Gilgal holds a Pennsylvania license as both a home care agency and a home care registry. Because we are not limited to one model, the conversation starts with what fits your family, not with what fits our business.
Go straight to the option that fits: Agency — Gilgal Care Team or Family-Led Care.
Please don't let cost keep you from asking. If money is a worry, book a free call and we'll talk through what actually fits your budget — that conversation always costs nothing.
Non-medical support at any age. We do not provide skilled nursing, therapy, or medication administration — if that is what is needed, we will help you find the right provider.
Same caregivers, same clearances, same standards. What changes is who employs the caregiver — and that changes who you write the check to, who carries the risk, and who directs the work.
The caregiver is our employee. We recruit, clear, train, supervise, and pay them, and we carry payroll taxes, workers' compensation, and liability coverage. You are billed a single hourly rate and never become anyone's employer.
| Level of Care | Our Hourly Rate |
|---|---|
| Companion CareMeals, housekeeping, errands, transportation, companionship | From $32per hour |
| Personal CareBathing, dressing, grooming, toileting, transfers, mobility | From $34per hour |
| Premium CareHigher acuity, extended hours, or complex schedules | From $37per hour |
| Specialized SupportDementia, post-surgical recovery, complex mobility | From $40per hour |
Starting rates. Final rate depends on schedule, acuity, and location, and you are always quoted before anything is booked. No setup fee and no separate placement charge — the hourly rate is everything.
Support during cancer care is not automatically a specialized-tier service. What is needed varies enormously from one person to the next, so we work the level out with you rather than assuming it.
Care clients also receive a home safety walkthrough, and transition support after a hospital stay, at no additional charge — see what comes with care.
Steady Hours. Three hours per visit, nine hours per week, at any level of care. Enough for a morning routine, an evening, or a few hours so you can be somewhere else.
Short daily visits. If what you need is a Morning Start, an Evening Settle, or a Daily Check-In, the minimum is two hours per visit and eight hours per week — at the same rates above.
Family-Led Care runs through our licensed home care registry. You hire your own caregiver. We refer independent contractors from our cleared roster — every one vetted to the same standard as our own team — and you choose who you want. If there is someone you already know and would rather have, we can run them through the same vetting and add them to the roster.
From there, you and the caregiver agree on the hourly rate between yourselves, and you pay them directly. Gilgal does not set that rate, does not publish or recommend it, does not collect it, and is not the caregiver's employer. What we charge is separate, and it is the only money that comes to us.
What we handle is the part families should not have to manage alone: the background clearances, reference checks, competency verification, rostering, and the Chapter 611 documentation that keeps everything above board. You keep the relationship and the scheduling.
The daily fee applies only on days your contractor actually works. If care pauses for travel or a hospital stay, the fee pauses with it. Other fee structures — hourly, weekly, monthly, or a single flat referral fee — are available by mutual agreement; ask on your placement call.
Scheduling under Family-Led Care is arranged directly between your family and the contractor. Visit lengths and weekly hours are yours to set together — Gilgal does not set them, and the agency visit minimums above do not apply here.
Family-Led Care is our name for the registry model. It is similar in spirit to the self-directed arrangements some families know from Medicaid waiver programs, but it is private pay and is not a Medicaid program.
What the caregiver charges is between you and them. Gilgal does not set, publish, recommend, or negotiate that rate, and we never collect it. You and the contractor agree on it directly, and you pay them directly. If you would rather not carry that conversation at all, that is exactly why the agency model exists.
Honest about what this asks of you. Because you pay the contractor directly, the working relationship sits with the two of you — the schedule, coverage when they are unavailable, and any tax reporting that applies to paying someone directly. We will tell you plainly what we know and point you to a tax professional for the rest. If that is more than you want to carry right now, the agency model is the simpler path.
Before you look at rates. Most families ask about Medicaid first and find out they don't qualify. If that is you, there are more options than people realize — VA benefits, long-term care insurance, spend-down, and ways to make private pay work for far less than you would expect. The fastest way to find what fits your situation is a short, free call.
Schedule a Free Call →These are not two prices for the same thing. They are two different arrangements. Here is what actually changes between them.
| Family-Led Care | Gilgal Care Team | |
|---|---|---|
| Who sets the caregiver's rate | You and the contractor agree on it | Gilgal sets one published rate |
| Who pays the caregiver | You pay the contractor directly | Gilgal pays them from your invoice |
| What Gilgal charges you | $400 placement, then $30 per day of care | The hourly rate, and nothing else |
| Minimum visit length | You and the contractor set it | Three hours a visit, nine a week — two and eight for short daily visits |
| If your caregiver calls out | You and the contractor arrange coverage | Gilgal sends a replacement |
| Payroll, taxes, workers' comp | The contractor's own responsibility | Gilgal carries all of it |
| Who directs and oversees the work | You do — your schedule, your way | Gilgal, following your care plan |
| Liability insurance | The contractor is responsible for their own coverage | Covered under Gilgal's policy |
| Clearances verified before placement | State Police, plus FBI and Child Abuse where required | State Police, plus FBI and Child Abuse where required |
Not sure which one fits? That is exactly what the free placement call is for. We will tell you honestly which model suits your situation — including when Family-Led Care is the right answer. It works well for families who have flexible schedules and someone available to problem-solve. The agency is the better fit when a missed shift is not survivable — a parent who needs help getting out of bed every morning, or a family managing from out of state.
Fifteen minutes. No obligation, no sales script. Tell us what is happening, and we will tell you what your options actually look like.
Book Your Free Call (484) 202-7837Included for care clients across Montgomery, Chester, Delaware, Bucks, and Philadelphia counties. Not add-ons, and not billed separately.
A room-by-room walkthrough with a written report listing every hazard by risk level, and an estimated cost for each correction. Done as part of starting care, not as a separate purchase.
Discharge instructions reviewed, equipment confirmed, and follow-ups booked, plus a written plan for the first two weeks home. Included when care begins within 30 days of a hospital stay.
A sit-down to work out what is actually needed and what it would take — useful whether or not you go on to use us. Thirty minutes at $55, or a full hour at $110.
Book This →Please don't let cost keep you from reaching out. If finances are a concern, we offer a sliding scale with documentation of need — on care planning, advocacy, and placement. Ask on your free call, or email care@gilgalhomecare.org, before you book. A conversation about your situation always costs nothing.
Gilgal Home Care & Registry LLC is licensed by the Pennsylvania Department of Health under 28 Pa. Code Chapter 611 as both a home care agency and a home care registry. Every caregiver completes a Pennsylvania State Police criminal history clearance before entering a home, along with FBI fingerprint and ChildLine child abuse clearances where Chapter 611 requires them. Under the registry model, Gilgal refers independent contractors and does not employ, supervise, or set the compensation of the contractor you select.
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.
