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Once a family has made the decision to hire a caregiver for their elderly loved one, they are faced with the question of whether to hire an independent caregiver or to use a home care agency. This article will explore the pros and cons of both approaches with the goal of helping families make the right decision for them and their situation. First, however, it is helpful to have a clear understanding of the differences between an independent caregiver and a caregiver who is hired through a home care agency. Home care agencies are d businesses that employ caregivers and send them to the home of your loved one to provide in-home care.

They can provide medical care or non-medical care. Professionals, such as nurses or nursing assistants, provide medical care. Non-medical care, also called personal care or custodial care, consists of assistance with the activities of daily livingsuch as preparing meals, eating, and bathing, and can be provided by persons without professional training.

However, the family must take on the responsibility of being an employer.

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Independent or private caregivers are employed directly by the family. There is no intermediary agency between the care recipient and the caregiver. Independent caregivers are also able to provide medical care if trained to do sobut this is much less common.

Independent caregivers are more likely to provide personal care. Families who hire independent caregivers must take on the responsibilities of being an employer or use a 3rd party payroll management service.

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As mentioned before, home care agencies are more expensive than independent caregivers. There are ificant state and regional differences in the hourly cost of home care. Most relevantly, is the hidden cost of being an employerwhich one must be to legally hire an independent caregiver. The hidden cost may be thought of as additional hours the family must put forth in the hiring, managing, and making of payments to the independent caregiver.

There are services that manage caregiver payroll. They greatly simplify the complicated process of deducting Social Security and other taxes. But a family still must hire and manage the independent caregiver. The types of care and support services that can be provided in the home is very broad, ranging from medical care, like injections, wound care, and monitoring vital s, to simple assistance with the activities of daily living, like eating, and helping with bathing, dressing and grooming. Non-medical caregivers can also provide assistance with the instrumental activities of daily livingsuch as shopping, housework, and running errands.

Both home care agencies and independent caregivers can provide either home health care or non-medical care. However, if it is home medical care that a family is seeking, there is a much greater challenge in finding an independent caregiver who is professionally training and d. As a result of the added difficulties associated with medical care and the added liabilitiesmost families tend to use home care agencies for this purpose.

Independent caregivers have the advantage when it comes to providing a wider range of non-medical care services. Home care agencies tend to have stricter rules about what a caregiver can and cannot do. While independent caregivers are not subject to the same restrictions.

As an example, an independent caregiver could drive the care recipient around for appointments, errands, and social activities. But a home care agency might prohibit their caregivers from doing so. This also means that an independent caregiver may be better suited for providing companion care.

Or, in other words, simply serving as a friend to an isolated elderly person living at home alone.

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They can change light bulbs, go grocery shopping, or take the care recipient to a movie. In fact, the flexibility of support that an independent caregiver can provide is often the very reason families will choose to work with an independent caregiver rather than a home care agency. One might assume that due to the additional licensing requirements to which home care agencies must adhere that caregivers via home care agencies provide a higher quality of care. However, the authors believe that the quality of care provided is dependent on the individual providing care.

There will be independent caregivers, as well as caregivers from home care agencies, that provide excellent care.

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And there will be individuals from both options who provide less attentive care. A difference between these two options that is worth mentioning is that when a family working with a home care agency decides they are unhappy with the quality of care they are receiving, they can simply request a different caregiver from the same home care agency.

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In contrast, families who have hired an independent caregiver and are unhappy with the quality of care must go through the process of searching for, hiring, and training a new independent caregiver. The ease of hiring the caregiver is one of the bigger differences when working with a home care agency vs. When looking for a home care agency, it is a very simple process. There are many free matching services available, including one offered by our organization.

Finding an independent caregiver, on the other hand, can be a challenge. It is analogous to hiring an employee. One must write up a job description and post that description in various locations.

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Alternatively, one can ask family or friends or search through s of Craigslist and other local postings. Earlier in this article we mentioned flexibility as one of the main reasons families hire independent caregivers. However, the difficulty in finding independent caregivers is one of the main reasons families opt for home care agencies instead.

It should be mentioned that over the past few years several web-based, startup organizations have tried to make the process of hiring independent caregivers much easier. Unfortunately, there is also a long list of failed organizations that have tried to solve this problem. If and when our organization discovers a business that has solved the challenge of finding an independent caregiver, this article will be updated with that information.

There is a false perception that hiring an independent caregiver is somehow illegal. This is not the case. However, paying an independent caregiver under the table is illegal. Affordable, third-party services exist to help families pay independent caregivers legally. Learn more. Families used to have the option of hiring the caregiver as an independent contractor and therefore, the family would not be responsible for payroll taxes, withholdings, etc. However, this is no longer an option for families, as the IRS has recently ruled that caregivers must be classified as employees, not independent contractors.

One reason families may choose to pay a caregiver under the table is because they perceive the process of managing employee payroll and withholdings to be complicated and time-consuming.

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Furthermore, these third-party services educate the family in regards to how and when payments to their caregivers are tax deductible. Free consultations are available to explain the processes of hiring and managing payroll for independent caregivers. No article about home care would be complete without some mention of Medicare as a source of payment. Neither independent caregivers nor home care agencies have an advantage with Medicare.

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To be clear, Medicare does not pay for non-medical home care regardless of if an independent caregiver or a home care agency is used. That said, some Medicare Advantage plans, which offer an alternative way to receive Medicare benefits, may now cover the cost of non-medical home care in specific cases. With Home Health Care, Medicare will pay in some cases when it is medically necessarybut Medicare will pay either a home care agency or an independent caregiver.

You also consent that we, or our partner providers, may reach out to you about senior living solutions or Medicare insurance using a system that can auto-dial; however, you do not need to consent to this to use our service.

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Assisted Living Home Care Agencies vs. CITY -Select. Expert Reviewed By: Christina L. Costs As mentioned before, home care agencies are more expensive than independent caregivers.

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Types of Care The types of care and support services that can be provided in the home is very broad, ranging from medical care, like injections, wound care, and monitoring vital s, to simple assistance with the activities of daily living, like eating, and helping with bathing, dressing and grooming. Quality of Care One might assume that due to the additional licensing requirements to which home care agencies must adhere that caregivers via home care agencies provide a higher quality of care. Ease of Hiring The ease of hiring the caregiver is one of the bigger differences when working with a home care agency vs.

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