Private Pay Home Health Aide Salary

There are many benefits to becoming a home health aide.  When you like to help people, but don’t like the idea of working in nursing homes or the like, becoming a home health aide would be a very good job for you.  But can you make a living salary by doing so?

Some families can’t afford to pay to keep their elderly parents in nursing homes.  Sometimes, that person refuses to live in one, so they choose to employ someone privately.

The home health aide salary is usually based on the aide’s level of experience and certifications.  It can also heavily depend on the client’s care needs, and how much the family is willing to pay.


Some jobs are offered at a set rate for certain tasks, while others will provide an hourly rate.  Many caregivers choose to work for an agency, even though an agency receives a percentage of the aide’s salary.  This is because these agencies offer excellent health and retirement benefits, whereas working independently does not.

In this article, we will be talking more about the salaries and hourly wages that home health aides can earn.  They do vary, and we will explain why.  We will also discuss different side jobs that you can offer, which will boost your income.

Why Private Pay HHA Jobs Offer a Higher Salary than Facilities

At an assisted living facility or nursing home, the average starting salary is around ten or eleven dollars an hour.  These places of employment come with heavier workloads and more patients to care for during your shift.  Because of this, it’s common for the caregiver to start in this field by working at a facility and then going through an agency after they’ve acquired some experience.  Agencies will take a cut of your pay, but they still offer a higher salary than the average facility.

The seasoned aide can make anywhere from twelve to twenty-five dollars an hour.  The more experience and certifications an HHA has, the higher their salary.

Heavy care needs patients will offer HHAs better pay.  You can expect to earn more per hour if a client is total care.  Total care involves bathing, grooming, bathroom assistance, transfers or assistance with ambulation.  With patients that are total care, the caregiver will have a higher level of responsibility.

Live-in Home Care Aide

Clients that are total care and still live at home can require a live-in aide.  Living with a client usually means a set salary in addition to free room and board.  The typical salary for HHAs living with high-level care patients ranges from seventeen to twenty-five dollars an hour.

When seeking employment for a position working with a high-level patient who still lives at home, you will have to have additional certificates or education.  This will ensure the safety for both of you.  You will have to know not only the basics, such as CPR, the Heimlich maneuver, and other lifesaving procedures.

Companionship Aides

Sometimes people that live at home alone only need companionship.  It can get very lonely and depressing when you are by yourself constantly.  Being a home companion may not bring in the money that you want, but it can be very rewarding in other ways.

Caregivers that are needed for companionship and transportation are sometimes employed by clients who live in a facility, but need more care than what the facility staff can offer.  In a facility, the staff is usually made up of RNs, and certified health aides.  They cannot leave the facility, and many nursing homes are short-staffed as it is. You can find out about the work environment in this post.

Find out the HHA hourly rate

These are usually part-time positions unless the client has exit seeking behavior, is bedridden, or has advanced dementia.  These positions require the aide to work with the facility staff and family members, reporting any changes in appetite, bathroom habits and behaviors to both staff and family.

Odd Jobs for Caregivers to Supplement your Income

Agencies will give caregivers several employment options.  The caregiver can then choose a client based on their availability, skill set and workload.  The cost of commuting to and from a client’s home is not usually compensated by the client, so keep this in mind when choosing a new job.

There are many families that need caregivers only on a part-time basis for simple jobs such as cooking and freezing meals for the week, transporting clients to doctor appointments, grocery shopping or housekeeping and laundry.

These part-time positions still pay well and give caregivers the ability to take on more clients, fitting them into their schedule based on their flexibility.

Many home health aides will develop a bond with their client, and when this happens the client or their family (or both) may ask you to stay with them if their health would start to decline.  You will have more responsibility, but you will also earn more.

Benefits to Being a Home Health Aide

As mentioned before, depending on whether you work through an agency or on your own, your salary or hourly pay will differ.  Also, the requirements of your job will determine your income.

What is the typical Private Pay Home Health Aide Salary?

Many times, people who seek employment as a home health aide have a strong desire to keep the elderly happy, and living in their own home for as long as possible.

Sometimes all that they need is some company, and sometimes they need someone to help with their meds, or oxygen tanks (if they have one), and the level of care progresses.

When you work for yourself, you can choose what level of care you can handle.  You also have the freedom to set your own hours.  You can choose to have only one client, or you can have a few.

With the proper certifications and continuing education, you will be able to charge more, and your clients will happily pay you more because of your additional experience.

When you want a rewarding career, and want to work with and help the elderly, a home health aide may be the perfect choice for you.  As a private pay home health aide salary increases with your level of experience, it would be very beneficial to you if you were to take extra training courses, if you are able to.