Companionship Services

More Information

Unlike skilled home health care or personal care, companionship services don't involve medical tasks or hands-on assistance with activities of daily living (ADLs) such as bathing, dressing, or medication management. Instead, companionship services focus on the human side of care: conversation, shared activities, and a reliable, caring presence.

Common companionship services include:

• Friendly visits and meaningful conversation
• Help with light housekeeping and meal preparation
• Assistance running errands and grocery shopping
• Transportation to medical appointments and social outings
• Engagement in hobbies, games, and community activities
• Medication reminders (not administration)

Social isolation is a serious health concern for older adults. Research shows that roughly one in four adults over age 65 is socially isolated, which increases the risk of depression, cognitive decline, and premature death. Companionship services directly address that risk by providing consistent human connection and a structured routine.

Companionship services are often the first step into formal long-term care. They allow individuals to remain at home longer — aging in place — while giving family caregivers reassurance and relief.

Coverage and Cost

Medicare does not cover companionship services because they are non-medical in nature. Costs are typically paid out of pocket and vary by location, provider, and hours of service needed.

Long-Term Care Insurance may cover companionship services depending on the policy, as long as it is part of a formal plan of care. Some policies include home care benefits that extend to non-medical support. Certain Medicaid Home- and Community-Based Services (HCBS) programs may also provide assistance, though eligibility and covered services vary by state.