CJ Karrer
Writer · Reviewed by Richard ChanUpdated Jun 12, 2026
3 min read
Medicare generally does not pay for custodial care, meaning caregivers providing non-medical assistance with daily activities are usually paid out-of-pocket or through Medicaid.
Under Medicare Part A, home health care coverage can include intermittent skilled nursing care or physical therapy, but it does not cover 24-hour care or homemaker services.
The PACE program (Programs of All-Inclusive Care for the Elderly) offers comprehensive medical and social services that can provide significant support and respite for family caregivers.
Behind virtually every older adult living with illness, disability, or the challenges of advanced age, there is a caregiver. Sometimes it's a trained professional. Often, it's a son, daughter, spouse, or neighbor — someone who stepped into a profound role quietly and out of love, without a manual or a roadmap. Caregivers are the backbone of long-term support in this country, and understanding their role, their responsibilities, and the resources available to support them is essential for millions of American families.
A caregiver is a dedicated individual who provides assistance, support, and care to individuals who may have difficulty performing daily activities or require medical supervision due to illness, disability, or age-related conditions. Caregivers can be family members, friends, or hired professionals — and the scope of what they do spans everything from managing medications and attending medical appointments to providing simple companionship on a difficult day.
Caregivers play a vital role in the healthcare system, providing essential support and care to individuals with medical needs or disabilities — often absorbing enormous physical, emotional, and financial strain in the process. Recognizing and valuing the work of caregivers is crucial, as they play an integral part in supporting the well-being and independence of vulnerable individuals in our communities. Providing resources, support, and respite for caregivers is equally essential. Programs like PACE (Programs of All-Inclusive Care for the Elderly) can help ease the burden, offering a coordinated package of medical and social services that supports both the care recipient and those who love them.