Companion Care in Madison Heights, MI for Seniors

Local figures

Companion Care in Madison Heights, MI: the local picture

5,353

residents 65 or older (19% of Madison Heights)

38%

of residents 65+ in households live alone (30% in Oakland County)

15%

of residents 5+ speak a language other than English at home

11%

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

About 2,010 residents of Madison Heights aged 65 or older live alone, 38% of older residents in households (30% in Oakland County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

11% of Madison Heights households have no vehicle (5.3% in Oakland County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 5,353 Madison Heights residents aged 65 or older, 711 are 85 or older (13%). 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.

2,407 Madison Heights households headed by someone 65 or older own their home and 1,167 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 914 older Madison Heights residents (17%) live below the poverty line (8.9% in Oakland 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 15% of Madison Heights residents aged 5 and over speak a language other than English at home. The most common are Chinese (782), other languages (708), other Indo-European languages (604). 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.

Madison Heights compared with Oakland County and Michigan

Census figure	Madison Heights	Oakland County	Michigan
Residents 65+ in households who live alone	38%	30%	29%
Residents 65 or older	19%	18%	19%
Residents 5+ who speak a language other than English at home	15%	16%	10%
Households with no vehicle	11%	5.3%	7.0%
Residents 65+ below the poverty line (approx.)	17%	8.9%	9.9%
Residents 65+ with a disability	43%	29%	32%
Median income, households headed by someone 65+	$38,838	$67,387	—

Older residents in towns around Madison Heights

Town	Distance	Residents 65+	Live alone (65+)
Royal Oak, MI	2.6 mi	9,015	42%
Clawson, MI	3.1 mi	2,192	37%
Hazel Park, MI	3.1 mi	1,860	44%
Pleasant Ridge, MI	3.2 mi	421	19%
Ferndale, MI	3.6 mi	2,277	34%
Huntington Woods, MI	3.7 mi	1,188	20%

Hospitals near Madison Heights (for rides to appointments)

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Beaumont Hospital Royal Oak	Royal Oak, MI	2.9 mi	3 of 5	(248) 898-5400
Henry Ford Health Warren Hospital	Warren, MI	5.5 mi	1 of 5	(586) 573-5000
Beaumont Hospital, Troy	Troy, MI	6.5 mi	4 of 5	(248) 964-8800

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

What it covers

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

Cost

What companion care costs in Madison Heights

At the Michigan median aide wage of $16.83 an hour, 20 hours of help a week comes to about $1,459 a month in wages, which is 45% of the $3,237 monthly median income of Madison Heights households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Michigan's minimum wage is $13.73 an hour (U.S. Department of Labor table, updated July 1, 2026), rising to $15.00 on January 1, 2027.

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.

Before you hire

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.

Questions

Companion Care in Madison Heights: common questions

How many seniors live alone in Madison Heights?

About 2,010 residents aged 65 or older, 38% of older residents in households (Census ACS 2020–2024) (30% in Oakland County).

How much does companion care cost in Madison Heights?

At the Michigan median aide wage of $16.83 an hour, 20 hours of help a week comes to about $1,459 a month in wages, which is 45% of the $3,237 monthly median income of Madison Heights households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Michigan's minimum wage is $13.73 an hour (U.S. Department of Labor table, updated July 1, 2026), rising to $15.00 on January 1, 2027.

What does a companion caregiver do in Madison Heights?

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 near Madison Heights

More senior care near Madison Heights

Companion Care in nearby cities

Other care in Madison Heights

More for Madison Heights families

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.

Companion Care for Seniors in Madison Heights, MI