Family Owned and Operated
Frequently Asked Questions
Not familiar with In-Home Care? We love sharing the successes and benefits of In-Home Care. Below are some common questions we receive frequently from prospective clients.
Where do I start?
First, we visit with you on the phone to find out your needs. We try to determine if in home care is appropriate and if so, how ABRA can help. We then can discuss the cost of services and potential sources of funding. ABRA assesses each situation to help make decisions in the best interests of the client.
If appropriate, we then schedule a visit to your home to meet you and/or the family member that needs assistance. We try to understand what the true needs are. With dementia, a person can often mask the symptoms for 30 to 45 minutes, so it is important we spend time with the person who will receive care. We also like to try and match our caregivers to the needs and personality of the client, so it is important to have some time to get to know them.
Once our visit is complete, we review our available caregivers and refer a caregiver to you. They will typically schedule a “meet and greet” appointment with you so you can meet your new caregiver.
How do I pay for care?
Most in home care is paid with private funds. Medicare and other health insurance does not pay for non-medical care. Medicaid does pay for some in-home care, but Medicare will normally not cover these expenses. Medicaid services are handled through the state.
Long term care (LTC) insurance provides payments for in-home care. LTC insurance is normally purchased 10 years or so before retirement. It typically pays around $100 to $150 a day for in home care services. Many policies have an inflation rider that increase the coverage around 5% per year. We can explain your insurance coverage to you when we visit. We can also help you get this insurance started and then help submitting your expenses for reimbursement.
The VA (Veteran’s Administration) does offer some programs for war veterans, but it can be difficult to qualify. We suggest you contact your Veteran Service Officer at the nearest state Veterans’ Office.
Who are the caregivers that will be in my home?
We have about 100 men and women (with an average age of about 50) that have been fully vetted by ABRA and meet state requirements. We are licensed in Oregon as a caregiver registry and therefore abide by state requirements for vetting caregivers. Most of our caregivers have been referred to us by our current caregivers. We do criminal background checks, check for skills, and check professional references for each ABRA caregiver. Most of our caregivers have been with us for years so they have a proven record of accomplishment. Many have Certified Nursing Assistant (CNA) certification or other medical qualifications.
Why is our company a better source of caregivers than others in the industry?
ABRA is a registry for qualified in-home caregivers. Our caregivers are not employees of ABRA; they work for themselves, so they are personally invested in and take pride in the quality your of care. They are independent contractors, but are available to work as an employee for you if there is a long-term need.
ABRA can attract premier caregivers because they receive 30% more compensation than our competitors. ABRA believes that caregivers deserve more than minimum wage. Their job is to care for you and that deserves a living wage.
Do you serve clients outside their home?
Yes, we work with you no matter where you are. We can start the assistance at the hospital or rehab facility, if needed. Often there may not be a family member than can advocate for the person in the hospital or rehab facility, so we can fill that role.
In assisted living facilities, there is a limit to the amount of care giving the facility can provide. We can stay with the person 24/7 if needed. We can also travel with a person if they need to make a trip including out of state.
What hours of service can you provide and how much does it cost?
We offer service from 2 hours up to 24 hours per day. Our normal hourly rate of $23.00 to $25.00 applies to shifts over 4 hours. The rate varies as the caregivers set their own rates as independent contractors. They will receive $18 to $20 per hour and our service fee is $5.00 per hour.
Often help is needed in the morning or at the end of the day for a short period. We can offer this if we have caregivers that are close to your home. Prices range from $27 to $30 per hour.
For longer periods of service, we offer a fixed rate for 24 hour shifts with sleep and 12 hour overnight shifts with sleep. We offer a team of caregivers for the 12 and 24 hour shifts to prevent caregiver burnout. The shift work varies in price from $200 to $240/12 hours and $400 to $480/24-hour shift.
What is palliative and hospice care and how does a caregiver fit into that care?
The term palliative care typically refers to having health care, typically in-home, to keep you comfortable from pain. A team of medical and non-medical professionals, using various techniques, including drugs, keep the patient as pain free as possible. This might be after a major surgery, accident, or could be as the patient nears the end of life. When a doctor makes a diagnosis that a person has less than six months to live, the patient can transfer to hospice care.
Once a patient transfers to hospice, the full medical care of the person transfers to a hospice company. 100% of the cost is paid for through Medicare/Medicaid. There is a registered nurse assigned to the patient and the caregivers work directly with that nurse. The caregivers provide 24-hour care as the nurse (RN) is only on call as needed. Many of our caregivers find it very rewarding to help a family through that time.
We care for clients with:
- Dementia including Alzheimer’s
- Brain Injury
- Chronic Obstructive Pulmonary Disease (COPD)
- Congestive heart failure
- Heart Attack
- Lou Gehrig’s Disease (ALS)
- Louie Body Dementia
- Multiple Sclerosis (MS)
- Need for Palliative Care and Hospice