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Companion care vs personal care

What each covers, what they cost, and how to tell which you need.

These two terms get used loosely, including by providers, which makes comparing quotes harder than it should be. The distinction matters because it changes the rate, the training required, and sometimes the licensing.

The simplest version: companion care is everything that does not involve touching the person. Personal care is everything that does.

What companion care covers

Companion care is non-contact support. A caregiver is in the home, keeping things running and keeping an eye on how someone is doing.

  • Conversation and company
  • Meal planning, shopping and cooking
  • Light housekeeping and laundry
  • Errands, appointments and driving
  • Medication reminders, but not administering medication
  • Noticing changes and flagging them early

What personal care covers

Personal care is hands-on. It requires training in safe technique, particularly around transfers, because this is where injuries happen to both parties.

  • Bathing, showering and grooming
  • Dressing and undressing
  • Toileting and continence support
  • Transfers between bed, chair and bathroom
  • Mobility support and fall prevention
  • Skin and comfort checks

How to tell which you need

A useful test: can they manage getting washed and dressed safely on their own, even if slowly? If yes, you are probably looking at companion care. If getting in and out of the shower is the thing you worry about, you need personal care.

Families frequently start with companion care and move to personal care after a fall. If you are already close to that line, it is worth arranging personal care from the beginning so the caregiver is trained for it and you are not renegotiating mid-crisis.

The cost difference

Personal care usually carries a few dollars an hour more, reflecting the training involved. It is a smaller gap than most people expect, typically two to four dollars.

Because the gap is small, if there is any realistic chance of needing hands-on help within a few months, booking personal care from the start is usually the better decision.

What neither of them is

Neither is medical care. Wound dressing, injections, catheter care and clinical assessment are home health, delivered by a licensed agency under a doctor's plan of care, and often covered by Medicare for a limited period.

The two work together. It is common for a family to have home health visiting a few times a week and non-medical care filling in the rest.

Where we help

We arrange this across the Wasatch Front, from Ogden and Layton in the north through Salt Lake County and down to Provo, Orem and Springville. Pick your city from the service areas menu for local detail, costs and who pays.

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Related questions

Can one caregiver do both?

Yes, and most do. A caregiver trained for personal care can also cook, clean and run errands. The distinction affects the rate and the training, not how many people come to the house.

Can a caregiver give medication?

Non-medical caregivers remind and prompt but do not administer. Anything involving injections or dosage decisions falls to a licensed nurse.

Which do we need after a hospital stay?

Usually personal care initially, stepping down to companion care as strength returns. Many families reduce hours over the first six to eight weeks.

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