Session Pricing — No Surprises
Every session includes a written follow-up summary with specific next steps. You are never charged to find out whether we can help.
No obligation, no pressure. We will figure out what you actually need — and tell you honestly if it is not us.
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For families deciding what care looks like, who provides it, and how everyone stays on the same page. Most families arrive here after a fall, a diagnosis, or a hospital discharge — and discover nobody handed them a plan.
A written care plan built around your person — their routines, their preferences, their actual home, and what your family can realistically sustain.
What you get: a documented plan covering daily care needs, safety, medications, appointments, emergency contacts, and who does what. Written in plain language you can hand to a caregiver, a sibling, or a hospital.
Why it matters: care that lives only in one person's head collapses the moment that person gets sick, travels, or burns out. A written plan survives all three.
Best booked as: a 60-minute session. Thirty rarely covers a full plan.
The family sits down together, and someone who actually knows what care costs and how it works is in the room. Most family disagreements about care are not really disagreements — they are two people guessing at different numbers.
What you get: a pre-call with the organizing family member to set the agenda, a 90-minute conference in person or on video, and a written record of what was decided and who agreed to do what.
Why it works: one sibling believes round-the-clock care runs $3,000 a month. Another is certain Medicare covers it. Neither is right, and they have been arguing for six weeks on top of that. Put real numbers, real options, and real timelines on the table and a surprising amount of the conflict simply goes away.
What I bring: what care actually costs in this region, what Medicaid and waiver programs do and do not cover, what a direct care worker may legally do, what tends to break down at 2am when nobody has planned for it, and what other families in this position have chosen.
What this is not: I am not an attorney and I am not a certified mediator. I do not decide who is right, and the written record is a summary of your family's decisions — it is not a legal agreement and it binds no one.
When I will refer you elsewhere: contested guardianship or power of attorney, suspected financial exploitation, estate or inheritance disputes, and questions about whether someone still has capacity to decide — those need an elder law attorney or a physician. If the conflict runs deeper than information, a certified elder mediator is the right call and I will say so.
Everything coordinated before discharge — so coming home is organized and safe from the first hour rather than improvised for two weeks.
What you get: review of the discharge instructions, equipment ordered and confirmed, follow-up appointments booked, provider contact list assembled, home readiness checked, and a written transition plan for the first two weeks.
Why it matters: readmission usually traces back to something ordinary — a prescription nobody filled, a follow-up nobody booked, a shower with no grab bar. This is the service that prevents the second hospital stay.
Timing: most useful in the 48 hours before discharge. Call as soon as a discharge date is mentioned.
Someone in your corner at the appointment — taking notes, asking the questions you will think of afterward, and sending you a written summary the same day.
Patients who have an advocate involved keep more of their appointments and leave them understanding more. Nobody retains a specialist's instructions while frightened. A second person, whose only job is listening, changes what you walk away with.
I join your appointment by phone or video — a telehealth visit, or an in-person visit with me on speakerphone in the exam room.
What you get: a 15-minute prep call beforehand to build your question list, presence for the appointment, and a written summary the same day covering what was said, what was decided, and what happens next.
Why it matters: no travel means no drive time to pay for, and it is available anywhere in Pennsylvania rather than just our five counties. Most appointments fit a 60-minute booking; choose 30 minutes for a short follow-up.
Honest limits: I cannot see how someone walks into the building or looks in the waiting room, exam-room audio is sometimes poor, and some practices require written consent before a third party joins. If physical presence is what your person needs, book in-person instead — I will tell you if I think that is the case.
I meet you there. Specialist consultations, care conferences, discharge meetings, second opinions — any appointment where the information matters and one person cannot hold all of it.
What is included, $100: a prep call to build your question list, two hours with you at the appointment, notes taken throughout, questions asked on your behalf, and a written care summary — what was said, what was decided, and what happens next.
Beyond two hours: $50 per additional hour.
Why the summary is included: nobody retains a specialist's instructions while frightened. The summary is the part you still have next week, and the part you can forward to a sibling who could not be there. It should not be optional.
Where: Montgomery, Chester, Delaware, Bucks, and Philadelphia counties. Mileage included within 20 miles of King of Prussia. Please book at least 48 hours ahead so there is time for the prep call.
Most families leave money on the table because nobody told them what they qualified for. One session often pays for itself many times over.
A systematic look at Medicare, Medicaid, VA benefits, and long-term care insurance to find coverage nobody has claimed.
What you get: a review of what your person is enrolled in, what they may be eligible for and are not using, and a written list of what to apply for in what order.
Commonly missed: VA Aid and Attendance, long-term care policies with a care coordination benefit families never file, and Medicare Advantage supplemental benefits that go unused every year.
Bring: insurance cards, any policy documents, and a list of current providers. A 60-minute session is usually the right length.
MAWD, OLTL, and ODP waiver guidance — eligibility, applications, and the mistakes that cause denials and months of delay.
What you get: a plain-English explanation of which program fits your situation, what the application actually asks for, and a checklist of documents to gather before you start.
Why it matters: PA waiver programs are genuinely confusing, and an incomplete application does not get corrected — it gets denied, and you start over months later.
Please note: this is guidance, not legal or financial advice, and Gilgal does not file applications on your behalf.
For entrepreneurs opening a Pennsylvania home care agency or registry — from someone who built one, submitted the application, and answered the deficiency letter.
Chapter 611 application guidance, policy review, startup roadmap, pricing strategy, and DOH inspection prep.
Bring any stage: "I am thinking about starting," "I have an LLC and no idea what is next," or "the Department sent me a deficiency letter and I do not understand it."
Why it is different: most consultants selling home care startup advice have never held a license. This guidance comes from an application that went through, including the parts that came back for correction.
You leave with: a written summary and a specific next-step list, not general encouragement.
The full licensing library as an instant download — policies, forms, checklists, and the order to do them in. You customize the documents to your agency and work at your own pace.
Who it is for: founders with more time than budget who want to understand the regulations as they build, rather than receive a finished binder.
Works in any state. The structure and the documents are portable; you adapt the regulatory citations to your own state's requirements.
What it does not include: customization to your agency, and no kickoff call. If you would rather that be handled for you, the Done-For-You Bundle is the same library, personalized, for the Mid-Atlantic.
Every policy exhibit, intake form, service agreement, and staff document your Chapter 611 application needs — customized to your agency, not a generic template.
How it works: you complete a short intake about your agency, and every document is personally customized to your name, address, and operations before delivery.
Your kickoff call is included — please book it. After you purchase, schedule your Done-For-You Kick Off Call here → That call is where we go through your intake, tailor the documents to how you actually plan to operate, and map your next steps.
Every policy is referenced to the specific regulatory section it satisfies, so when a surveyor asks, you can point to the answer.
Built for the Mid-Atlantic: Pennsylvania, Maryland, Virginia, Delaware, New Jersey, and Washington DC.
Compare: consultants charge $3,000 and up for the same scope. This is $597 because the work is already done and tested.
Not sure which one fits? Book the free 15-minute call and I will tell you honestly — including if neither is right for where you are. You can also browse the full digital library → for individual guides and templates.
If finances are a concern, we offer a sliding scale with documentation of need. It applies to consultations, advocacy, and appointment support.
Ask on your free intro call, or email us before you book. A conversation about your situation always costs nothing, and no one has ever been made to feel small for asking.
Ask About the Sliding ScaleConsulting is one part of what Gilgal does.
A Pennsylvania licensed home care agency and registry — connecting families with qualified caregivers, and equipping the next generation of care professionals.
© 2026 Gilgal Home Care & Registry. All rights reserved. King of Prussia, PA 19406.
Licensed by the Pennsylvania Department of Health under 28 Pa. Code Chapter 611 as both a home care agency and a home care registry. Family-Led Care is our name for the registry model: Gilgal refers independent contractors and does not employ, supervise, or set the compensation of the contractor you select.
