked, agency-employed caregiver — plus RN oversight, a written care plan, and someone to call when plans change. If you'd like to understand exactly how a care plan comes together, our process page walks through it step by step.
Most families are surprised by how many options exist beyond writing a check — and by one thing Medicare doesn't do. (For a deeper dive, our guide on 7 practical ways to pay for senior care goes further.)
Private pay is the most common way families fund non-medical home care — retirement income, savings, or contributions from adult children. It also offers the most flexibility: no network rules, no eligibility hoops, care starts when you're ready.
Many LTC policies reimburse home care once benefit triggers are met, such as needing help with a set number of daily activities. One important reality check: only 3–4% of Americans age 50 and older actually hold a long-term care policy, according to LIMRA data reported by KFF Health News — even though roughly 70% of people 65+ are expected to need significant long-term care at some point. If you do have a policy, Castleton can help with the documentation and visit notes insurers require for claims.
Eligible veterans and surviving spouses can receive monthly, tax-free pension support to help pay for in-home care. Current maximum monthly rates (effective December 1, 2025) are $2,874 for a married veteran, $2,424 for a single veteran, and $1,558 for a surviving spouse, per the VA's pension rate tables. With 3,731 veterans living in Roswell and 15.6% of residents age 65 or older (U.S. Census Bureau), this is a benefit worth checking — a VA-accredited representative or Veterans Service Officer can help with the paperwork.
Georgia's Elderly and Disabled Waiver Program (formerly CCSP) can cover in-home services — including personal care, respite, and home-delivered meals — as an alternative to a nursing home for people who are Medicaid-eligible and meet a nursing-home level of care. Applications go through the Area Agency on Aging (statewide: 866-552-4464). Be aware that Georgia notes there is often a waitlist, so this is a plan-ahead option, not a quick fix.
Traditional Medicare generally does not pay for ongoing non-medical home care — no coverage for custodial personal care on its own, 24-hour care, homemaker services, or meal delivery. It covers only intermittent skilled care ordered by a doctor. We've written a full breakdown of what Medicare does and doesn't cover for in-home caregivers if you want the details.
A reputable agency in Roswell typically charges $30–$40 per hour in 2026. Georgia's statewide median is $32 per hour (CareScout 2025 Cost of Care Survey). Independent caregivers on marketplaces list lower rates — around $19 per hour in Roswell — but those rates don't include agency screening, insurance, taxes, or backup coverage.
Round-the-clock care is usually structured as coordinated caregiver shifts with multiple caregivers, so it's priced individually after an assessment. As a rough frame of reference, 24-hour coverage billed at standard agency hourly rates would be the highest-cost arrangement — families exploring it should get a detailed written quote, since shift structure (awake vs. sleep overnights, number of caregivers, and days per week) changes the math significantly.
Not for ongoing non-medical care. Medicare covers intermittent skilled nursing or therapy ordered by a physician, but it doesn't pay for custodial personal care, companionship, 24-hour care, or homemaker services on their own.
Possibly, through Georgia's Elderly and Disabled Waiver Program, for people who are Medicaid-eligible and meet a nursing-home level of care. Apply through the Area Agency on Aging at 866-552-4464 — and expect a possible waitlist.
A practical starting schedule is often 12 to 20 hours per week — for example, 4-hour visits three to five days a week. That's enough for meaningful help with meals, personal care, housekeeping, and companionship while a family gets comfortable with the arrangement.
For part-time schedules, usually yes — 12 to 20 hours a week of home care costs far less per month than a residential facility. At full-time or 24-hour levels, the math gets closer, which is why a written quote for your specific schedule matters more than any rule of thumb.
Every home and every family is different, so the fastest path to a real number is a short conversation. Call Castleton Home Care at 770-810-5974 — in about 10–15 minutes we'll talk through where your loved one lives in Roswell, what kind of help they need, and what schedule you're considering. Then we'll do an in-home or virtual assessment and give you a written care plan with your exact rate and estimated weekly and monthly cost.
You can also reach us through our contact form, and if Roswell is home base, you can read more about our caregivers serving Roswell. We offer same-day callbacks on most inquiries.
Disclaimer: Disclaimer: The information in this article is provided for general educational and informational purposes only and is not intended as, and should not be taken as, medical, nursing, legal, financial, tax, or insurance advice. You should consult with qualified professionals—including, but not limited to, a doctor, attorney, financial planner, or tax advisor—for guidance specific to your situation. Castleton Home Care does not guarantee the accuracy, completeness, or timeliness of the information contained in this article and assumes no liability for any actions taken based on its contents.
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John Britt, CNA, is the owner and administrator of Castleton Home Care, an independent, non‑franchise in‑home senior care agency serving Alpharetta and North Metro Atlanta. Drawing on formal training as a certified nursing assistant and his experience providing direct hands‑on care in private homes and his local community, he now oversees care quality standards, caregiver recruitment and training, and individualized care planning for older adults who want to age in place safely at home.
John has worked closely with seniors, families, home health nurses, and local senior living communities to coordinate post‑hospital care, support chronic condition management at home, and navigate transitions between home care, assisted living, memory care, and skilled nursing facilities. His practical, evidence‑informed approach emphasizes clear communication, realistic expectations, and care plans that protect safety while preserving dignity, independence, and personal preferences.
As a lifelong Metro Atlanta resident, John is deeply familiar with local healthcare and senior care resources in Alpharetta, Johns Creek, Roswell, Milton, Cumming, and surrounding communities. He regularly shares guidance on aging in place, choosing and managing home care, and comparing local senior care options through educational articles, informative videos, caregiver training, and community outreach so families can make informed, confident decisions.
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