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Priciest states for in-home health aides
In-home health care is the most popular form of long-term support for elderly Americans. Yet, many people aren't aware of the steep costs involved. Almost one-third of Americans estimate they’ll pay about $417 per month, while the national median cost of care is $3,861 per month for a home health aide.

According to Genworth's annual Cost of Care study, the monthly cost of a home health aide rose 1.25% since 2015. However, it’s worth taking a close look at options because there are wide cost discrepancies between cities — even within an expensive state. Bottom line: There are bargains to be found if clients live in the right place.

Click through to see the top 10 most expensive states for home health aides, ranked by median yearly cost. Costs are also broken down by region where applicable. -- Maddy Perkins
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Wisconsin
Clients seeking more affordable options may consider residing in Green Bay.
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Oregon
Clients seeking more affordable options may consider residing in Salem.
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New York
Clients seeking more affordable options may consider residing in Brooklyn.
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Montana
Clients trying to save should avoid residing in Missoula or Great Falls, Montana's most expensive cities for home health aides.
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Iowa
Clients seeking more affordable options may consider residing in Ames.
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Vermont
Clients trying to save should avoid residing in Burlington, Vermont's most expensive city for home health aides.
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South Dakota
Clients seeking more affordable options may consider residing in Sioux Falls.
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Nebraska
Clients trying to save should avoid residing in Lincoln, Nebraska's most expensive city for home health aides.
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Delaware
Clients seeking more affordable options may consider residing in Dover.
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Maine
Clients seeking more affordable options may consider residing in Bangor.
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District of Columbia
Clients seeking more affordable options may consider residing in the Washington area.
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Colorado
Clients seeking more affordable options may consider residing in the Greeley area.
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California
Clients seeking more affordable options may consider residing in Madera.
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Washington
Clients seeking more affordable options may consider residing in Bellingham.
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Rhode Island
Clients trying to save should avoid residing in Providence, Rhode Island's most expensive city for home health aides.
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New Hampshire
Clients trying to save should avoid residing in Manchester, New Hampshire's most expensive city for home health aides.
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Massachusetts
Clients trying to save should avoid residing in Barnstable Town, Massachusetts' most expensive city for home health aides.
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Hawaii
Clients seeking more affordable options may consider residing in Honolulu.
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Minnesota
Clients trying to save should avoid residing in Minneapolis, Minnesota's most expensive city for home health aides.
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Alaska
Clients seeking more affordable options may consider residing in Fairbanks.
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North Dakota
Clients trying to save should avoid residing in Bismarck, North Dakota's most expensive city for home health aides.