Adult Disability Care in Troy, TX: In-Home Support

Local figures

Disability Care for Adults in Troy, TX: the local picture

8.9%

of residents aged 18 to 64 have a disability (15% in Bell County)

65

residents aged 18 to 64 have difficulty doing errands alone

3.9%

of households have no vehicle (5.3% in Bell County)

18

Medicare-certified home health agencies list Troy ZIP codes in their service area

About 141 Troy residents aged 18 to 64 report a disability (8.9%; 15% in Bell County).

65 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

3.9% of Troy households have no vehicle (5.3% in Bell County); say in your posting if you need a caregiver who drives.

Troy compared with Bell County and Texas

Census figure	Troy	Bell County	Texas
Residents 18 to 64 with a disability	8.9%	15%	10%
Residents 18 to 64 with difficulty doing errands alone	4.1%	5.2%	3.4%
Households with no vehicle	3.9%	5.3%	5.4%
Residents 5+ who speak a language other than English at home	4.6%	19%	35%
Residents 65+ with a disability	59%	38%	35%
Residents 65+ below the poverty line (approx.)	7.4%	11%	12%
Median income, households headed by someone 65+	$36,134	$54,865	—

Older residents in towns around Troy

Town	Distance	Residents 65+	Disability (18 to 64)
Temple, TX	8.1 mi	13,547	14%
Morgan's Point Resort, TX	9.8 mi	652	10%
Belton, TX	14 mi	3,379	14%
McGregor, TX	17 mi	858	9.2%
Hewitt, TX	19 mi	3,097	10%
Nolanville, TX	20 mi	682	13%

Home health agencies serving Troy

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Paradigm Home Health	Whitney, TX	54 mi	5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(254) 694-1447
Centerwell Home Health	Temple, TX	8.0 mi	4.5 of 5	nursing, physical therapy, occupational therapy	(254) 778-6334
Texmed Home Health Inc	Killeen, TX	26 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy	(254) 526-8188
Elara Caring	Round Rock, TX	52 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work	(512) 733-1515
Adaptive Home Health	Temple, TX	8.0 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(214) 440-1394

Straight-line miles from the center of Troy. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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

Cost

What disability care for adults costs in Troy

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, which is 34% of the $3,011 monthly median income of Troy households headed by someone 65 or older. 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.

Before you hire

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.

Questions

Disability Care for Adults in Troy: common questions

How much does disability care for adults cost in Troy?

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, which is 34% of the $3,011 monthly median income of Troy households headed by someone 65 or older. 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 near Troy

More senior care near Troy

Disability Care for Adults in nearby cities

Other care in Troy

More for Troy families

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.

In-Home Support for Adults With Disabilities in Troy, TX