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Home care services

Home care services

I. Home care services, eligibility, and government subsidies

Does this sound familiar? A parent or grandparent is getting older and moving more slowly, and may even need help with eating and bathing. But you work during the day, and weekends are just as busy... The struggle of wanting to care for them but not having the strength to do it alone is becoming more and more common in Taiwan.

The good news is that the government has already thought of this. Under Long-Term Care Plan 3.0, you can apply for home care services, and trained care staff will come to your home to help with daily living and health needs. Still, many people are unfamiliar with long-term care. They may not know they can apply, how to start, or whether it will be expensive. This guide explains what home care is, how to apply, how much the government subsidy covers, and what using the service is really like. It is not a cold explanation of rules. It is a guide to help you carry the weight of family caregiving.

1. What are home care services?

Home care services mean that trained care workers come to an older adult’s home to help with things like bathing, turning in bed, and rehabilitation exercises, so they can be well cared for in the home they know.

The biggest advantage is that older adults can get care and help without moving or entering a facility. Living in familiar surroundings feels more secure and makes it easier to keep a good quality of life.

2. Who can apply, and what are the requirements?

From 2026, you are eligible if a county or city Long-Term Care Management Center assesses you at care need Level 2 or above, and you belong to any one of the following groups:

  • Older adults aged 65 and over with disabilities
  • Indigenous people aged 55 and over with disabilities
  • People of any age with dementia
  • People of any age with disabilities
  • Post-acute care (PAC) clients: if you still need long-term care after leaving the hospital, you can apply during the PAC assessment period so services continue smoothly

3. How do I apply?

1

Apply

Call the Long-Term Care Hotline 1966 / apply at your local health center / apply through Chung Cheng Gaoling (05-220-1001) / apply through the hospital during a hospital stay / apply online

2

Tell us what you need

Where you live, the caregiver’s difficulties, the older adult’s condition, and so on

3

Home assessment

After you apply, the Long-Term Care Management Center sends a care manager and a case manager to your home to assess ADL/IADL, cognition, mobility, and the home environment

4

Care need level is approved

After the assessment, the center assigns a care level (Levels 2 to 8) and determines your household category

5

A care plan is drawn up

The case manager recommends the most suitable services (home care, respite care, and others) based on the client’s situation

6

Start services and subsidies

Once the plan is approved, services can begin. Each month we apply for your subsidy amount (based on actual use). You only pay your co-payment, and we take care of the rest.

7

Regular reassessment

Normally the case manager reviews every 6 months and the care manager reviews once a year. An older adult’s condition can change, whether it worsens or stays stable. If anything changes, tell your care manager or case manager and ask for a new assessment. The subsidy amount may be adjusted too.

4. How Chung Cheng Gaoling takes on home care cases

Case sources
  • 1. Families apply on their own
  • 2. Referral by a government agency
  • 3. Rotating referral from the A-Unit
  • 4. Referral from an organization
  • 5. Cases we find ourselves
▼
Referral from the A-Unit
▼
Home care supervisor books a home visit
▼
On-site home assessment
▼
Sign the service contract
▼
Case officially opened
▼
Care worker starts service

From the A-Unit referral to the care worker’s first visit, we make sure everything is completed within 4 working days.

Table 1: Home care services by disability level, subsidy limit, household category, and co-payment

Disability level Monthly subsidy limit Category 3 co-payment rate Category 2 co-payment rate Category 1 co-payment rate
Level 2$10,02016%5%0%
Level 3$15,46016%5%0%
Level 4$18,58016%5%0%
Level 5$24,10016%5%0%
Level 6$28,07016%5%0%
Level 7$32,09016%5%0%
Level 8$36,18016%5%0%

II. Home care service items

Home care services are provided by home care workers, who help older adults with the parts of daily life they find difficult. The services fall into three main groups:

(1) Personal care

  • Help with bathing (bed bath or help in the bathroom)
  • Changing diapers and help with toileting
  • Preparing meals, feeding, and help with eating
  • Turning and back patting (to prevent pressure sores)

(2) Daily living help and household chores

  • Help preparing simple meals (such as heating food or cutting fruit)
  • Help keeping the home tidy and taking out the trash
  • Help with washing and folding laundry
  • Help with shopping (such as meals and daily necessities)

(3) Companionship and help going out

  • Company and social activities such as chatting, watching TV, and playing board games
  • Walking, exercising, and using stairs together
  • Going with you to medical visits or follow-up appointments

These may look like small things, but they matter a great deal to an older adult's quality of life. For those with limited mobility or declining health, a little help goes a long way toward living with dignity.

Service details
Code Name Usage limits Description
BA01Basic body cleaning—Combing hair and grooming the face, dressing and undressing, bed baths, hair washing in bed, and cleaning up after toileting (including changing diapers and emptying urine bags during the visit). Hair washing in bed and toileting cleanup may be skipped if the client does not need them.
BA02Basic daily care30 minutes per unit; up to 3 hours per dayHelp with turning over, transferring, getting in and out of bed, sitting down and standing up, brushing teeth and washing the face, dressing and undressing, toileting, changing diapers or sanitary pads, emptying and cleaning commodes, stoma bag care, washing the face and/or hands, shaving, trimming fingernails and toenails, help with taking medication, making the bed (and changing sheets), perineal rinsing (without full body cleansing), and similar tasks.
BA03Vital signs check—Measuring the blood pressure, temperature, pulse, and breathing of the person receiving care. Results are recorded, and any abnormal readings are reported to the family and the case manager (or care manager).
BA04Help with eating or tube feeding—Setting up the eating area, heating meals, preparing utensils, help with feeding (or tube feeding), watching how much the person eats and how they respond, advising and talking with the care recipient and family about assisted or tube feeding, and cleaning up afterward.
BA05Meal service—Preparing a meal at the client's home and cleaning up the cooking tools and tableware afterward. One meal preparation counts as one package (for the client only, one serving).
BA07Help with bathing and hair washing—Helping or guiding the client to the bathroom, dressing and undressing, full-body showers, sitz baths or tub baths, hair washing, cleaning up after toileting (including changing diapers and emptying urine bags during the visit), and setting up and cleaning the bathroom before and after.
BA08Foot care—Checking the toenails and the skin of the feet. Trimming the toenails and the skin around them, treating calluses, and foot massage and care.
BA10Turning and back patting—Chest percussion, vibration, turning over, and related care guidance.
BA11Joint exercises—Passive exercises for the arms and legs, or encouraging the person receiving care to do active exercises or standing practice.
BA12Help with stairsUp + down = 2 timesHelping the client go up or down stairs, or carrying a wheelchair up or down stairs, for at least one full floor.
BA13Accompanied outings30 minutes per unitShopping, social activities, running errands, religious activities, dining out, walks, going to and from school, regular rehabilitation or dialysis, and exercise.
BA14Accompaniment to medical visitsMedical visits of 1 to 90 minutes; for visits over 90 minutes, combine with BA13 (accompanied outings)Help with registration (including appointments), getting the client ready, going with them to the appointment, and listening to and passing on the doctor's instructions and precautions.
BA15-1Housekeeping help (personal use)30 minutes per unit; not for deep cleaningHousehold help such as simple cleaning of the main living areas (bedroom and bathroom), washing, drying, and ironing clothes (including going to a self-service laundromat), and simple mending. Cleaning methods include vacuuming, wet cleaning, rinsing, and dusting.
BA15-2Housekeeping help (shared)30 minutes per unit; not for deep cleaningFor clients who do not live alone, housework help must be for the client's own needs. If the area is shared with family members, only 50% of the cost of this package is covered, and the other 50% must be paid by the client.
BA16-1Shopping, pick-up, or delivery errandsOne-way distance within 5 km; the client pays for any extra distanceItems and tasks include meals, groceries, daily necessities, medicine, mailing, subsidized supplies, sending clothes and bed linens to be washed (or picking them up), and necessary errands (such as visiting a government office or paying bills).
BA17aSuctioning secretions from an artificial airway (not an endotracheal tube)—Cleaning, suctioning, and removing secretions from an artificial airway (not an endotracheal tube). Simple care of secretions at a tracheostomy site (including care of connected stoma equipment, and changing gauze and securing ties).
BA17bSuctioning secretions from the mouth (in front of the uvula)—Cleaning, suctioning, and removing secretions from the mouth (in front of the uvula).
BA17cCleaning and securing urinary catheters and nasogastric tubesUp to 7 times per weekUrinary catheter cleaning: includes rinsing the genital area, the urethral opening, and the outer part of the catheter, and changing the tape that secures the catheter. Nasogastric tube cleaning: includes cleaning the skin of the nose, checking that the tube has not slipped, and changing the tape that secures the tube.
BA17d1Blood glucose testingOnce per dayChecking blood sugar with a portable glucose meter.
BA17d2Glycerin enema for constipationUp to 3 times per weekRelieving constipation with a glycerin enema bulb.
BA17eFilling a pill box as instructedAt least once a week, at the lowest frequencyPlacing medicine into a pill box according to the instructions on the medicine bag.
BA18Safety supervision30 minutes per unit; for people with intellectual or mental disabilities onlyVisiting the client's home to keep them company, offer support (such as games or hobbies), watch over their safety or help (such as taking part in daily activities), and watch for anything unusual.
BA20Companionship30 minutes per unitVisiting the client's home to keep them company and watch over them, join in daily activities, or read printed or online news or letters aloud.
BA22Check-in visitsBetween 6:00 AM and 8:00 PM, at least 3 timesVisiting the home of the person receiving long-term care benefits and giving simple help.
BA23Help with hair washing—Helping the client transfer or guiding them to the bathroom, dressing and undressing, hair washing, cleaning body parts that are wet or soiled, and preparing and tidying the space before and after.
BA24Help with toileting—Helping the client transfer or guiding them to the bathroom, supporting and assisting with urination and bowel movements, handling sweat, phlegm, or vomit, checking waste, changing urine bags, cleaning stoma bags, caring for the skin around a colostomy (including changing and emptying the stoma bag), checking genital care afterward, and explaining how to manage bladder and bowel control and incontinence.
GA09Home respite care2 hours per unit; up to 10 hours per dayTrained care workers visit the client's home to provide personal care, including help with toileting, bathing, dressing, oral care, eating, taking medication, turning over, back patting, simple passive joint exercises, getting in and out of bed, exercising together, using daily living aids, and other services.
SC09Short-term home care service2 hours per unit; up to 10 hours per daySubstitute care for families who already employ a live-in migrant caregiver. Trained care workers visit the client's home to provide personal care, including help with toileting, bathing, dressing, oral care, eating, taking medication, turning over, back patting, simple passive joint exercises, getting in and out of bed, exercising together, using daily living aids, and other services.

III. Home care fees

Table 2: Service fee schedule

No. Service item Reimbursement price (NT$) Indigenous area reimbursement price (NT$) Client co-payment (Category 3, 16%) Client co-payment (Category 2, 5%) Client co-payment (Category 1, 0%)
BA01Basic body cleaning26031041130
BA02Basic daily care1952353190
BA03Vital signs check3540510
BA04Help with eating or tube feeding1301552060
BA05Meal care31037049150
BA07Help with bathing and hair washing32538552160
BA08Foot care50060080250
BA10Turning and back patting1551902470
BA11Limb and joint exercises1952353190
BA12Help with stairs1301552060
BA13Accompanied outings1952353190
BA14Accompaniment to medical visits685825109340
BA15-1Housekeeping help (personal use)1952353190
BA15-2Housekeeping help (shared)19523511210197
BA16-1Errands: shopping, pick-up or delivery (personal use)1301552060
BA16-2Errands: shopping, pick-up or delivery (shared)130155756865
BA17aSuctioning secretions from an artificial airway (not an endotracheal tube)75901230
BA17bSuctioning secretions from the mouth (in front of the uvula)65801030
BA17cCleaning and securing urinary catheters and nasogastric tubes5060820
BA17d1Blood glucose testing5060820
BA17d2Glycerin enema for constipation5060820
BA17eFilling a pill box as instructed5060820
BA18Safety supervision20024032100
BA20Companionship1752102880
BA22Check-in visits1301602060
BA23Help with hair washing20024032100
BA24Help with toileting22026535110
GA09Home respite care, 1 unit (2 hours)770925123380
SC09Short-term home care, 1 unit (2 hours)770925123380
—Missed-visit fee (client not available)——100100100
—Extra-distance fee for shopping errands——13 / paid by the client for each extra 1 km13 / paid by the client for each extra 1 km13 / paid by the client for each extra 1 km

IV. Our home care philosophy

Integrity

Our home care workers and supervisors treat every older adult with sincerity. We care for each client as if they were family, offering warm, honest, and dependable help.

Reablement-focused

Our care workers do tasks together with clients in an interactive way and encourage them to take part. What clients can do for themselves, they do themselves (such as washing their own private areas or helping wash vegetables). This makes care very different: it protects dignity and helps slow disability and dementia decline, so clients can age healthily, age at home, age successfully, and age with dignity.

Our approach to care

Chung Cheng Gaoling puts the needs of older adults first, so that care is personal, continuous, and varied. We offer dependable and diverse services, assess the care needs of each household, and ease the family's caregiving stress with the right kind of help. Every client has a different style of care, so that each person looks forward to the care worker's visit.

Guardians of the home

We do more than meet service needs. Each home care worker and supervisor acts as a guardian for the households they visit. If anything seems off, they raise the alarm and give the family sincere, practical advice. When needed, we hold case conferences with a team of professionals (social workers, nurses, care workers, occupational and physical therapists, dietitians, and more) to solve care problems, and we make the right emergency reports to help vulnerable clients.

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