How much does 24-hour home care cost in Michigan?

In Michigan there are two ways to deliver 24-hour home care, and the cost difference is significant. Live-in care runs $400–$500/day in Southeast Michigan and is the cheaper model — but it requires a private bedroom for the caregiver and at least 5 uninterrupted hours of sleep (caregivers are paid for 8 total sleep hours and worked hours otherwise).

Hourly 24-hour care is two 12-hour shifts billed at the Personal Care rate of $29–$37/hr, which works out to roughly $700–$900/day in Southeast Michigan. It is the right model when overnight needs include multiple wake-ups, advanced dementia behaviors, or active medical complexity that does not allow a caregiver to sleep.

Live-in is best for clients who only need 1–2 brief nighttime assists (bathroom run, repositioning) and have the space and household routine to support a live-in caregiver. Hourly is best for clients with frequent nighttime needs or where a private bedroom is not available.

Both models include payroll tax, workers comp, liability, training, Registered Nurse oversight, and backup-caregiver coverage. Medicare covers neither — these are private-pay or long-term care insurance.

For the full breakdown, see the cornerstone: Understanding Home Care Costs in Michigan.