In-Home Support for Adults With Disabilities in Big Pine Key, FL
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 Big Pine Key for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in Big Pine Key, FL: the local picture
About 286 Big Pine Key residents aged 18 to 64 report a disability (11%; 7.7% in Monroe County).
43 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
3.4% of Big Pine Key households have no vehicle (6.1% in Monroe County); say in your posting if you need a caregiver who drives.
Big Pine Key compared with Monroe County and Florida
| Census figure | Big Pine Key | Monroe County | Florida |
|---|---|---|---|
| Residents 18 to 64 with a disability | 11% | 7.7% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 1.7% | 1.9% | 3.6% |
| Households with no vehicle | 3.4% | 6.1% | 6.0% |
| Residents 5+ who speak a language other than English at home | 7.1% | 22% | 31% |
| Residents 65+ with a disability | 30% | 26% | 31% |
| Residents 65+ below the poverty line (approx.) | 9.9% | 9.6% | 12% |
| Median income, households headed by someone 65+ | $74,844 | $71,243 | — |
Older residents in towns around Big Pine Key
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Big Coppitt Key, FL | 20 mi | 503 | 12% |
| Marathon, FL | 21 mi | 2,059 | 4.5% |
| Stock Island, FL | 25 mi | 408 | 8.3% |
| Key West, FL | 27 mi | 5,568 | 7.8% |
| Islamorada, FL | 55 mi | 2,074 | 5.7% |
| Key Largo, FL | 67 mi | 3,513 | 9.0% |
Home health agencies serving Big Pine Key
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Island Home Care | Key West, FL | 28 mi | 4 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (305) 735-4460 |
| Axis Health Systems LLC | Hialeah, FL | 105 mi | 3 of 5 | nursing, physical therapy, occupational therapy, medical social work, home health aides | — |
| The Roads Home Health Care Inc | Miami, FL | 101 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (305) 860-7797 |
| Goldencare Home Health Agency Inc | Miami, FL | 101 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (305) 553-2553 |
| Medcare Home Health Services, Inc. | Miami, FL | 101 mi | 2.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (305) 863-8861 |
Straight-line miles from the center of Big Pine Key. 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 Big Pine Key
At the Florida median aide wage of $16.25 an hour, 20 hours of help a week comes to about $1,408 a month in wages, which is 23% of the $6,237 monthly median income of Big Pine Key households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Florida's minimum wage rose to $15.00 an hour on September 30, 2026, under Article X, Section 24 of the Florida Constitution.
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 How to get paid to take care of a family member in Florida: SMMC LTC and the PDO.
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 Big Pine Key: common questions
How much does disability care for adults cost in Big Pine Key?
At the Florida median aide wage of $16.25 an hour, 20 hours of help a week comes to about $1,408 a month in wages, which is 23% of the $6,237 monthly median income of Big Pine Key households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Florida's minimum wage rose to $15.00 an hour on September 30, 2026, under Article X, Section 24 of the Florida Constitution.
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 How to get paid to take care of a family member in Florida: SMMC LTC and the PDO covers Florida.
More senior care near Big Pine Key
Disability Care for Adults in nearby cities
Other care in Big Pine Key
- Companion Care in Big Pine Key
- Dementia Care in Big Pine Key
- Respite Care in Big Pine Key
- Live-In Caregivers in Big Pine Key
- Post-Surgery Care in Big Pine Key
- Senior Transportation in Big Pine Key
- Home Health Aides in Big Pine Key
- Nursing Assistants in Big Pine Key
- Personal Care in Big Pine Key
- Overnight Caregivers in Big Pine Key
- 24-Hour Home Care in Big Pine Key
- Mobility Assistance in Big Pine Key
- Parkinson’s Care in Big Pine Key
- Stroke Recovery Support in Big Pine Key
- Hospice Support in Big Pine Key
- Senior Meal Preparation in Big Pine Key
- Senior Housekeeping in Big Pine Key
- Medication Reminders in Big Pine Key
- Veterans’ Home Care in Big Pine Key
Sources
Census ACS 2020–2024 5-year; 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 Big Pine Key
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