Companion Care for Seniors in Belleville, IL
Conversation, outings, meals together and a steady, friendly presence for an older adult who lives alone or spends long days by themselves. Post what you need in Belleville for free and hire a caregiver directly, with no agency mark-up.

Companion Care in Belleville, IL: the local picture
About 2,383 residents of Belleville aged 65 or older live alone, 39% of older residents in households (32% in St. Clair County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.
8.2% of Belleville households have no vehicle (7.5% in St. Clair County). A companion who drives can turn a week at home into appointments, shopping and visits.
Of the 6,768 Belleville residents aged 65 or older, 1,090 are 85 or older (16%). Before the first visit with someone in that oldest group, ask the family about hearing, eyesight, walking and any memory changes, so the visit is planned around them.
3,242 Belleville households headed by someone 65 or older own their home and 1,000 rent. A companion visiting a house may also help with mail, light chores and keeping an eye on things; in an apartment building, ask whether visitors sign in.
About 1,016 older Belleville residents (16%) live below the poverty line (10% in St. Clair County). For them, Medicaid home and community-based services or the local Area Agency on Aging may cover some companion or homemaker hours, depending on the state program; private pay is not the only route.
About 3.3% of Belleville residents aged 5 and over speak a language other than English at home. The most common are Spanish (463), other Indo-European languages (237), Arabic (172). If the person you care for is more at ease in one of these languages, say so in your posting; many caregivers list the languages they speak.
Belleville compared with St. Clair County and Illinois
| Census figure | Belleville | St. Clair County | Illinois |
|---|---|---|---|
| Residents 65+ in households who live alone | 39% | 32% | 30% |
| Residents 65 or older | 16% | 17% | 17% |
| Residents 5+ who speak a language other than English at home | 3.3% | 5.0% | 24% |
| Households with no vehicle | 8.2% | 7.5% | 11% |
| Residents 65+ below the poverty line (approx.) | 16% | 10% | 10% |
| Residents 65+ with a disability | 31% | 33% | 32% |
| Median income, households headed by someone 65+ | $48,757 | $54,949 | — |
Older residents in towns around Belleville
| Town | Distance | Residents 65+ | Live alone (65+) |
|---|---|---|---|
| Swansea, IL | 2.5 mi | 2,699 | 24% |
| Shiloh, IL | 4.7 mi | 2,294 | 36% |
| Fairview Heights, IL | 5.5 mi | 3,239 | 35% |
| Millstadt, IL | 6.6 mi | 1,072 | 21% |
| Freeburg, IL | 6.6 mi | 934 | 23% |
| Smithton, IL | 7.0 mi | 984 | 21% |
Hospitals near Belleville (for rides to appointments)
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Memorial Hospital | Belleville, IL | 1.5 mi | 5 of 5 | (618) 233-7750 |
| Hshs St Elizabeth's Hospital | O Fallon, IL | 6.4 mi | 4 of 5 | (618) 234-2120 |
| Touchette Regional Hospital Inc | Centreville, IL | 8.9 mi | not rated | (618) 332-3060 |
Straight-line miles from the center of Belleville. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a companion caregiver can help with
- Conversation, cards, puzzles and shared hobbies
- Walks and outings to the park, library or senior center
- Company at meals, and help preparing them
- Rides or escort to appointments, church and visits
What companion care costs in Belleville
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 39% of the $4,063 monthly median income of Belleville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.
What to know before hiring a companion caregiver
Isolation is a health risk, not only a mood. The National Academies of Sciences, Engineering, and Medicine found that nearly one in four Americans aged 65 and older living in the community is socially isolated, and linked isolation to higher risks of dementia, heart disease and early death (2020 report).
Questions worth asking: What do you enjoy doing with the people you care for? Are you comfortable driving, and is your car insured for passengers? How do you handle a client who does not want company at first? More in our companion care guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Companion Care in Belleville: common questions
How many seniors live alone in Belleville?
About 2,383 residents aged 65 or older, 39% of older residents in households (Census ACS 2020–2024) (32% in St. Clair County).
How much does companion care cost in Belleville?
At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages, which is 39% of the $4,063 monthly median income of Belleville households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
What does a companion caregiver do in Belleville?
A companion keeps an older adult company and helps around the visit: conversation, activities, walks, meals, errands, rides and reminders. It suits someone who is mostly independent but lonely, or a family that wants someone to check in on weekdays.
More senior care near Belleville
Companion Care in nearby cities
- Companion Care in Swansea, IL
- Companion Care in Shiloh, IL
- Companion Care in Fairview Heights, IL
- Companion Care in Millstadt, IL
- Companion Care in Freeburg, IL
- Companion Care in Smithton, IL
- Companion Care in O'Fallon, IL
- Companion Care in Scott AFB, IL
- Companion Care in Caseyville, IL
- Companion Care in Cahokia Heights, IL
- Companion Care in Mascoutah, IL
- Companion Care in East St. Louis, IL
- Companion Care in Collinsville, IL
- Companion Care in Lebanon, IL
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- Companion Care in Columbia, IL
Other care in Belleville
- Dementia Care in Belleville
- Respite Care in Belleville
- Live-In Caregivers in Belleville
- Post-Surgery Care in Belleville
- Senior Transportation in Belleville
- Home Health Aides in Belleville
- Nursing Assistants in Belleville
- Personal Care in Belleville
- Overnight Caregivers in Belleville
- 24-Hour Home Care in Belleville
- Mobility Assistance in Belleville
- Parkinson’s Care in Belleville
- Stroke Recovery Support in Belleville
- Disability Care for Adults in Belleville
- Hospice Support in Belleville
- Senior Meal Preparation in Belleville
- Senior Housekeeping in Belleville
- Medication Reminders in Belleville
- Veterans’ Home Care in Belleville
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.
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