Paying privately
What private home care actually looks like.
Fifty seconds on what it costs, how quickly it starts, and what happens on the first visit — without the brochure language.

Omaha · Bellevue · Papillion · and nine more
Good care at home, without the waiting list.
Whether you are paying privately, already on Medicaid, or looking after a relative yourself — there is a way to get help this week.
Free visit at home No contract Medicaid accepted Non-medical care
Which one of these is you?

Paying privately
Care at home, starting this week.
No waiting list, no referral, no case worker. Tell us what your mom, dad or loved one needs and we will have a caregiver at the door — often within a few days.
Get a care plan
Already on Medicaid
If you have Medicaid, these hours may already be paid for.
Most families do not know a waiver can cover help at home — personal care, meals, housekeeping, someone with your parent while you work. Where hours are approved we bill Medicaid directly, and there is nothing for you to pay.
Check what you are covered for
Most people don’t know this
Family caregivers
You are already caring for a loved one. You can be paid for it.
Nebraska’s Medicaid home and community based services waivers allow many relatives to be hired and paid as the caregiver. A-Life is an approved provider, so where the State approves it we can put you on payroll to do what you are doing now for nothing.
See if you qualifyNot sure which applies? Call (402) 315-1474 and we will tell you in five minutes.
What happens after you call
A conversation, not a sales call
Ten minutes on the phone. What is going on, who needs help, how urgent it is. If we are not the right answer we will say so.
A free visit at home
We come to the house, meet them, walk the rooms and write a plan. Nothing is charged for this and nothing is signed on the day.
Care starts
Usually within a few days. You meet the caregiver first, and if the fit is wrong we change it.
What a caregiver does
Every plan is built from these. Most families start with two or three and add more as things change.

Personal care assistance
Bathing, dressing, toileting and grooming, done in a way that keeps their dignity intact.

Dementia & Alzheimer’s care
Caregivers who understand repetition, sundowning and refusal, and do not take any of it personally.

Companionship
Conversation, games, reading, a walk. Loneliness does measurable harm and this is the treatment for it.

Respite care
We take over for a few hours or a few days so the person doing the caring can sleep, work or leave the house.

Meal preparation & nutrition
Shopping, cooking to a diet, and making sure they are actually eating and drinking.

Medication reminders
Keeping to the schedule. We remind and prompt; we do not administer.
Please read this bit
We are a non-medical home care company
That means our caregivers help with daily life — washing, dressing, meals, mobility, housekeeping, company and getting to appointments. It is skilled, trained, background-checked help, and for most families it is exactly what is needed.
If any of that is what you need, say so and we will tell you straight — often the answer is a home health agency or hospice for the clinical side, with us doing the daily hours around it. We work alongside both, and we would rather point you to the right place than take a booking we cannot do properly.
What we do not do
- No nursing care, injections or IVs
- We remind and prompt about medication; we never administer it
- No wound care, catheters or clinical procedures
- No physical, occupational or speech therapy
- No diagnosing, and nothing that needs a nurse or a doctor
Also from A-Life
Need a ride to the appointment as well?
We run A-Life Medical Transport too — wheelchair-accessible vans with four-point securement and drivers trained to load a chair properly. Dialysis, the hospital, church on a Sunday. No referral, no case worker, no broker queue, and you can book it yourself.


Who you would be calling
An Omaha company you can actually reach.
A-Life is an Omaha home care company, run from an office on North 115th Street. Call and someone from the office will help you. We are also a medical transport company, which is unusual and turns out to matter — the ride to dialysis and the person who helps you get ready for it are arranged by the same office.
- 11
- towns across the Omaha metro
- 14
- services, from companionship to end-of-life care
- Free
- caregiver certification, First Aid and CPR included
- $0
- for the first visit, the safety check and the plan
Trained, background-checked, insured and bonded
Respect
Their schedule, their house, their rules. We work around the life they already have rather than replacing it with ours.
Honesty
You will know what is happening, what it costs and where an application has got to, without having to ask twice.
Kindness
Trained, background-checked, insured and bonded — and chosen because of how they are with people, not only what they can do.
Where we come to
Eleven towns across the Omaha metro and eastern Nebraska. If you are just outside one of these, ring anyway — the answer is often still yes.
Tell us what is going on. We will tell you what is possible.
No cost for the call or the visit, and nobody will pressure you into anything.
