Companion Care for Seniors in Miami, FL

About 22,449 residents of Miami aged 65 or older live alone, 32% of older residents in households (22% in Miami-Dade County). They are the people companion care is usually for: mostly independent, but on their own for long stretches of the day.

18% of Miami households have no vehicle (9.8% in Miami-Dade County). A companion who drives can turn a week at home into appointments, shopping and visits.

Of the 73,327 Miami residents aged 65 or older, 11,446 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.

19,144 Miami households headed by someone 65 or older own their home and 25,890 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 22,478 older Miami residents (32%) live below the poverty line (21% in Miami-Dade 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 77% of Miami residents aged 5 and over speak a language other than English at home. The most common are Spanish (299,367), French, Haitian or Cajun (16,360), other Indo-European languages (10,009). 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.

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 62% of the $2,285 monthly median income of Miami 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.