Compassionate in-home care you arrange yourself and pay out of pocket — no Medicaid, no waiver, no waitlist. You choose the caregiver, you set the schedule, and care can start within days.
No Medicaid, no income test, no application
Choose your own caregiver — and rematch anytime
One flat rate for every level of care · no long-term contract
Licensed in PennsylvaniaBonded & InsuredW-2 Employed Caregivers24/7 Care Line Answered
Here's how simple it is
Getting help at home shouldn't be complicated
No applications. No approval letters. No caseworker deciding what your parent qualifies for. Just care, arranged the way your family wants it — starting with one free phone call.
Skip the Medicaid maze
No income test, no waiver, no waitlist. You pay out of pocket, so no one has to qualify for anything.
You’re in charge of everything
Choose the caregiver, the hours and the tasks. Increase, reduce or pause any week — no long-term contract.
One flat rate, no surprises
The same hourly rate covers everything from companionship to hands-on care — it never climbs as needs grow.
Care that starts fast
Most families have a vetted caregiver in the home within days — often the same week they call.
Ever heard the term “private pay”? It just means paying for care out of pocket instead of through a government program. That’s all this is — home care you arrange directly, with none of the red tape.
Every plan starts with a free in-home visit. You approve the plan, you approve the caregiver, and you can change either one at any time — all at the same flat hourly rate, whatever level of care is needed.
Companion Care
For the parent who is still independent but would love company and a hand through the day. Conversation, errands, and a steady set of eyes on how they’re doing.
Errands, groceries and appointment rides
Meal preparation and light housekeeping
Medication reminders and safety checks
Personal Care
Hands-on help with the parts of the day that have become harder, delivered with the privacy and dignity your loved one deserves in their own home.
Bathing, dressing and grooming
Mobility, transfers and steadiness
Toileting and incontinence support
Respite Care
You’ve been doing so much. Take the weekend, the vacation, or just a Tuesday — we cover four hours or four weeks, as often or as rarely as you like.
Short-term, planned or last-minute cover
Four-hour minimum, no ongoing commitment
Detailed handover notes after every shift
Dementia & Alzheimer's
Familiar faces, familiar rooms, familiar routine. We keep the same caregiver on the case wherever possible, because in dementia care consistency is the care.
Consistent caregiver assignment
Routine, redirection and gentle safety
Sundowning and evening support
Recovery at Home
The weeks after a procedure or a hospital stay go best with a little support. We help the recovery stay on track — often starting the day your loved one comes home.
Same-week starts from Bryn Mawr, Lankenau, Paoli and Riddle
Mobility support and gentle encouragement
Meals, hygiene and follow-up appointment rides
24-Hour & Live-In
When the nights matter most. Rotating awake-overnight teams or a live-in caregiver, so the house is never empty and no one in the family is up at 3am.
Awake overnight or live-in models
Rotating teams to keep caregivers fresh
A comfortable alternative to assisted living
From first call to first shift
How care starts
No application. No approval letter. Four simple steps — and most families complete all of them inside a week.
1
The phone call
Fifteen minutes. You tell us what would help; we tell you honestly whether paying out of pocket, a waiver program, or something else is the right route.
Same day
2
Free in-home visit
A care manager visits — free, no obligation. We look at the rooms, the routine, and what your loved one actually wants day to day.
Within 24–48 hrs
3
Meet your caregiver
We match on skills, schedule and personality, then you meet them. If it isn’t quite right, you say so and we bring you someone else.
You have final say
4
Care begins
Your caregiver starts. You get shift notes, a named contact, and a 24/7 care line. Adjust the schedule any week you like.
Change anytime
Why families choose to pay out of pocket
You stay in control of every decision
Waiver-funded care is a good program. But it comes with an assessment, an approval, an allocation of hours, and a coordinator who decides what your parent qualifies for. Paying out of pocket removes every one of those steps.
You pick the caregiver
You meet them before day one. If you’d ever prefer a different match, we bring you someone else — one friendly phone call, no awkward paperwork.
You set the hours
Four hours on a Tuesday. Every morning at seven. Overnight only. Your schedule is yours — no one caps it based on an assessment score.
One rate, no surprises
The same flat hourly rate covers everything from companion visits to hands-on personal care — so it never climbs as needs grow, and you never have to re-shop agencies later on.
Care that starts fast
No approval letter to wait on. Most families have a caregiver in the home within days of the free in-home visit — often the same week they call.
We’d rather earn your trust every week than lock you into a year. So here’s what you can always count on.
No long-term contract
Adjust, pause or stop with a little notice. You’re never locked in.
Love your caregiver
Not the right fit? We’ll rematch you with someone new — no extra charge.
A real person, 24/7
Our care line is answered around the clock — you’ll always reach a human.
Fully vetted & insured
Every caregiver is background-checked, W-2 employed, bonded and insured.
Straightforward & out of pocket
What does home care cost on the Main Line?
You pay us directly — no Medicaid, no insurance hoops, no surprises. We quote your exact rate on the very first call, and the in-home visit is free.
To help you plan before you even pick up the phone, here’s what in-home care typically runs across the Main Line. Your Miracle Makers rate is confirmed in writing before any care begins — one flat rate for every level of care, so it never climbs as needs change.
Friendly ways families cover it
Personal funds · Long-term care insurance (we handle the paperwork and can bill the carrier directly) · VA Aid & Attendance benefits · Contributions shared among adult children. Ask us — most families qualify for help they didn’t know was there.
Average Main Line home care rates
Type of care
Average area rate
Companion & personal care (hourly)
$35–$37 / hr*
4-hour minimum visit
$140–$160*
Around-the-clock live-in
$375–$425 / day*
About 8 hours a week
$280–$296 / wk*
In-home visit
Free
Your exact Miracle Makers rate
Quoted on your call
Get your personalized rateOne quick call and we’ll give you your exact rate — and book your free in-home visit.
*Average in-home care rates across Main Line, PA (2024–2025). No prescription, no doctor’s authorization and no government program is required to begin. Your Miracle Makers rate is quoted on your first call and confirmed in writing before care starts. Live-in is billed as a flat daily rate; weekend, holiday and short-notice shifts may differ. No long-term contract required.
Where we work
In-home care across the Main Line & Western Suburbs
Our caregivers live in the neighborhoods they serve. That means shorter drives, better reliability, and someone who already knows which pharmacy is on the corner.
Delaware County
Haverford, Radnor, Wayne, Media, Swarthmore, Springfield, Newtown Square, Broomall, Havertown, Wallingford, Rose Valley, Lansdowne.
It simply means paying for care out of pocket, arranged directly with us — no Medicaid, no waiver, and no county caseworker in the middle. You decide who helps, how often, and the day it starts. Same care, none of the red tape.
No. There’s no application, no financial screening, no prescription and no doctor’s authorization. You choose the services you’d like and the day they begin. If you’d rather use a long-term care insurance policy or VA benefits, we’re glad to handle that paperwork for you — but nothing is required to get started.
For most families, within a few days — often the very same week you call. If a loved one is coming home from a hospital such as Bryn Mawr, Lankenau, Paoli or Riddle, we can frequently begin on the day they arrive home, so there’s a friendly face waiting.
Yes to both. You meet your caregiver before the first visit, and if you’d ever prefer a different match, one call is all it takes — we’ll rematch you at no extra charge. Our goal is a caregiver your whole family genuinely looks forward to seeing at the door.
Every caregiver is a W-2 Miracle Makers employee — background-checked, bonded, insured and covered by workers’ compensation, and supported by a care manager. You never pay a caregiver directly; you receive one simple invoice, usually weekly. We take on the work and expense of employing the caregiver so you don’t have to.
Visits start at four hours, and there’s no long-term contract. Increase, reduce, pause or stop your schedule whenever life changes — we only ask for a little notice so we can look after our caregiver’s schedule too.
We give you your exact flat rate on the first call, and the in-home visit is free. Many families use long-term care insurance — we complete the carrier’s paperwork and, where the policy allows, bill them directly — or VA Aid & Attendance benefits. Send us the policy and we’ll read it for you at no charge.
The same caregiver and care manager simply adjust the plan — at the same flat hourly rate. You’ll never have to start over with a new agency just because the level of care changed. One number to plan around, from companion visits to hands-on care.
Across Delaware, Chester, Montgomery and Philadelphia counties — including Bryn Mawr, Villanova, Gladwyne, Ardmore, Wynnewood, Haverford, Radnor, Wayne, Devon, Berwyn, Paoli, Malvern, Media, Swarthmore, Newtown Square and Chestnut Hill. Not on the list? Call us — chances are we can reach you.
Just one phone call. We’ll set up a free, no-obligation visit at home, talk through what would help most, and — when it feels right — introduce a caregiver. Most families have care in place within a few days. Our care line is answered 24/7, so you can call whenever the moment is right for you.
Request Your Free Care Plan
No obligation · A care manager replies the same business day
Reasons families call us
A little help, right when you want it
You don’t need a reason bigger than “I’d feel better knowing someone’s there.” Here are a few of the happy, everyday reasons families reach out — and we’re always glad when they do.
Heading out of town
You’d love someone wonderful with Mom while you travel — so you can truly relax.
Away for work
A friendly, reliable face checking in on Dad and keeping you in the loop.
Holidays & visitors
Family coming to town? An extra pair of hands so you can simply enjoy them.
A few mornings a week
Companionship, meals and a little help around the house — on your schedule.
Recovering nicely at home
Steady support so the good progress keeps right on going.
Time for yourself
A well-earned rest for the family caregiver who does so much already.
Whatever the reason, one call is all it takes — and our care line is answered 24/7. Call right away and a real care manager will help you today.