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Which is Better, Home Instead or Visiting Angels?: A Comprehensive Comparison

4 min read

Choosing the right in-home care provider is a critical decision for many families, with the global home care services market valued at over $140 billion. This guide will help you determine which is better, Home Instead or Visiting Angels, by comparing their core services, pricing, and overall approach to senior care. Both are leading non-medical providers, but key differences can significantly impact a family's experience.

Quick Summary

A comparison of Home Instead and Visiting Angels reveals both offer non-medical home care via franchised networks. Key differences include average cost ranges, franchise-specific variances in service quality and pricing, and different areas of focus like technology or caregiver matching. Understanding these distinctions is crucial for selecting the best fit.

Key Points

  • Franchise Variation: Both Home Instead and Visiting Angels are franchise-based, so service quality, pricing, and caregiver availability can differ greatly depending on the local office.

  • Non-Medical Services: Both companies focus on non-medical in-home care, including personal care, companionship, meal preparation, and light housekeeping.

  • Specialized Care: Home Instead offers specific training for chronic conditions and follows Alzheimer's Association guidelines for dementia care. Visiting Angels features programs for fall prevention and hospital-to-home transitions.

  • Cost Comparison: While pricing varies by location, Home Instead's reported hourly rates are often slightly higher, ranging from $35-$55, compared to Visiting Angels' typical $26-$44.

  • Technology vs. Tradition: Home Instead has a strong technology focus through its Honor partnership, while Visiting Angels offers an optional smart speaker system and emphasizes building personal connections.

  • Evaluation is Local: The best way to choose is to conduct a localized assessment by contacting both providers directly, requesting consultations, and checking local franchise reviews.

In This Article

Comparing Home Instead and Visiting Angels

When a loved one needs assistance to remain in their home, navigating the options for in-home care can be overwhelming. Home Instead and Visiting Angels are two of the most recognized names in the industry, both operating as franchised networks across the U.S. and internationally. While they offer a similar suite of non-medical services, a closer look at their models, costs, and specialties reveals important distinctions.

Services and Specializations

Both Home Instead and Visiting Angels provide a wide array of non-medical assistance to help seniors with activities of daily living (ADLs). These core services typically include help with bathing, dressing, grooming, meal preparation, light housekeeping, and medication reminders. However, each company has developed its own special programs and areas of focus.

Home Instead Services:

  • Alzheimer's and Dementia Care: Home Instead utilizes a "Person-Centered Care Training" protocol, recommended by the Alzheimer's Association, to train its caregivers in handling dementia-related challenges.
  • Enhanced Care Services: They offer support for specific chronic conditions such as Parkinson's, cancer, and heart disease.
  • Transitional Care: Home Instead provides assistance for seniors transitioning back home after a hospital stay or rehabilitation.
  • Technology Integration: Their partnership with Honor Technology integrates a tech platform to support caregivers and clients.

Visiting Angels Services:

  • Respite Care: A dedicated service offering temporary relief for family caregivers, from a few hours to a full week.
  • Dementia & Alzheimer's Care: Caregivers are trained to provide personalized and compassionate support for those with memory-related issues.
  • Safe & Steady® Fall Prevention Program: A specialized training program for caregivers focused on preventing falls among the elderly.
  • 'Angel Call' Drop-In Service: Some locations offer shorter, more frequent visits for clients with simpler needs.

Cost and Pricing Structures

Because both companies operate as franchise networks, the exact cost and minimum hour requirements can vary significantly by location. You must contact your local office for the most accurate quote.

  • Home Instead: Research indicates hourly rates typically range from $35 to $55, though this depends on location and level of care. Minimum shift and weekly hour requirements are common and set by each franchise.
  • Visiting Angels: Reported hourly costs often range from $26 to $44 nationwide, with specialized care being more expensive. Minimum requirements for shifts and weekly hours are also common and depend on the local office's policies.

Caregiver Management and Quality Control

The caregiver-client match is arguably the most important factor in a successful home care experience. Both companies emphasize careful matching and ongoing training, but reviews are mixed, reflecting the variability of their franchise models.

  • Home Instead: Caregivers (referred to as "Care Pros" or "CAREGivers") are employees, not independent contractors, and are screened, bonded, and insured. Reviews on company websites highlight professionalism and caring, while third-party sites contain some complaints about caregiver inconsistency or lack of engagement, issues often tied to individual franchises.
  • Visiting Angels: Caregivers are also screened employees, trained to build personal connections with clients. Similarly, reviews reflect varying experiences across franchises, with some praising compassionate care and others citing inconsistent quality or poor service.

Home Instead vs. Visiting Angels: Comparison Table

Feature Home Instead Visiting Angels
Company Structure Independently owned and operated franchises (1,200+ globally) Independently owned and operated franchises (600+ in the U.S.)
Primary Services Non-medical personal care, companionship, meal prep, transportation Non-medical personal care, companionship, meal prep, transportation
Specialized Care Alzheimer's/Dementia (Alzheimer's Association protocol), Chronic Conditions (e.g., Parkinson's), End-of-Life care Alzheimer's/Dementia, Fall Prevention (Safe & Steady®), Hospital Transition (Ready, Set, Go Home™), Respite Care
Typical Cost Range ~$35–$55+ per hour (varies by location) ~$26–$44+ per hour (varies by location)
Cost Determinants Location, level of care, minimum hours Location, level of care, minimum hours, shift flexibility
Caregiver Status W-2 Employees (screened, bonded, insured) W-2 Employees (screened, bonded, insured)
Technology Integrated with Honor Technology platform for a "high-tech, high-touch" approach Offers optional technology like the Constant Companion voice-activated alert system
Franchise Consistency Quality and costs can vary widely due to the franchise model Quality and costs can vary widely due to the franchise model

Making Your Choice

Deciding between these two providers comes down to a thorough, localized evaluation of your specific needs. Start with a free consultation from both companies to get accurate, local pricing and a clear understanding of what services are available.

Here are some steps to take:

  1. Assess Your Needs: What specific services are most important? Do you need advanced dementia support or frequent, short visits? Do you require specialized chronic disease care or is your primary need companionship and light housework?
  2. Contact Local Franchises: Reach out to local offices for both Home Instead and Visiting Angels. Discuss your loved one's needs and ask about pricing, minimum requirements, and caregiver matching processes. This is crucial because franchise quality varies.
  3. Check Local Reviews: Beyond national reputation, look at reviews for the specific franchises in your area on sites like Google, Yelp, and aging-focused forums. Pay attention to feedback on caregiver consistency and reliability.
  4. Interview Caregivers: Ask if you can meet potential caregivers before committing. A good personal connection is key to a positive experience.

In conclusion, neither Home Instead nor Visiting Angels is definitively "better" overall. Your choice should be based on a diligent, local comparison of their services, costs, and the specific caregivers available in your area to ensure the best fit for your loved one. For additional guidance on comparing senior care options, authoritative resources can be found online.

Frequently Asked Questions

The cost for both companies is highly dependent on your location, the specific services needed, and the number of hours per week. While average hourly rates can be found, you must contact local franchises for an accurate, personalized quote.

In most cases, Medicare does not cover the non-medical services provided by Home Instead and Visiting Angels, such as companionship and personal care. However, some long-term care insurance policies or Medicaid waivers may provide coverage.

Both companies offer specialized dementia care, but their approaches differ. Home Instead uses a proprietary protocol based on Alzheimer's Association guidelines, while Visiting Angels trains caregivers in handling dementia challenges. Your choice may depend on your local franchise's specific training and caregiver expertise.

Both Home Instead and Visiting Angels perform careful matching based on client needs and preferences. However, due to the franchise model, consistency can vary. You can increase your chances of a good match by communicating your needs clearly during the consultation and, if possible, meeting potential caregivers beforehand.

Yes, most franchises for both Home Instead and Visiting Angels have minimum requirements for both the duration of a single shift and the total number of hours per week. These minimums vary significantly by location.

No, both Home Instead and Visiting Angels are non-medical home care providers. They do not offer skilled medical services like wound care or injections. Their services are limited to assistance with daily living activities.

Both companies have processes for addressing caregiver issues and finding a replacement. It's best to discuss the specific process with your local franchise coordinator during the initial consultation to understand your options should you need a change.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.