Advice needed: Getting an elderly parent set up with a home health aide

GodzillasPencil
2026-01-06T10:55:31Z

Hello Tildes,

My partner and I are at the point where we need to get more care for my dad and I could use some advice from people who have been down this road. He's in his early nineties and still living in his home, and the family has been lucky in many respects. Dad still has good cognitive function, he has excellent health care through his military retirement (USA: Tricare for Life). My brother is living in the family home, so there's someone in the house overnight in case there's a fall or other serious issue.

Last year we got Dad set up with a medical alert service, so he's only one button press away from talking to a helper if he's in crisis. My partner and I are down visiting him about once a week to help with chores and hang out. Same with my other brother. We've been holding things together.

But Dad's having difficulty with normal life stuff (walking, bathing, eating) and he's transitioning into a bedbound state, losing weight and eating very little. He seems fairly comfortable, just extremely tired and increasingly frail.

To be clear, I'm not asking for medical advice. Where I'm stuck is: How do we initiate and navigate the process of getting him a home health aide? His medical team was entirely unhelpful when we asked about case management. They say "if he's struggling, bring him to the ER" but he absolutely does not want to go to the ER, and we're loathe to force him at his age unless he's in crisis. Also, the ER is full of people with the flu right now.

We've reached the "we can't put this off any longer" moment, I think. Any advice on getting the ball rolling would be appreciated. Do we just randomly call up home health agencies? How do we figure out what his insurance will and won't cover?

Thanks so much.

GP

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