GUIDE Program available to eligible California residents
Services

Helping You Care for Yourself

You care for them. We make it possible for you to take a break.

As part of the Medicare GUIDE program, eligible families receive up to $2,625 per year in Medicare-covered respite care. We help you arrange, coordinate, and manage everything — so you can rest, recharge, and be there for what matters most.

See If You're Eligible
Caregiver and older woman smiling at each other on a couch

A break for you. A brighter tomorrow for both of you.

Up to $2,625 each year

Paid for by Medicare. No out-of-pocket costs.

Two respite options

In-home care or day programs.

We handle the details

Vetting, paperwork, and payments.

You choose when to use it

Schedule respite when it works for your family.

Two respite options

Flexible options to fit your life.

You can use a combination of in-home care and day programs — it's up to you.

In-Home Care

What it is
A 4-hour segment of in-home care provided by a trained caregiver.
Time segment
4 hours
How much you get
Up to 19 segments per year
How you can use it
All at once • Once or twice a week • Overnights • Any combination
Services provided
Companionship, activities of daily living (bathing, meds, light housekeeping), transportation, meal preparation, and more.

Day Programs

What it is
One day of program attendance (typically 4–8 hours, varies by program).
Time segment
4–8 hours (varies by program)
How much you get
Up to 25 days per year
How you can use it
Use the days when it's most helpful for you — all together or spread out over the year.
Services provided
Varies by program: social activities, meals, supervision, and often transportation.
How it works

We make respite simple.

Our team takes care of the details, so you can focus on what matters most.

  1. 1

    Join HōttoCare

    Enroll in the Medicare GUIDE program. We'll confirm your eligibility.

  2. 2

    Tell us what you need

    We'll learn your preferences and help you choose in-home care, day programs, or both.

  3. 3

    We handle the setup

    Our team vets providers, completes the paperwork, and manages payments with Medicare.

  4. 4

    You take a break

    You schedule respite services when it's convenient for you. We're here if you need support.

“Taking a break gave me the space to be a better caregiver. HōttoCare made it so easy.”
— JM, Spouse Caregiver

Frequently asked questions

See all FAQs
How much respite care can I get?

Eligible families can receive up to $2,625 in Medicare-covered respite care each year.

What types of providers can I use?

You can use HōttoCare-approved in-home care providers, adult day programs, or a combination of both.

Do I have to pay anything?

No. For eligible families, respite care through the Medicare GUIDE program has no out-of-pocket cost.

Caring for yourself is part of caring for them.

Let us help you access the support you deserve — at no cost to you.

See If You're Eligible
Common situations

Caregivers come to us when…

Aging in place is getting hard

You want to keep them home but aren't sure how long it's safe.

Considering memory care

You're touring communities and overwhelmed by the differences.

Costs are climbing

Out-of-pocket spending isn't sustainable and you need a new plan.

Planning ahead

Things are stable now and you want a plan ready before the next change.

"The HōttoCare team listens well. You're able to adjust your expert guidance to match our needs."

TB · Adult Child Caregiver

Questions, answered

Frequently asked.

Do you receive commissions from facilities?

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No. Our recommendations are based on fit, not referral fees. Our funding comes from Medicare's GUIDE Program.

Can you help us tour places?

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Yes. We can prep tour questions, attend with you, or debrief afterward.

What if our family disagrees?

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That's normal — and one of the most useful things we do is facilitate the family conversation neutrally.

You don't have to navigate this alone

We can help guide you through it.

A short, no-pressure conversation with a HōttoCare navigator is often the most hopeful thing a caregiver does all month.