Monroe County, FL
Get paid to care for your family member in Monroe County, Florida
About 20,900 people in Monroe County are 65 or older — 26% of everyone who lives here. That is an older county than Florida overall, so more families here are already doing this work. Roughly 2,260 are 85 or older, the age when daily help usually starts. There are only so many home-care agencies in a county this size, and the ones that are here do not always cover evenings, weekends, or the far end of the county.
Who needs care in Monroe
- People 65 and older
- 20,900
- People 85 and older
- 2,260
- Median age
- 49.5
- Rank in Florida
- 38th
26% of Monroe residents
the age daily help usually starts
older than the country as a whole
of 67 counties, by residents 65+
Source: U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Monroe County is a smaller-city county (USDA Rural-Urban Continuum Code 4). Florida as a whole is 22% aged 65 or older.
What Florida pays family caregivers
$15–$25/hr
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Florida Medicaid program data · Updated September 2026
Florida's programs at a glance
- SMMC-LTC Participant Directed Option
- CDC+
- Family Home Health Aide (children)
- Spouse paid?
- Sometimes
- Parent paid for a child?
- Yes
- Waitlist
- Waitlists can be long — apply early.
These rules are set by the state, so they are the same in every county. Read the full Florida guide →
Towns and cities in Monroe County
Florida sets eligibility, not your town — so a family in Key West and a family at the far edge of the county apply the same way. The largest communities in Monroe County:
- Key West25,240
- Marathon10,039
- Islamorada, Village of Islands7,013
- Key Colony Beach749
- Layton208
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Monroe apply
You do not need a county office to start. Families in Monroe County start with Florida's program:
Call the local Aging & Disability Resource Center (Elder Helpline 1-800-963-5337) for the phone screening that sets the priority score; CARES assessment + Medicaid application follow when a slot opens. For children/FHHA contact a participating home health agency; for CDC+ go through APD.
Or skip the phone tag — our free 2-minute check tells you which Florida program fits your family, then we help with the forms.
See if you qualify →Monroe questions, answered honestly
Can I get paid to care for a family member in Monroe County?
Yes. Florida runs real Medicaid programs — like SMMC-LTC Participant Directed Option — that pay family caregivers, and they cover families in Monroe County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Monroe County?
Reported figures in Florida are around $15–$25/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Where do families in Monroe County apply?
Families in Monroe County start with the state, not the county. Call the local Aging & Disability Resource Center (Elder Helpline 1-800-963-5337) for the phone screening that sets the priority score; CARES assessment + Medicaid application follow when a slot opens. For children/FHHA contact a participating home health agency; for CDC+ go through APD.
Can I get paid to care for my spouse in Monroe County?
Sometimes — it depends on the program. The fine print for Florida: limited — yes under SMMC-LTC PDO (must be 'extraordinary care' beyond normal spousal duties, background screening required); no under CDC+
How many people in Monroe County might need this?
20,900 residents of Monroe County are 65 or older and about 2,260 are 85 or older, according to the U.S. Census Bureau's 2024 population estimates. Most of them are cared for at home by a relative rather than in a facility. Florida's programs exist to pay for exactly that care.
Which towns in Monroe do you cover?
All of Monroe County — including Key West, Marathon, Islamorada, Village of Islands, Key Colony Beach and Layton. Eligibility is set by Florida, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from Florida's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.
More Florida counties
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