Home care services for Marco Island seniors
Each plan is reviewed by an RN and built around three things: the diagnosis, the home itself, and how the family’s week actually runs. We hold continuity of caregiver wherever the schedule allows.
Conditions our Marco Island caregivers support
The diagnosis shapes the plan. Here are the reasons Marco Island families usually pick up the phone.
Dementia Care in Marco Island
Dementia care in Marco Island leans on routine: a steady sundowning rhythm, wandering prevention, gentle redirection, and the patience to answer the same question without a sigh.
Parkinson’s Home Care
Parkinson’s home care means mobility cueing, meds delivered on time, a calm response when the gait freezes, and exercises that line up with what PT already prescribed.
Stroke Recovery Care at Home
Stroke recovery care at home covers therapy-aligned exercises, dysphagia precautions at meals, safe transfers, and patient, aphasia-friendly conversation.
Post-Surgical Care at Home
Post-surgical care at home gets people back on their feet after a hip or knee replacement or a cardiac procedure. We cover the transition home from Physicians Regional and keep an eye on the wound.
Cancer Care at Home
Cancer care at home means rides to oncology, a routine for the nausea, hydration tracking, and a steady presence on the rough recovery days.
Congestive Heart Failure Care
Congestive heart failure care comes down to the daily details: weight checks every morning, low-sodium meals, watching for edema, and med reminders that keep people out of the hospital.
COPD & Respiratory Care
COPD & respiratory care includes oxygen support, pursed-lip breathing reminders, and knowing which triggers set off a flare, especially in the thick Florida humidity.
Diabetes Care at Home
Diabetes care at home covers glucose monitoring, diabetic-friendly meal prep, a daily foot check that catches problems early, and insulin kept on schedule.
Hospice Support at Home
Hospice support at home wraps respite around the hospice team, with comfort positioning and an overnight presence so the family can finally rest.
Quiet competence, the way Marco Island prefers it.
Marco Island residents want professionalism without the show. Our caregivers will arrive in plain clothes if you ask, drive vehicles without signage, and follow whatever house rules the family sets. The goal is to be helpful, not noticed.
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, so the chemistry holds month after month.
No surprise contracts
Hourly, daily, or live-in. Cancel anytime. Adjust as the recovery moves along.
LTC insurance & VA handled
We bill John Hancock, Genworth, Mutual of Omaha, Transamerica, and the VA Community Care Network directly.
Same-day & next-day starts
Most Marco Island hospital discharges go home with care already in place, usually within 24 hours of the call.
Neighborhoods & hospitals we serve in Marco Island
Our caregivers dispatch from the Fort Myers office and cover the whole island.
Neighborhoods we cover
Hospitals & rehab partners
How home care starts in Marco Island
For most Marco Island families, there’s a caregiver in the home within 24 to 48 hours of that first call.
Free phone consult
About 15 minutes. We talk through the situation, the diagnosis, what’s working and what isn’t.
In-home assessment
An RN or care manager comes to the Marco Island home, reviews the meds, and writes the plan in person.
Caregiver match
Your care manager introduces the matched caregiver in person before the first shift, not by email.
Quarterly check-ins
We re-evaluate the plan every quarter, and the care manager is on call 24/7 when needs shift between visits.
How much does home care cost in Marco Island?
Private-pay companion or personal care in Marco Island usually runs $34 to $42 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 Marco Island families. Hourly, daily, or live-in, with no paperwork, no pre-authorization, and no copay to reconcile later.
Best for: short-term recovery, families who want full schedule control.
Long-Term Care Insurance
We bill John Hancock, Genworth, Mutual of Omaha, Transamerica, and most major LTC carriers directly, so you’re not chasing reimbursements.
Best for: Marco Island seniors activating an LTC policy.
VA Community Care Network
Marco Island 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 accept select waiver MCOs, so it’s worth asking which plans we work with.
Best for: seniors on fixed incomes meeting Florida’s eligibility criteria.
Want a real quote for Marco Island? Call (239) 400-4514 and we’ll give you an exact estimate based on hours, level of care, and how you’re paying.

Our Marco Island caregivers: vetted, trained, supervised
Roughly 1 in 12 applicants makes it through our hiring. Before any Marco Island caregiver sets foot in a home, they’ve cleared a Florida AHCA Level 2 background check, a drug screen, reference calls, and a sit-down 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, and a hazard check every visit.
- ✓CPR & first aid certified. Emergency drills run 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 Marco Island
How much does home care cost in Marco Island?
Private-pay companion or personal care in Marco Island runs about $34 to $42 an hour. The effective rate drops on 24-hour and live-in packages. LTC insurance and VA benefits often cover the whole bill. Call (239) 400-4514 for a quote specific to your situation.
How quickly can a caregiver start in Marco Island?
Most assessments happen within 24 hours, with a caregiver starting the next day. Hospital discharges from Physicians Regional are often same-day. A complex 24-hour schedule can take 2 to 3 days to staff properly with the right team.
Are your caregivers employees or contractors?
They’re W-2 employees of A Perfect Choice. Never independent contractors, never a registry. We carry the payroll taxes, workers’ comp, and liability insurance so you don’t have to think about any of it.
What if the caregiver isn’t the right fit?
Just call us. We re-match without question and without a fee. Personality fit matters every bit as much as clinical fit, and we’d rather get it right than leave you stuck.
Do you accept Medicare?
Medicare doesn’t apply to our services. Original Medicare won’t pay for the ongoing help we provide on the island: companionship, personal care, or 24-hour coverage. Families here use private pay, a long-term care policy, VA benefits through the Community Care Network, or Florida Medicaid’s long-term-care program when they’re eligible. If a doctor has ordered a stretch of nursing or therapy after a hospital stay, that’s the job of a Medicare-certified home health provider, a different category of agency from us, and we’re glad to handle the day-to-day care while they do their part. Call (239) 400-4514 and we’ll tell you which path fits.
Can you provide 24-hour or live-in care?
Yes. We staff both true 24-hour care (two awake caregivers on rotating shifts) and live-in care (one caregiver with a protected 8-hour sleep window) in Marco Island.
Are you licensed to operate in Marco Island?
Yes. We’ve been Florida-licensed since 2021, AHCA home health agency license HHA #299995428, and we’re authorized to work across Collier County.
Will Medicaid pay for home care in Marco Island?
It can. Florida’s SMMC-LTC waiver covers in-home help for seniors who qualify, and eligibility hinges on both income and a functional assessment. We work with several of the managed care plans that run it. The honest answer is that it depends on the plan and the assessment, so call (239) 400-4514 and we’ll help you sort out where you stand.
Can veterans in Marco Island get free home care through the VA?
Often, yes. We’re a VA Community Care Network provider, and eligible Marco Island veterans typically pay nothing out of pocket. If you’re receiving Aid & Attendance, that can apply too. We handle the authorizations and bill the VA directly, so you’re not stuck in the paperwork. Call (239) 400-4514 to get started.
Can someone with dementia stay safely at home in Marco Island?
Usually, yes. A steady routine, a few home safety adjustments, and caregivers trained in redirection keep most people with dementia comfortable and safe in familiar surroundings. If wandering or sundowning starts to outrun part-time help, we can scale up to 24-hour coverage. Call (239) 400-4514 and we’ll talk through what your loved one needs.
Is A Perfect Choice a home health agency in Marco Island?
Yes. We’re a Florida-licensed home health agency serving Marco Island under AHCA license HHA #299995428. What that license covers in our case is non-skilled, one-on-one care from CNAs and Home Health Aides: companionship, personal care, dementia support, respite, and 24-hour coverage. It does not make us a Medicare-certified provider, so the nursing and therapy a physician might order after a hospitalization would come from one of those agencies instead. Many island families pair the two, their clinicians for the medical visits and our caregivers for everything in between. Call (239) 400-4514 and we’ll sort out which side you need.
Ready to talk through home care in Marco Island?
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 Collier County, Florida
Request a Free Home Care Assessment in Marco Island
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.






