Elder Options
Elder Options is a privately held, founder-owned home care and care management company in California's Sacramento region, providing credentialed, ALCA-standards-based in-home care, dementia care, ALWP coordination, respite services, and veteran home care across six integrated service lines to older adults, neurodiverse individuals, and veterans.
- Company typePrivate
- Founded1988
- HeadquartersPlacerville, United States
- Headcount11–50
- GTM typeB2C
- OfferingServices
What Elder Options does
Elder Options, Inc. is a privately held, founder/family-owned home care and care management company headquartered in Placerville, California, operating since May 1988. The company provides care-managed, non-medical in-home services to older adults, individuals with chronic health conditions, and neurodiverse children and adults across the Sacramento region, El Dorado County, South Lake Tahoe, and Carson City, Nevada. Its service portfolio spans six integrated lines — Care Management, Home Care, Alzheimer's and Dementia Care, the Medi-Cal Assisted Living Waiver Program (ALWP), Respite Care, and Veterans Home Care — unified by a credentialed care manager oversight model that follows Aging Life Care Association (ALCA) Standards of Practice.
The business is not a technology company; its platform is a credentialed clinical workforce of Aging Life Care Managers (CMC, RN) and W-2 caregivers supported by back-office administrative and staffing staff. Service delivery is direct-to-client in homes and assisted living communities, with revenue generated through six distinct payment streams: private pay, long-term care insurance billing, VA/TriWest contracts, Medi-Cal ALWP fixed-fee coordination, Alta California Regional Center vendor agreements, and county-funded MSSP/FCSP/Area Agency on Aging programs. Distribution relies on referrals from a network of regional hospitals, hospice agencies, elder law attorneys, and community partners, supplemented by content marketing and community education.
The company is co-owned by founder Carol Heape (retired) and Chief Operating Officer Elizabeth (Liz) Heape-Caldwell, with no disclosed institutional investment, parent company, or M&A activity. Elder Options has remained independent for 37+ years, positioning itself against national franchise competitors on continuity of care, local reputation, and government-program credentials including its CCA status for Sacramento County's ALWP since 2006.
Elder Options firmographics
Firmographics- Name
- Elder Options
- Legal name
- Elder Options, Inc.
- Website
- https://elderoptionsca.com
- Company type
- Private
- Founded year
- 1988
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Elder Options is a privately held, founder-owned home care and care management company in California's Sacramento region, providing credentialed, ALCA-standards-based in-home care, dementia care, ALWP coordination, respite services, and veteran home care across six integrated service lines to older adults, neurodiverse individuals, and veterans.
- Ownership category
- akta.pro rank
Elder Options industry classification
Industry- Product category
- Senior Home Care and Care Management Services
- NAICS
- Services for the Elderly and Persons with Disabilities (624120), Services for the Elderly and Persons with Disabilities (62412)
- SIC
- Services-Home Health Care Services (8082)
- akta.pro primary industry
- Elder Services & Aging Support (BPAGAEAF)
- akta.pro secondary industries
- Housing & Placement Coordination (Assisted Living, Memory Care, SNF) (HSABAIAL), Dementia & Alzheimer’s Respite Care (HSABAGAF), Dementia Personal Care (ADLs) Support (HSABAEAB), Assisted Living with Enhanced Care / High-Acuity (Aging-in-Place) (HLADABAC)
Keywords
Where Elder Options is headquartered
LocationHeadquarters
- HQ city
- Placerville
- HQ country
- United States
- HQ region
- North America
Offices5 records
Markets served
Elder Options business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Private Pay / Out-of-Pocket: For clients without insurance coverage, Elder Options offers private pay options for all services including non-medical in-home care assistance, respite care services, care management consultations, and personalized senior care planning. Flexible scheduling and customized care plans are available to fit client budgets.
- Long-Term Care Insurance: Elder Options works with long-term care insurance providers to cover care managed in-home care assistance, respite care, care management services, and assisted living coordination. The company assists with coverage review, claims submission, documentation, and direct billing to LTC insurance providers.
- VA Healthcare Services: Contracted provider with Northern California VA/TriWest Community Care Network providing Home Health Aide and Respite services to eligible veterans. Services are available at no cost to qualified individuals based on VA needs assessment.
- Medi-Cal / DHCS Programs: As an approved Care Coordination Agency (CCA) for Sacramento County, Elder Options provides care coordination through the Assisted Living Waiver Program (ALWP) for Medi-Cal eligible adults. The Department of Health Care Services sets fixed fees based on level of care required.
- Alta California Regional Center (Respite): Vendor-approved provider offering respite care for children and young adults through Alta California Regional Center. Services provided at no cost when approved by the regional center.
- County-Funded Programs: Partnership with El Dorado County's Family Caregiver Support Program (FCSP) and Multipurpose Senior Services Program (MSSP) providing in-home care at no cost for eligible seniors. Also includes MSSP, FCSP, Area Agency on Aging, and Public Guardian Services through El Dorado County Health & Human Services.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Private Pay - Care Managed In-Home Care |
| Subscription | Monthly | Vital Link Emergency Response System |
| Subscription | Monthly | VA Services |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels5 records
Elder Options product offering
Product offeringCore offering
Elder Options provides care-managed in-home care services for older adults and families in the Sacramento region. Every client receives oversight from credentialed Aging Life Care Managers who develop personalized care plans, match caregivers to client needs, supervise ongoing care, and coordinate with healthcare providers. The company also delivers Alzheimer's and dementia care, respite care, Assisted Living Waiver Program coordination, and veterans home care services through direct employees.
Product overview
Elder Options provides a unified care-managed home care service model centered on credentialed Aging Life Care Managers who oversee all client care. The core portfolio consists of six integrated service lines: Care Management (oversight and coordination), Home Care (in-home assistance), Alzheimer's & Dementia Care (specialized memory support), Assisted Living Waiver Program (Medi-Cal transition coordination), Respite Care (family caregiver relief), and Veterans Home Care (VA-funded services). These services are supported by a network of professional healthcare partnerships. All services are delivered through direct employees supervised by certified care managers following Aging Life Care Association Standards of Practice.
Differentiator
Problem solved
Functional benefit
Products and services
- Care Management Life Care Management services providing expert guidance and support for older adults and families through credentialed Aging Life Care Managers who offer personalized care plans, coordination of care, liaison services, resource navigation, long-term planning, advocacy and education, and caregiver support.
- Home Care Non-medical in-home care providing customized assistance including daily living activities, personal care support, transportation, medication reminders, companionship, and respite care for family caregivers.
- Alzheimer's & Dementia Care Specialized memory care and respite services for individuals with Alzheimer's or dementia, providing personalized assistance with daily routines, safety support, and cognitive engagement activities.
- Assisted Living Waiver Program (ALWP) Medi-Cal Assisted Living Waiver Program coordination helping eligible individuals transition from skilled nursing facilities to approved assisted living communities with financial assistance through California's Department of Health Care Services.
- Respite Care Temporary relief services for family caregivers providing one-on-one socialization, recreational activities, daily life skills support, safety supervision, and personal care for children or adults with special needs through Alta California Regional Center.
- Veterans Home Care No-cost and discounted home care services for veterans and their spouses through the VA Community Care Network, TriWest Healthcare Alliance, and grant-funded Short-Term Homemaker Services program.
- Vital Link Emergency Response System 24/7 medical alert emergency response system provided in partnership at $20/month with no installation fee for eligible veterans, with U.S.-based monitoring center.
Quantifiable outcome
- 96% Care Management rating (4.8 star rating out of 5 stars)
- +3 more outcomes
Companies that use Elder Options
Customer profileNamed customers7 records
Segments5 records
Ideal customer profiles5 records
Elder Options technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration5 records
Elder Options partnerships and signals
Strategic signalPartnerships
Twelve partnerships are on record, tiered core and minor.
- California Department of Health Care Services (DHCS)coreElder Options is an approved Care Coordination Agency (CCA) for Sacramento County in the Medi-Cal Assisted Living Waiver Program (ALWP) since its inception in 2006. The company provides initial assessments, eligibility verification, assisted living placement assistance, and ongoing monthly face-to-face care coordination for eligible Medi-Cal recipients.
- Alta California Regional CentercoreVendor-approved provider offering respite care for neurodiverse children and adults in El Dorado County, South Lake Tahoe, and Sacramento County. Services include socialization, recreational activities, daily living skills support, supervision, and personal care assistance at no cost when approved by the regional center.
- El Dorado County Health & Human Services & The Health CollaborativecorePartnership providing MSSP, FCSP, Area Agency on Aging, and Public Guardian Services for eligible clients. The Family Caregiver Support Program (FCSP) and Multipurpose Senior Services Program (MSSP) provide in-home care at no cost for eligible seniors.
- Northern California Veterans Administration / TriWest Community Care NetworkcoreContracted provider with Northern California VA/TriWest Community Care Network providing Home Health Aide and Respite services to eligible veterans at no cost based on VA needs assessment. Services include personal care, meal preparation, housekeeping, supervision, and respite care.
- Sierra Nevada Veterans AdministrationcoreProvides Home Health Aide and Respite Services to veterans authorized through Sierra Nevada VA Healthcare Center.
- Vital LinkminorPartnership to offer discounted emergency response systems ($20/month with no installation fee) for veterans using VA Homemaker Services. Features 24/7 medical alert monitoring with U.S.-based monitoring center.
- Barton HospitalminorHospital referral partner in the Elder Options professional network for patient care coordination.
- Marshall HospitalminorHospital referral partner in the Elder Options professional network for patient care coordination.
- Mercy Hospital FolsomminorHospital referral partner in the Elder Options professional network for patient care coordination.
- U.C. Davis HospitalminorHospital referral partner in the Elder Options professional network for patient care coordination.
- Kaiser Hospital SystemminorHospital referral partner in the Elder Options professional network for patient care coordination.
- Aging Life Care Association (ALCA)coreNational association with Care Managers throughout the U.S. Elder Options care managers follow ALCA Standards of Practice and are members of the association. Liz Heape-Caldwell serves as President of the Western Regional Chapter in 2026.
Scale indicators5 records
Recent moves6 records
Expansion highlights6 records
Elder Options competitors and assessment
Company assessmentDirect peers
- Home Instead: Largest franchise network of non-medical in-home care services for seniors, with very similar service mix (personal care, companionship, dementia support) and similar referral-based GTM. Directly comparable on service model, customer segment, and competitive set in the Sacramento region.
- 24 Hour Home Care: Regional in-home care provider offering non-medical personal care, dementia care, and respite across California, with offices in the broader Northern California market. Direct competition for Sacramento-area private-pay and hospital-discharge clients.
- Right at Home: Franchise network providing in-home care and assistance for seniors and adults with disabilities, including personal care, companionship, and specialty dementia programs. Directly comparable in service mix and senior-care customer base.
- Senior Helpers: Franchise operator of in-home senior care services with dedicated Alzheimer's, dementia, and Parkinson's care programs. Overlaps with Elder Options' home care, dementia care, and respite offerings.
- Synergy HomeCare: Franchise providing non-medical home care, personal care, and companionship for seniors. Competes in the same local markets with a similar service portfolio and referral-based GTM motion.
- Comfort Keepers: Franchised in-home care provider offering personal care, companionship, respite, and specialized dementia care. Closely overlaps with Elder Options' core home care and Alzheimer's service lines.
- Visiting Angels: National franchise providing non-medical senior home care including personal care, respite, and dementia support. Operates locally in the Sacramento area and competes for the same private-pay and family-referral clients as Elder Options.
- BrightStar Care: Franchise combining non-medical home care with skilled nursing and medical staffing, serving seniors and families in local markets. Comparable on care-managed in-home services and private-duty care positioning.
Others
- A Place for Mom: Largest senior care referral platform connecting families with assisted living, memory care, and home care providers. Not a direct care provider but a meaningful channel partner and indirect competitor for client acquisition in the Sacramento market.
Broad incumbents
- WellPath / WellSky (WellSky Personal Care): Large, established software and care management vendor serving home care, hospice, and senior living providers. Represents the broader incumbent ecosystem of care management technology and services that Elder Options' traditional model must increasingly interface with or compete against.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Elder Options social profiles
Digital presenceElder Options compliance and trust
Trust signalCompliance1 record
Elder Options financial estimates
Financial estimateRevenue estimate
Valuation estimate
Elder Options leadership team
Management profileNumber of profiles
Profiles7 records
Elder Options funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Elder Options M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Elder Options
What does Elder Options do?
Elder Options provides care-managed in-home care services for older adults and families in the Sacramento region. Every client receives oversight from credentialed Aging Life Care Managers who develop personalized care plans, match caregivers to client needs, supervise ongoing care, and coordinate with healthcare providers. The company also delivers Alzheimer's and dementia care, respite care, Assisted Living Waiver Program coordination, and veterans home care services through direct employees.
Is Elder Options a public or private company?
Elder Options is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Elder Options founded?
Elder Options was founded in 1988. It employs 11 to 50 people.
Where is Elder Options based?
Elder Options is headquartered in Placerville, United States, in the North America region.
How does Elder Options make money?
Six revenue lines are on record. Private Pay / Out-of-Pocket is the primary driver. The others are long-Term Care Insurance, VA Healthcare Services, medi-Cal / DHCS Programs, alta California Regional Center (Respite) and county-Funded Programs.
Who are Elder Options's main competitors?
Direct peers on record are Home Instead, 24 Hour Home Care, Right at Home, Senior Helpers, Synergy HomeCare, Comfort Keepers, Visiting Angels and BrightStar Care. A Place for Mom is listed as an others. WellPath / WellSky (WellSky Personal Care) is listed as a broad incumbent.
Does Elder Options have an API?
No public API is recorded for Elder Options.
What industry is Elder Options in?
Elder Options's product category is Senior Home Care and Care Management Services. Its primary akta.pro industry code is BPAGAEAF, Elder Services & Aging Support, with a secondary code of HSABAIAL, Housing & Placement Coordination (Assisted Living, Memory Care, SNF). Its NAICS code is 624120 and its SIC code is 8082.