Home care services for Estero seniors
An RN reviews every plan. We build it around the diagnosis, the layout of the home, and the family’s actual week, and we keep the same caregiver on the case whenever we can.
Conditions our Estero caregivers support
The diagnosis drives the plan. Here’s what most often brings Estero families to the phone.
Dementia Care in Estero
Dementia care in Estero leans on routine: sundowning rituals, wandering prevention, gentle redirection, and the patience to answer the same question without a sigh.
Parkinson’s Home Care
Parkinson’s home care is about timing and footing. We cue mobility, keep medication on the clock, talk people through freezing gait, and run the PT exercises the therapist sent home.
Stroke Recovery Care at Home
Stroke recovery care at home means therapy-aligned exercises, swallowing precautions, safe transfers, and the patience to communicate when the words don’t come easily.
Post-Surgical Care at Home
Post-surgical care at home covers the rough first weeks after a hip or knee replacement or a cardiac procedure. We help the transition home from Lee Health Coconut Point and keep an eye on the wound.
Cancer Care at Home
Cancer care at home is rides to oncology, a plan for the nausea, hydration we actually track, and a steady presence on the days when recovery is the only thing on the calendar.
Congestive Heart Failure Care
Congestive heart failure care comes down to small daily habits that prevent a readmission: weight checks every morning, low-sodium meals, watching for swelling, and medication reminders that stick.
COPD & Respiratory Care
COPD & respiratory care includes oxygen support, pursed-lip breathing reminders, and a watchful eye for the triggers that flare up fast in Florida’s summer humidity.
Diabetes Care at Home
Diabetes care at home keeps the numbers and the routine in check: glucose monitoring, diabetic-friendly meals, a daily foot check, and insulin on schedule.
Hospice Support at Home
Hospice support at home wraps around the hospice team: comfort positioning, respite hours for worn-out family, and an overnight presence so loved ones can finally sleep.
Coordinated for distance families. Local for the home.
A lot of our Estero clients have kids living up north. So we stay in touch on purpose, by call, text, or the care portal, with enough detail that out-of-town families know what’s going on without having to manage it from a thousand miles away.
RN-supervised plans
A registered nurse signs off on every plan and revisits it each quarter as things change.
Caregiver matching, not assignment
We aim for continuity of care, the same caregiver on the same days when possible, because chemistry is what holds up over months.
No surprise contracts
Hourly, daily, or live-in. Cancel anytime. Dial it up or down as recovery goes.
LTC insurance & VA handled
We bill John Hancock, Genworth, Mutual of Omaha, Transamerica, and the VA Community Care Network direct, so you’re not chasing reimbursements.
Same-day & next-day starts
Most Estero hospital discharges go home with care already in place inside 24 hours of the call.
Neighborhoods & hospitals we serve in Estero
Every caregiver dispatches from our Fort Myers office.
Neighborhoods we cover
Hospitals & rehab partners
How home care starts in Estero
For most Estero families, a caregiver is in the home within 24 to 48 hours of that first phone call.
Free phone consult
About 15 minutes. We listen to the situation, the diagnosis, what’s working and what isn’t.
In-home assessment
An RN or care manager comes to the Estero home, looks over the meds, and writes the plan in person.
Caregiver match
Your care manager introduces the matched caregiver in person before the first shift, never a stranger at the door.
Quarterly check-ins
We re-evaluate the plan every quarter, and the care manager is on call 24/7 the moment needs shift.
How much does home care cost in Estero?
In Estero, private-pay companion or personal care usually runs $32 to $40 an hour. The effective rate drops on multi-hour packages and on 24-hour or live-in coverage.
Private Pay
The most flexible route for Estero families. Hourly, daily, or live-in. No paperwork, no pre-authorization, no copay math to reconcile.
Best for: short-term recovery, families who want full control of the schedule.
Long-Term Care Insurance
We bill John Hancock, Genworth, Mutual of Omaha, Transamerica, and most major LTC carriers direct.
Best for: Estero seniors putting an LTC policy to work.
VA Community Care Network
Estero veterans approved through the VA can get in-home care at no out-of-pocket cost under our CCN authorization.
Best for: service-connected veterans, Aid & Attendance recipients.
Medicaid Waiver Programs
Florida’s SMMC-LTC program covers home-based care for eligible seniors. We work with select waiver MCOs.
Best for: seniors on fixed incomes who meet Florida’s eligibility rules.
Want a real quote for Estero? Call (239) 400-4514 and we’ll work out an exact estimate based on hours, level of care, and how you’re paying.

Our Estero caregivers: vetted, trained, supervised
Roughly 1 in 12 applicants makes it through our hiring. Before a single Estero caregiver steps into a home, they’ve passed a Florida AHCA Level 2 background check, a drug screen, reference calls, and a face-to-face interview with our care manager.
- ✓HHA or CNA certified. Every caregiver holds an active Florida certification.
- ✓Dementia-trained. Alzheimer’s Association curriculum, plus annual refreshers.
- ✓Safe-transfer & fall prevention. Gait belts, two-person lifts, a hazard scan every visit.
- ✓CPR & first aid certified. Emergency drills twice a year.
- ✓Fully bonded & insured. Workers’ comp and general liability on every caregiver.
What Southwest Florida families say
We would rather show you the real thing than tell you about it. Read verified reviews from families across Southwest Florida on Google.
Common questions about home care in Estero
How much does home care cost in Estero?
Private-pay home care in Estero runs about $32 to $40 an hour for companion or personal care. Multi-hour and 24-hour packages bring the effective rate down. We also take LTC insurance, VA, and Medicaid waivers. Call (239) 400-4514 for a quote built around your situation.
How quickly can a caregiver start in Estero?
Usually the assessment happens within 24 hours and a caregiver starts the next day. Discharges from Lee Health Coconut Point are often same-day. A complex 24-hour schedule can take 2 to 3 days, because we’d rather staff the right team than rush the wrong one.
Are your caregivers employees or contractors?
Employees, all of them. Every caregiver is a W-2 employee of A Perfect Choice, never an independent contractor and never a registry referral. We handle the payroll taxes, workers’ comp, and liability insurance.
What if the caregiver isn’t the right fit?
Just call us. We re-match, no questions and no fee. Personality fit matters as much as the clinical side, and sometimes it takes a try to find the right person.
Do you accept Medicare?
No, and it helps to know why. Original Medicare doesn’t pay for ongoing help at home, the companion care, bathing assistance, and 24-hour coverage we provide. Estero families fund those hours with private pay, long-term care insurance, VA benefits through the Community Care Network, or Florida Medicaid’s SMMC-LTC program. Short-term nursing or therapy a doctor orders after a hospital stay is a separate service that comes from a Medicare-certified home health provider. That’s not us, but we work alongside those agencies all the time, covering the daily care between their visits. Call (239) 400-4514 and we’ll map out what applies to you.
Can you provide 24-hour or live-in care?
Yes, both. True 24-hour care means two awake caregivers on rotating shifts. Live-in care is one caregiver with a protected 8-hour sleep window. We staff either one in Estero, depending on what the situation calls for.
Are you licensed to operate in Estero?
Yes. We operate under Florida AHCA home health agency license HHA #299995428, authorized across Lee County, and we’ve been Florida-licensed since 2021.
Will Medicaid pay for home care in Estero?
Sometimes, yes. Florida’s SMMC-LTC waiver can cover in-home help for seniors who qualify, which usually means meeting both an income limit and a functional needs assessment. We work with several of the managed care plans that administer it. Honest answer: it depends on your eligibility, so call (239) 400-4514 and we’ll help you figure out where you stand.
Can veterans in Estero get free home care through the VA?
Often, yes. We’re a VA Community Care Network provider, so eligible Estero veterans typically pay nothing out of pocket. If you receive Aid & Attendance, that can stretch even further. We take care of the authorizations and bill the VA directly, so you’re not buried in forms. Call (239) 400-4514 and we’ll check your options.
Can someone with dementia stay safely at home in Estero?
Yes, usually. The trick is a steady daily routine, a few home-safety tweaks, and caregivers trained to redirect rather than argue. If wandering or sundowning gets serious, we can scale up to 24-hour coverage so someone’s always awake and watching. Call (239) 400-4514 to talk through what your loved one needs.
Is A Perfect Choice a home health agency in Estero?
Yes. A Perfect Choice is a Florida-licensed home health agency, AHCA license HHA #299995428, and Estero sits squarely in our Fort Myers office’s territory. The license type is “home health agency,” but our work is the one-on-one, non-skilled side of it: CNAs and Home Health Aides providing companionship, personal care, dementia support, respite, and 24-hour or live-in coverage. Physician-ordered nursing or therapy is handled by a Medicare-certified agency instead, and when one is involved we cover the daily-living care around their visits. Call (239) 400-4514 and we’ll point you the right way.
Ready to talk through home care in Estero?
It’s a free 15-minute call with a care manager. No pressure, no commitment, just a clear picture of what care could look like for your family.
A Perfect Choice Home Care · HHA #299995428 · Serving Lee County, Florida
Request a Free Home Care Assessment in Estero
Tell us what your family needs and we will call you back the same day, usually within the hour. Prefer to talk now? Call (239) 400-4514.
Ready to Get Started? Contact us today for a free in-home consultation.






