Questions about aging in place, answered honestly

Monthly plans range from $275 to $975. Monthly Wellness is $275/month (one visit); Active Wellness is $450/month (two visits); Complete Care is $975/month (weekly visits); and Concierge starts at $2,500/month (custom schedule). The Home Safety Assessment is a one-time fee of $250–$400. All plans are month-to-month with no contracts.

For context: assisted living in Vermont averages $7,000–$10,000+ per month. Complete Care at $975/month is roughly one-seventh to one-tenth the cost of a facility, with personalized, one-on-one attention. See full cost comparison

Insurance-based home health is episodic: a defined number of authorized visits that end when you’re deemed “stable” — not when you’re actually ready. It requires homebound status and a skilled care justification and generates enormous documentation overhead. Private pay eliminates all of that. No visit limits. No discharge dates. No rotating staff. No authorization delays. No paperwork consumes your visit time.

Katie chose this model because it lets her provide what her patients actually need: ongoing, relationship-based wellness that continues as long as it’s useful, delivered by the same person every time. See the full private pay vs. insurance comparison

No. Medicare covers skilled home health services — nursing, therapy, and medical social work — for homebound patients with a physician’s order, but it does not cover ongoing wellness visits, preventive exercise programming, or regular health monitoring. Healthy At Home’s services fall outside the scope of Medicare’s coverage by design.

Vermont’s Choices for Care Medicaid waiver covers some home- and community-based services for eligible residents (asset limit: $2,000; income limit: ~$2,900/month), but it does not cover Healthy At Home directly. It can, however, cover complementary services — personal care attendants, home modifications, adult day programs — that work alongside Katie’s wellness visits. Discuss your options

It may. Many long-term care insurance policies cover “home care” broadly, and Katie’s services — in-home wellness visits from a licensed physical therapist — may qualify depending on your policy language. Katie can provide the documentation needed for reimbursement submission. Check your policy or contact your insurer with the specific service descriptions from our plans page.

Assisted living in Vermont averages $7,000–$10,000+ per month, depending on location and level of care. Nursing home care runs $13,000–$16,000 per month. Healthy At Home’s most comprehensive standard plan (Complete Care) is $975/month — roughly one-seventh to one-tenth the cost of assisted living. Even at the Concierge level ($2,500+/month), the annual cost is less than four months of most Vermont facilities. See our wellness plans

Yes, and many families do. Monthly Wellness at $275/month, split three ways, is under $92 per person. Active Wellness at $450/month, split two ways, is $225 each. Katie invoices one family contact, and how the family divides the cost internally is entirely up to them. Healthy at Home for families

Katie has specific experience with Parkinson’s disease, Alzheimer’s and dementia, osteoarthritis, chronic cardiac conditions (heart failure, AFib, post-MI, hypertension), general fall prevention, and post-rehab transition. Each condition has a tailored approach to exercise programming, home safety, and care coordination. She also works with healthy, active seniors who have no diagnosis but want professional support to stay that way. See all conditions

Insurance-based home health is episodic: a defined number of authorized visits that end when you’re deemed “stable” — not when you’re actually ready. It requires homebound status and a skilled care justification and generates enormous documentation overhead. Private pay eliminates all of that. No visit limits. No discharge dates. No rotating staff. No authorization delays. No paperwork consumes your visit time.

Katie chose this model because it lets her provide what her patients actually need: ongoing, relationship-based wellness that continues as long as it’s useful, delivered by the same person every time. See the full private pay vs. insurance comparison

Yes — most people with Parkinson’s can live at home for many years with the right support. This includes PD-specific exercise programming (balance, dual-task training, gait work), home modifications for freezing of gait and fall risk, medication timing coordination, and regular professional monitoring. Up to 60% of people with PD fall each year, but most of those falls are preventable with the right interventions.

In early and moderate stages, yes — many people with dementia can live safely at home with professional support, home safety modifications (including wandering prevention), cognitive engagement, and regular monitoring. However, dementia is progressive, and there is a point where 24/7 supervision becomes necessary. Katie will assess this honestly and tell you directly when facility care becomes the safer option.

Facility care is generally the better choice when a senior needs 24/7 supervision, has dementia that has progressed beyond the moderate stage, lives in a home that can’t be safely modified, has a fall risk that can’t be mitigated with home-based interventions, or is experiencing dangerous isolation. Katie’s assessment provides the objective data to inform this decision — and she will recommend facility care directly if she believes it’s the safer option. See the conditions we work with

No. Many of Katie’s clients are healthy, active seniors who want to stay that way. Monthly Wellness ($275/month) is designed specifically for independent seniors who want a professional safety net — exercise programming, home safety monitoring, and medication review — without waiting for something to go wrong. Prevention is the core of what Healthy At Home does.

Plans adjust as needs change. A client who starts with Monthly Wellness can move to Active Wellness or Complete Care as their situation evolves — such as a new diagnosis, increased fall risk, or post-hospitalization recovery. Katie monitors for these changes during every visit and will recommend a plan adjustment when she sees the need. All changes are immediate and month-to-month. No new contracts, no waiting periods. See all plans

A CAPS specialist is trained to evaluate homes and recommend modifications that help people age safely at home. The credential, issued by the National Association of Home Builders, combines knowledge of how the body changes with age with practical expertise in adapting homes. Most home health providers don’t have this training. Most contractors don’t have the clinical side. Katie has both CAPS certification and 20+ years of experience as a physical therapist. Meet Katie

Agencies rotate staff based on availability — you might see a different person every visit. Katie is the only practitioner at Healthy At Home. She knows your home, your history, your medications, and your goals because she’s the one who shows up every time. That consistency is a clinical advantage: subtle changes in gait, balance, cognition, or home safety are only visible to someone who has seen you before. A new face every week can’t catch what familiarity reveals. Meet Katie

Yes. Katie communicates directly with your physician, specialists, and any other members of your care team. For Active Wellness clients, she shares relevant observations and vitals data. For Complete Care and Concierge clients, she acts as the central point of contact for your entire medical team — scheduling follow-ups, relaying information between providers, and ensuring nothing falls through the cracks.

Katie is based in Huntington, Vermont, and serves families within a 40-mile radius. This includes Burlington, Shelburne, Charlotte, Hinesburg, Middlebury, Stowe, the Mad River Valley, and Colchester. Every visit happens in your home — no clinic, no waiting room, no driving. Communities just outside this radius may be accommodated on a case-by-case basis. See our full service area

A typical wellness visit lasts 45–60 minutes. Katie checks your vitals, evaluates your balance and gait, reviews any medication changes, walks through your home for new hazards, and updates your exercise program. For Active Wellness and above, visits include a 60-minute guided fitness session with strength, balance, and condition-specific training. Katie documents her findings and, for applicable plans, sends a monthly written report to your designated family contact. See plan details

Watch for these signals: reduced activity (dropping hobbies, declining invitations), declining home maintenance, simpler meals or weight loss, medication inconsistencies, near-miss falls, and increased fatigue. These are often signs of gradual adaptation to decline rather than sudden crisis. A Home Safety Assessment ($250) gives you a professional, objective evaluation rather than guesses from phone calls.

Lead with the Home Safety Assessment rather than ongoing services — it’s a one-time visit, not a commitment. Frame it as a proactive decision about the house, not a reaction to their decline: “This isn’t because something’s wrong. It’s because you’ve always planned ahead.” Most parents will agree to an evaluation even if they’d resist the idea of regular visits.

Katie’s monthly reports cover your parent’s physical status (balance, strength, gait, vitals trends), medication changes, home safety observations, exercise program compliance, and specific recommendations for next steps. Reports are clear, specific, and honest — designed for family members, not clinicians. For Complete Care and Concierge clients, reports also include care coordination notes with physicians and specialists. Learn more about what families receive

Yes. Many of Katie’s clients have adult children in Boston, New York, D.C., and other cities who arrange and pay for services for parents living in Vermont. Katie communicates with families via monthly written reports and phone calls as needed. The initial assessment report is sent to you (with your parent’s permission), so you have a professional baseline from day one.

She’ll tell you directly, with specific clinical observations supporting her recommendation. Katie won’t sugarcoat this conversation — if your parent’s safety requires facility care, pretending otherwise would be dangerous. She can also help evaluate facilities, provide clinical documentation for the transition, and ensure the move is planned and informed rather than driven by a crisis.