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Top-rated in-home care agencies in every state, ranked on public reviews. Agencies can't pay to be listed higher.

The 5 Best In-Home Care Agencies in Chicago, IL

The 5 top-ranked in-home care agencies serving Chicago, IL, ordered by the Care Close to Home Score. Each holds an active Illinois Home Services Agency license and has at least 10 public reviews. Custom Home Care, LLC ranks first with 4.9 stars from 250 reviews.

Updated November 2026 · Data: state license rosters, checked April 28, 2026 · How we list agencies

5 top-ranked agencies · by Care Close to Home Score
Partner · Paid placement
In-home caregiver helping an older woman put away groceries
Chicago City Partner

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These are the top 5, ranked by the Care Close to Home Score. 79 other licensed agencies serve Chicago, IL and are not listed. How we rank

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Cost of care in Illinois

Median hourly rate$36
20 hrs / week$3,120/mo
40 hrs / week$6,240/mo

Non-medical in-home care. Source: CareScout 2025 Cost of Care Survey.

Paying for in-home care in Illinois

Most families pay privately or use long-term care insurance, Medicaid waivers, VA benefits or local Area Agency on Aging programs.

Ways to pay

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Tell us the ZIP code and the care you need. Within one business day we'll pass your request to up to three in-home care agencies on this list that serve that area. Each one contacts you directly, so you can compare rates and caregivers before you choose. There is no cost to ask.

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Licensed in-home care in Chicago, IL: how to compare agencies

We ranked the top five in-home care agencies serving Chicago, IL. Every one holds an active Illinois Home Services Agency license in the Illinois Department of Public Health public roster dated April 28, 2026, and each has at least 10 public reviews. They are ordered by the Care Close to Home Score, which combines the rating (adjusted for how many reviews stand behind it), the number of reviews, and the license check. The other 79 licensed agencies serving Chicago, IL are not listed here.

In-home care means non-medical help that lets an older adult keep living at home: bathing and dressing, meals, housekeeping, errands, medication reminders and company. It is usually paid for privately, with long-term care insurance, a Medicaid program or VA benefits, not by Medicare. Compare at least three agencies, and ask each whether caregivers are employees, how they are screened, who supervises them, the minimum hours and the hourly rate.

In Illinois, the median rate for in-home care is $36 an hour, about $3,120 a month for 20 hours a week (CareScout 2025).

The 84 agencies on this list are based in 30 ZIP codes; the busiest are 60659 (20 agencies), 60646 (10 agencies) and 60643 (6 agencies). If Chicago has too few choices for your needs, the closest other cities we list are Oak Park (4 agencies, about 6 miles away), Lincolnwood (10 agencies, about 6 miles away) and Skokie (16 agencies, about 9 miles away).

Guides: In-home care: how to find and choose an agency · How to check an agency · What it costs by state · Ways to pay

Aging at home in Chicago

Chicago is the nation's third-largest city, and growing older here usually means one of two settings: a brick bungalow or courtyard building on a quiet side street, or a lakefront high-rise apartment. Large stretches of the residential city away from the lake are brick bungalows built in the early twentieth century, and many longtime owners have stayed for decades. Neighborhoods keep distinct identities, with large Mexican, Polish and Indian communities among the foreign-born. Families spread across the city and suburbs often arrange private-pay help so a parent can stay in a familiar block.

13.8% of residents are 65 or older. Source: Census ACS 2020-2024 5-year estimate (city).

Neighborhoods and nearby towns

In Chicago, families ask about care in Lincoln Park, Lake View, Hyde Park, Bronzeville, Pilsen, Humboldt Park, The Loop and River North.

Lincoln ParkLake ViewHyde ParkBronzevillePilsenHumboldt ParkThe LoopRiver North

Agencies listed here also commonly serve nearby Oak Park, Evanston, Cicero, Skokie and Berwyn. Confirm each agency's service area before you sign.

Familiar places in Chicago

Care that fits the routines of home often means getting to the places that matter: Millennium Park and Grant Park, Art Institute of Chicago, Museum Campus (Field Museum, Shedd Aquarium, Adler Planetarium), Lincoln Park Zoo and Conservatory, Garfield Park Conservatory and Museum of Science and Industry.

Planning care in Chicago

Chicago has four real seasons: hot, humid summers with frequent heat waves, and cold winters with snow that can linger into early April. Heat-island effects and lake-effect snow both affect schedules and fall-prevention routines at home. Many bungalows have front steps and raised entries, which matters for mobility planning. The CTA 'L' and buses reach most areas, but caregivers often commute across long distances, so agencies near your neighborhood can matter.

Local resources

  • After a hospital stay. If a family member is discharged from Northwestern Memorial Hospital, Rush University Medical Center, University of Chicago Medicine and Advocate Illinois Masonic Medical Center, ask the discharge planner about private-duty help at home, and choose the agency yourself from this list.

Free help for families in Chicago

  • Area Agency on Aging: City of Chicago Department of Family & Support Services, Senior Services Area Agency on Aging, (312) 744-4016. Free advice on in-home services, meals, respite and programs that help pay, for anyone 60 or older and their families.
  • Medicaid help at home: Community Care Program (CCP), including the Persons Who are Elderly Medicaid waiver. Illinois Department on Aging program for residents 60+ who are assessed as needing long-term care and are at risk of nursing home placement; it provides in-home aide services and adult day care, and applicants must apply for Medicaid if eligible (non-exempt asset limit $17,500 per the state page).
  • Coming home from the hospital: if your family member is being discharged from Northwestern Medicine, UChicago Medicine and Rush University System for Health or another Chicago hospital, ask the discharge planner to send the referral to an agency you choose from this list. You have the right to pick the agency.

Phone numbers and programs checked against official sources in October 2026. Call ahead, as hours and programs change.

Questions Chicago families ask

How many licensed in-home care agencies are there in Chicago?

The state roster dated April 28, 2026 lists 84 agencies in Chicago with an active Illinois license. Agencies based in nearby towns may also serve Chicago.

How do I choose an in-home care agency in Chicago?

Call at least three. Ask whether caregivers are employees or independent contractors, how they are screened and supervised, the minimum hours and the hourly rate, and what happens when a caregiver is sick. Ask for a written care plan. Our guide to how to check an agency has the full list.

How are these agencies ranked?

Each agency has an active state license and at least 10 public reviews. The Care Close to Home Score is out of 100: 60 points for the review rating, adjusted so a handful of reviews counts for less than a hundred; 20 for the number of reviews; 15 for the license check; and 5 for a verified phone and website. Agencies cannot pay to rank higher.

How do families pay for in-home care in Chicago?

Most pay privately, by the hour. Long-term care insurance, Medicaid waivers and VA benefits can help with bathing help, meals, housekeeping or companionship.

What does "licensed" mean?

The agency holds a license from the state health department. Licensing sets minimum standards and allows the state to inspect and act on complaints, but it does not rate how good the care is.

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