Medicare GUIDE Program: In-Home Dementia Care
If your loved one is living with dementia or Alzheimer’s and has traditional Medicare Part A and Part B, the Medicare GUIDE program may cover up to 70 hours of in-home care.
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Good to know
Many families caring for someone with dementia do not know that Medicare can pay for a caregiver to come to the home and give them a break.
Who the program is for
Medicare decides who qualifies. In general, the GUIDE program is for people who:
Are living with dementia
A diagnosis of dementia, including Alzheimer’s disease.
Have traditional Medicare
Medicare Part A and Part B, rather than a Medicare Advantage plan.
Live at home
Care comes to your loved one at home, with family helping day to day.
What the 70 hours can look like
Non-medical care at home from a trained caregiver, so the person who usually provides care can take a break.
- Companionship and conversation
- Supervision for safety
- Help with bathing and dressing
- Meal preparation
- Keeping daily routines steady
- Time for the family caregiver to rest

How we help you use it
You do not have to work out the program on your own.
Tell us about your loved one
Share the diagnosis and what kind of Medicare they have. Tieasha follows up within 24 hours.
We help you check if they qualify
We explain how the GUIDE program works and what is needed to get started.
Care starts at home
A caregiver comes on a schedule that fits your family.
Other ways families pay for care
If the GUIDE program does not fit, another benefit may.
What families say
5.0 from 16 Google reviews. Swipe to read them all.
Request a first care conversation
Share your name and the best way to reach you. Tieasha will follow up personally within 24 hours to learn what your family needs.
Serving Houston and surrounding Texas counties, with specialized support for seniors and veterans.
What happens after you send this
- This form requests a first conversation. It does not book an appointment.
- Your first conversation is with Tieasha, our founder.
- If you have VA benefits or a long-term care policy, tell her and she will help you look at what it may cover.
Prefer to call? 832-308-0776
21st Century Quality Home Care LLC · License #021589
Medicare GUIDE program: common questions
Still unsure? Call 832-308-0776 and ask Tieasha directly.
What is the Medicare GUIDE program?
GUIDE is a Medicare program for people living with dementia, including Alzheimer’s disease, and the family members who care for them. One of its benefits is respite: in-home care that gives the family caregiver a break.
How many hours of in-home care does it cover?
Up to 70 hours of in-home care for people who qualify. Medicare sets the limits, so we help you check what applies to your loved one before care starts.
Who qualifies?
The program is for people living with dementia who have traditional Medicare Part A and Part B. Medicare decides eligibility. Call us and we will help you find out whether your loved one qualifies.
Does it work with a Medicare Advantage plan?
The GUIDE program is for people with traditional Medicare Part A and Part B. If your loved one has a Medicare Advantage plan, call us and we will talk through other ways families pay for care.
What does the care at home look like?
A trained caregiver comes to the home so the family caregiver can rest, work, or handle other things. Care can include companionship and supervision, help with bathing and dressing, meals, and keeping daily routines steady.
Where do you provide care?
We are based in Arcola, Texas, and serve the Houston area, including Houston, Sugar Land, Missouri City, Pearland, Katy, Conroe, Huntsville.
How do I get started?
Request a first care conversation or call 832-308-0776. Tieasha, our founder, follows up personally within 24 hours. The first conversation does not book an appointment or start services.
Tell us what your family needs
Share a few details and Tieasha will follow up within 24 hours to talk through the next step with you.
