Not necessarily. Depending on your income, it may be more cost effective to hire your help privately. The internet, television ads and phone book are full of agencies offering services. These range from a casual paid companion for visiting to end of life care. You can hire a personal support worker to accompany you or your family member for practical assistance or companionship outside the home. Sometimes hiring cleaning services can be just the support you are looking for in your busy day of caregiving. Be informed so you make the right decision for you.