I'm in the process of working out a private duty schedule beginning Saturday, after having resolved a lot of other issues. At last - we can get started! However, I just learned during the assessment that "home visit" charges are applied, in addition to the hourly rate for the worker. These charges apply to all levels of service, for every visit, graduating from around $40 for home care assistance up to $115 for a nursing visit (PLUS the hourly rate). ie, a CNA (which is in the care plan I developed) would be $27/hour x 3 hours (the minimum) = $81 plus a $97 house call, for a total of $178, for each visit. I called probably a dozen private duty companies when I was searching but NONE mentioned anything about house calls in addition to an hourly rate. Any quick advice would be very much appreciated. For those who've used private duty, are these home visit fees typical? Thanks for any input; I need to literally change the plan of care by tomorrow and really need to know if others have experienced these "tack-on fees."