Senior care in Helena.
Across Helena, we recommend home care agencies near you. Free for families.

Example
Your care match
Personalized for Mom · near 59601
Harbor Home Care
Home care agency · 2.1 mi away
Offers personal care
Serves 59601
Available weekday mornings
Home care agency
Only this agency gets your request
Finding care in Helena.
Helena is the capital of Montana and the seat of Lewis and Clark County, set at the foot of the Rocky Mountains. We help families across downtown, Last Chance Gulch, the Mansion District, the Upper West Side and the Railroad District.
Ask any Montana home care agency about its state license or registration, its insurance, background checks and caregiver training before care starts.
Tell us where in Helena you are and what you need, and we’ll recommend options that serve your area.
Example
Care profile for Mom
Silver Lake, Los Angeles, CA 90026
Care needed
Personal care
Schedule
Weekday mornings
Starting
Within 2 weeks
Paying with
Private pay + LTC insurance
Help with
Profile complete
Today, 9:14 AM
Matched with Harbor Home Care
Home care agency · 1.8 mi away
Agency reaches out
Usually the same day
Ways to pay in Lewis and Clark County.
Private pay
Most families pay the provider directly. You agree on hours and rates before care starts.
Long term care insurance
Many policies cover in home care or assisted living after a waiting period.
VA benefits
Veterans and surviving spouses may qualify for Aid and Attendance or VA home care programs.
Medicaid
Your state’s Medicaid program may pay for some care at home for people who qualify.
Montana Medicaid Big Sky Waiver in Lewis and Clark County
The Big Sky Waiver is for people on Medicaid who need nursing-home-level care but want to stay at home. It may pay for personal assistance, homemaker help, respite care, adult day health and case management, and there can be a waiting list. To ask for the Big Sky Waiver, call Mountain Pacific Quality Health at 800-219-7035, or call the statewide aging line at 800-551-3191 to reach your local Area Agency on Aging. Rocky’s Agency on Aging can also point you to local help: 406-457-7368.
All ways to payYour first consultation with the agency is free, and so is our help finding it. Tell us what you need in Helena and the agency reaches out to set it up.
Get my free consultationFree help in Helena.
These services are free, whether or not you use Hailo Care.
Helena Senior Center
Run by Rocky Mountain Development Council in the Neighborhood Center on South Cruse Avenue, open weekdays.
406-447-1680Rocky’s Agency on Aging
Area IV Agency on Aging, run by Rocky Mountain Development Council on Warehouse Avenue, serving Lewis and Clark and five nearby counties.
406-457-7368Alzheimer’s Association 24/7 Helpline
Free, confidential help for people living with dementia and their families, any time of day.
800-272-3900Do you serve all of Helena?
Yes. We help families across Helena and nearby communities, including East Helena, Montana City and Clancy.
How much does home care cost in Helena?
It depends on the type of care, the hours and where in Lewis and Clark County you live. Agencies share their rates before care starts, and the first consultation is free.
Who do I call about senior services in Helena?
Start with Rocky’s Agency on Aging at 406-457-7368. In Helena, Helena Senior Center is at 406-447-1680.
How do I get help paying for home care in Helena?
The Big Sky Waiver is for people on Medicaid who need nursing-home-level care but want to stay at home. It may pay for personal assistance, homemaker help, respite care, adult day health and case management, and there can be a waiting list. To ask for the Big Sky Waiver, call Mountain Pacific Quality Health at 800-219-7035, or call the statewide aging line at 800-551-3191 to reach your local Area Agency on Aging.
Where can I find dementia support in Helena?
The Alzheimer’s Association runs a free helpline for families, day and night, at 800-272-3900.
Is a home care consultation free in Helena?
Yes. Your first consultation with the home care agency in Helena is free, and so is our help finding the agency. There is no obligation to start care.
More cities in Montana.
Butte
Silver Bow County
Kalispell
Flathead County
Bozeman
Gallatin County
Great Falls
Cascade County
We help families in cities across Montana and everywhere in between.
All Montana citiesLet’s find care that feels like home.
Enter your ZIP code for a free consultation with a home care agency in Helena. We match you with one local agency.
- Free for families
- Free first consultation
- No obligation