Paying for Care STL
Back to the money map

A Care Quote Is Not a Contract: Four Lines to Fill Before You Say Yes

A written quote for non-medical home help looks final, but the terms that cost you later sit in a few lines that are easy to skip.

The papers ·

A quote for non-medical home help tells you the hourly rate and the start date. It rarely tells you what happens when the aide is sick, when your parent has a bad day and the shift ends early, or when you want to stop. Those answers live in the terms, and the quote is often not the document that binds you. Before you sign anything, ask whether the quote is an offer that will become a service agreement, and get the agreement itself.

Local option: New Plan Care gives families in the St. Louis area in-home help so a parent can stay home: companionship, help with bathing and dressing, meals, and overnight care. Call (314) 405-0887.

The four lines to fill in

First, the minimum shift length and how it is billed. A short visit can still be charged as a full block, so write down the minimum in the same units the rate is in. Second, the cancellation rule: how much notice you must give, whether a late cancellation is charged, and whether a deposit is returned. Third, the rate-change rule: how much notice you get before the rate rises and whether you can end the agreement without penalty if it does. Fourth, the errand list. If reminders or pharmacy pickup are included, write them down as errands. The handling of medicines stays with the family, the physician, and the pharmacist, and the agreement should say so.

Read the renewal and exit terms

Many service agreements renew automatically unless a notice is sent by a set date. Find that date and the address the notice must go to, and set a reminder. The Consumer Financial Protection Bureau publishes guidance on reading agreements and on what a signature commits you to, and the same habits apply to a care contract. Look for who the employer of record is, what the insurance and bonding statements say, and whether the agency or the individual carries responsibility if a worker is injured in your home.

When to have a lawyer read it

If the agreement includes a long term, a deposit that is not refundable, a clause that limits liability, or a dispute process, have a lawyer read it before you sign. The Missouri Bar's lawyer referral service can connect you with a lawyer who handles contracts. Ask for a plain-language summary of what you would owe in each of the four situations above, and compare it with what the quote told you.