In-Home Support for Adults With Disabilities in Balcones Heights, TX
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Balcones Heights for free and hire a caregiver directly, with no agency mark-up.

Disability Care for Adults in Balcones Heights, TX: the local picture
About 380 Balcones Heights residents aged 18 to 64 report a disability (21%; 13% in Bexar County).
164 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
27% of Balcones Heights households have no vehicle (6.4% in Bexar County); say in your posting if you need a caregiver who drives.
Balcones Heights compared with Bexar County and Texas
| Census figure | Balcones Heights | Bexar County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 21% | 13% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 9.0% | 4.7% | 3.4% |
| Households with no vehicle | 27% | 6.4% | 5.4% |
| Residents 5+ who speak a language other than English at home | 46% | 37% | 35% |
| Residents 65+ with a disability | 60% | 40% | 35% |
| Residents 65+ below the poverty line (approx.) | 33% | 13% | 12% |
Older residents in towns around Balcones Heights
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| San Antonio, TX | 2.4 mi | 198,597 | 14% |
| Castle Hills, TX | 3.0 mi | 745 | 12% |
| Leon Valley, TX | 3.9 mi | 1,993 | 14% |
| Alamo Heights, TX | 4.9 mi | 1,315 | 10.0% |
| Terrell Hills, TX | 6.2 mi | 878 | 7.5% |
| Shavano Park, TX | 6.5 mi | 965 | 5.2% |
Home health agencies serving Balcones Heights
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | San Antonio, TX | 1.6 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (210) 342-9922 |
| Comprehensive Home Health Inc | San Antonio, TX | 1.6 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (210) 614-0200 |
| Texas Healthcare Solutions, Inc. | San Antonio, TX | 1.6 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 877-5222 |
| Alpine Care Home Health | San Antonio, TX | 1.6 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 832-8031 |
| American Medical Home Health Services - San Antonio LLC | San Antonio, TX | 2.5 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 735-6225 |
Straight-line miles from the center of Balcones Heights. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a disability support caregiver can help with
- Personal care, on the person’s terms
- Cooking, shopping and housekeeping
- Getting to work, school, appointments and activities
- Keeping routines the person sets
What disability care for adults costs in Balcones Heights
At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see STAR+PLUS in Texas: using consumer directed services to pay a family caregiver.
What to know before hiring a disability support caregiver
Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.
Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Disability Care for Adults in Balcones Heights: common questions
How much does disability care for adults cost in Balcones Heights?
At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
Can an adult with a disability hire their own caregiver?
Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide STAR+PLUS in Texas: using consumer directed services to pay a family caregiver covers Texas.
More senior care near Balcones Heights
Disability Care for Adults in nearby cities
- Disability Care for Adults in San Antonio, TX
- Disability Care for Adults in Castle Hills, TX
- Disability Care for Adults in Leon Valley, TX
- Disability Care for Adults in Alamo Heights, TX
- Disability Care for Adults in Terrell Hills, TX
- Disability Care for Adults in Shavano Park, TX
- Disability Care for Adults in Lackland AFB, TX
- Disability Care for Adults in Hollywood Park, TX
- Disability Care for Adults in Helotes, TX
- Disability Care for Adults in Kirby, TX
- Disability Care for Adults in Windcrest, TX
- Disability Care for Adults in Cross Mountain, TX
- Disability Care for Adults in Live Oak, TX
- Disability Care for Adults in Converse, TX
- Disability Care for Adults in Timberwood Park, TX
- Disability Care for Adults in Universal City, TX
Other care in Balcones Heights
- Companion Care in Balcones Heights
- Dementia Care in Balcones Heights
- Respite Care in Balcones Heights
- Live-In Caregivers in Balcones Heights
- Post-Surgery Care in Balcones Heights
- Senior Transportation in Balcones Heights
- Home Health Aides in Balcones Heights
- Nursing Assistants in Balcones Heights
- Personal Care in Balcones Heights
- Overnight Caregivers in Balcones Heights
- 24-Hour Home Care in Balcones Heights
- Mobility Assistance in Balcones Heights
- Parkinson’s Care in Balcones Heights
- Stroke Recovery Support in Balcones Heights
- Hospice Support in Balcones Heights
- Senior Meal Preparation in Balcones Heights
- Senior Housekeeping in Balcones Heights
- Medication Reminders in Balcones Heights
- Veterans’ Home Care in Balcones Heights
Sources
Census ACS 2020–2024 5-year (small-place figures carry wide margins of error); CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
Find disability care for adults in Balcones Heights
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