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Paying for care

Respite Care: What It Is, How It Works and Who Pays

Respite care gives family caregivers a break, from a few hours to a few weeks, while someone else looks after their loved one. Here are the options and the programs that help pay.

By the Care Close to Home editorial team · Updated October 25, 2026 · 2 min read

Respite Care: What It Is, How It Works and Who Pays

Key takeaways

  • Respite care is short-term care that gives a family caregiver a break.
  • It can happen at home, at an adult day center, or in a short stay at a care community.
  • Medicaid waivers, VA benefits and caregiver support programs often pay for respite; Medicare covers it only for hospice patients.

Caring for a parent or partner at home is demanding, and burnout is one of the most common reasons families move a loved one into a facility sooner than they wanted. Respite care is short-term care that steps in so the family caregiver can rest, work, travel or simply sleep.

Types of respite care

  • In-home respite. A caregiver from a home care agency comes to the house for a few hours, overnight, or for several days. This is the least disruptive option for people with dementia.
  • Adult day programs. Supervised daytime programs with meals, activities and sometimes health services, usually on weekdays.
  • Short-term residential stays. Many assisted living and memory care communities offer stays of a few days to a few weeks.
  • Informal respite. Family, friends, faith communities and volunteer programs taking a shift.

Who pays for respite care

Program What it can cover
Medicaid HCBS waivers Most states include respite in their home and community-based waiver programs for eligible members.
VA benefits Eligible veterans can receive up to 30 days of respite care each calendar year, at home, at an adult day center or in a VA facility.
National Family Caregiver Support Program Funds respite and caregiver support through local Area Agencies on Aging.
Medicare hospice benefit Covers short inpatient respite stays (up to 5 days at a time) for people receiving hospice care. Medicare does not cover respite otherwise.
Long-term care insurance Many policies include a respite benefit; check the policy wording.
Private pay In-home respite is billed at the agency’s hourly rate, about $35 an hour at the national median (CareScout 2025).

How to arrange respite care

  1. Call your Area Agency on Aging through the Eldercare Locator (1-800-677-1116) to ask what respite programs and funding exist locally.
  2. Ask home care agencies about minimum visit lengths and whether they can send the same caregiver each time.
  3. Write down routines, medications, emergency contacts and what calms your loved one, so the respite caregiver can step in smoothly.
  4. Schedule respite regularly, not only in emergencies. Caregivers who take planned breaks tend to keep caring at home longer.

If your loved one also needs nursing or therapy, a home health agency can provide that under a doctor’s order. See the top-rated home health agencies in your city.

Frequently asked questions

What is respite care?

Respite care is short-term care for a person who is usually cared for by family, so the family caregiver can take a break. It can be provided at home, at an adult day center or during a short stay at a care community.

Does Medicare pay for respite care?

Only for people receiving hospice care, who can get short inpatient respite stays of up to 5 days at a time. Otherwise Medicare does not pay for respite care.

Does Medicaid cover respite care?

In most states, yes, through home and community-based services (HCBS) waiver programs for members who qualify.

How long can respite care last?

Anywhere from a few hours to a few weeks. Eligible veterans can receive up to 30 days of VA respite care each calendar year.

This guide is general information, not medical, legal or financial advice. Coverage rules come from Medicare.gov, CMS and state Medicaid programs and can change; confirm your own coverage with your plan or a licensed benefits counselor (your State Health Insurance Assistance Program, SHIP, is free).

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