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Payment planning

How to pay for home care in Georgia

A clear guide to comparing private pay, long-term care insurance, Georgia Medicaid, and Medicare without assuming coverage or eligibility.

Before you begin

Start with questions, not assumptions.

How care is paid for can depend on the type of support, the household’s needs, an insurance policy, and a public program’s process. This guide helps your family prepare the right conversation and use independent sources to confirm the details.

Private pay

Some families use savings, income, or other private resources to build a care schedule around their priorities. A Koi coordinator can help clarify the type of support and schedule you want to discuss.

Helpful questions

  • Which days or hours would make the biggest difference?
  • Which routines or tasks need the most support?

Long-term care insurance

Long-term care policies may include home-care benefits, but services, limits, waiting periods, and documentation depend on the individual policy. Confirm coverage directly with the insurer before relying on a benefit.

Helpful questions

  • Which in-home services does the policy recognize?
  • What authorization, elimination period, or documentation does the claim require?

Georgia Medicaid and EDWP

Georgia waiver programs may help some eligible older adults or people with disabilities receive support at home or in the community. Enrollment, services, and timing depend on the official program process.

Helpful questions

  • Which official program or contact path fits our situation?
  • What information should we gather before beginning the process?

Medicare and home health

Medicare covers certain home-health services when specific requirements are met, including part-time or intermittent skilled services. It generally does not pay for ongoing personal care when that is the only service needed.

Helpful questions

  • Does our situation meet Medicare home-health requirements?
  • Which services are covered, and which could create family costs?

Independent sources

Confirm details with official resources.

Koi does not administer Medicaid, Medicare, or insurance policies. The links below open in a new tab so you can review requirements and benefits directly with the appropriate source.

Georgia Medicaid waiver programs

Official information about waiver programs, including services that may be part of home- or community-based planning.

Explore official Georgia programs

Official EDWP application path

State guidance on starting an EDWP application through the appropriate Area Agency on Aging. Eligibility, urgency, services, waitlists, and timing are determined through the public process.

Review the official EDWP application path

Medicare home health services

Official information about Medicare requirements, covered services, and limitations for home health services.

Review Medicare coverage

Georgia long-term care guide

A state consumer guide for comparing care options, private payment, Medicaid, and long-term care insurance considerations.

View the Georgia guide

Next step

Talk through the support your family needs.

A Koi coordinator can help you describe the routines, schedule, and type of support you want to explore. For benefit, eligibility, or claim questions, always confirm with the relevant public program, insurer, or advisor.

Start a care conversation

This page is educational and is not medical, legal, tax, financial, or insurance advice. Coverage and eligibility vary by person, policy, and program.