Caregiver Services
for US Families.
Caregiver services in Sri Lanka for US families solve a problem the time zones make worse. Your mom's entire day happens while you sleep. BetterHands places a vetted caregiver in your parents' home and writes up every shift, so families across the United States wake up to the truth instead of guessing at it.
Her day, summarized
Before you finish coffee
10½ hrs
Ahead of New York
1,000+
Caregiver profiles
Vetted and reference-checked
14 Days
Placement guarantee
Or we escalate immediately
96%
First-match success
50+ matching factors
PHSRC
Registered nurses
For clinical home nursing
Two very different communities
Why US Families Arrange Caregiver Services in Sri Lanka.
America holds two distinct Sri Lankan communities, and they call us for different reasons. One is professional and dispersed, in tech, medicine and academia, spread from Boston to the Bay Area.
The other is dense and long-established, concentrated in New York, above all on Staten Island. Different arrival stories, different work, different neighborhoods.
What both share is the schedule problem. American work culture leaves little room for a 3am phone call, and your parents' waking hours fall almost entirely inside your night. Professional caregiver services put a reliable adult in the room during those hours.
- Elderly care at home arranged entirely from the United States
- Home nursing care for diabetes, cardiac and post-stroke conditions
- A written welfare update after every shift, timed to your morning
- One coordination team, so you are not managing this over WhatsApp voice notes
The coverage question, answered plainly
What Medicare and US Coverage Do Not Cover Abroad.
Medicare stops at the border
Medicare generally does not pay for healthcare received outside the United States. Decades of payroll contributions do not follow your parents to Colombo.
Medicaid is state-based
Administered state by state and intended for care delivered domestically. It has no mechanism for reimbursing home care provided in Sri Lanka.
Private from the start
For most families care is therefore paid privately. The offsetting fact is that Sri Lankan rates make daily, in-home support genuinely attainable.
Verify the specifics for your parents' situation with Medicare rather than relying on assumptions. Social Security is a separate matter with its own rules for beneficiaries abroad, and the Social Security Administration publishes guidance covering it.
Long-Term Care Insurance and Care in Sri Lanka.
Here is the one place American families sometimes find money that other countries cannot. A number of US long-term care policies include an international benefit.
Coverage varies widely. Some policies pay a reduced percentage of the daily benefit for care delivered outside the United States. Others exclude it entirely, and older policies differ from newer ones written by the same carrier.
Because Sri Lankan daily rates are a fraction of American home care costs, even a partial international benefit can go a long way. It is worth ten minutes with your policy schedule before you assume you are paying everything yourself.
- Check whether your policy has an international or overseas benefit
- Note the percentage paid and any elimination period
- Ask what documentation the carrier requires for claims
- Confirm whether an agency placement qualifies, or only licensed facilities
What we can provide for a claim
Written care plans
The assessment and agreed plan, documented and dated.
Shift-level records
Welfare updates covering meals, medication, mobility and mood.
Caregiver credentials
Role, training, and PHSRC registration where a nurse is placed.
Itemized invoices
Membership and daily rates, separated and dated for submission.
BetterHands is not an insurance adviser. We supply documentation; your carrier decides what it accepts.
Arranged around your workday
How BetterHands Supports Families in the United States.
Five steps, none of which require you to take PTO or book a flight.
01
Tell us what worries you
One call or WhatsApp message, scheduled for your evening. No forms, no obligation, no cost.
02
We assess in person
Our team visits your parents at home in Sri Lanka. We look at mobility, medication, the house itself, and what your mom will actually accept.
03
We match a caregiver
Matching runs on language, temperament, clinical need and location. You review the profile before anyone starts work.
04
Updates after every shift
Meals, medication, mobility and mood, written up and sent by WhatsApp. Waiting for you at breakfast.
05
Wrong fit? Replaced free
Unlimited replacements under the annual membership. Judging a match from half a world away is hard, so we removed the cap.
American families ask about accountability earlier and more directly than families anywhere else we operate. That instinct is a good one, and the answer is that caregivers are employed and payrolled through BetterHands rather than introduced and forgotten.
Parents resisting help is the other common obstacle. It is rarely about the care itself. Most often it is about not wanting to become a burden to a child who already left. Many families therefore start with companion care instead of clinical support, because company is far easier to accept than help.
How Care Works Across Four US Time Zones.
No country we serve is further out of step with Sri Lanka than the United States.
Eastern
10½ hours
behind Sri Lanka
New York · Staten Island · Washington DC · Boston
Central
11½ hours
behind Sri Lanka
Chicago · Houston · Dallas
Mountain
12½ hours
behind Sri Lanka
Denver · Phoenix
Pacific
13½ hours
behind Sri Lanka
Los Angeles · San Francisco Bay Area
The consequence is stark. Your parents wake, eat, take medication, see a doctor and go back to bed entirely inside your night. By the time you are free to call, they are asleep.
For that reason the welfare update matters more here than in any other country. It is written at the close of the Sri Lankan day, which lands in the small hours on the East Coast and late evening on the West. Either way it is there before your alarm.
Live conversations work best in your early morning or late evening. Our coordination team schedules calls into those windows deliberately, so speaking to a person does not cost you a vacation day.
Wherever you settled
Caregiver Services in Sri Lanka by US City.
The care happens in Sri Lanka. These are the American cities our families call from.
Staten Island deserves its own mention. The Tompkinsville area holds one of the largest concentrations of Sri Lankans anywhere outside the country, dense enough that the neighborhood is widely known as Little Sri Lanka.
That density changes how families find us. In Staten Island, word of mouth does the work, and a bad experience would be common knowledge within a week. In Dallas or the Bay Area, families are often the only Sri Lankan household they know, and everything starts from a search instead.
We treat both as normal. Whether you were referred by three neighbors or found this page at midnight, the assessment and the guarantee are identical.
Distance from Sri Lanka also varies more across America than anywhere else we work. No route from any US city reaches Colombo without at least one stop, and West Coast families routinely spend twenty-four hours or more in transit. An emergency flight is a serious undertaking, which is precisely why steady, documented daily care carries more weight here than a promise to come quickly.
Straight answers
What US Families Ask Before They Commit.
How much does home care in Sri Lanka cost?
A one-time annual membership covers coordination, payroll and unlimited caregiver replacements. Daily rates then apply by staff role, from caregiver through to registered nurse. Rates appear below, and the assessment is free and comes first.
Do I need to fly over to set this up?
No. Assessment, matching, approval and payment run remotely from the United States. Your parents meet the caregiver in person. You review the profile, approve the plan, and receive written updates after every shift.
Who is accountable if standards slip?
BetterHands is. Caregivers are employed and payrolled through us, not introduced and forgotten. One team owns the placement, there is a number to call, and the replacement guarantee has no cap.
Where the care actually happens
Island-wide coverage in Sri Lanka.
BetterHands coordinates caregivers from our office in Sri Jayawardenepura Kotte, just outside Colombo. Placements run island-wide, including Kandy, Galle, Negombo, Matara and Jaffna.
No district surcharge applies. A placement two hours from the capital costs the same daily rate as one in Colombo 7. Families discharged from the National Hospital of Sri Lanka or private hospitals are transitioned home directly.
BetterHands (Pvt) Ltd
200 Narahenpita - Nawala Rd, Sri Jayawardenepura Kotte 11222, Sri Lanka
+94 74 21 21 744Transparent pricing
Membership first, then simple daily rates.
One annual membership covers coordination, payroll and unlimited caregiver replacements. After that you pay a flat daily rate for the level of care your parents need. Fees are charged in Sri Lankan rupees.
BetterHands Annual Membership
LKR 20,000
One-time annual registration fee
- Unlimited caregiver replacements at no additional cost if you are not satisfied
- Payroll management and caregiver administration
- Ongoing coordination and support from the BetterHands team
- Access to all services covered under the BetterHands membership
Step two — daily service rates
Duties below are what each role normally provides — your care plan is tailored during the free assessment.
Caregiver
Daily living support and companionship
LKR 4,500/day
- Friendly conversation and companionship
- Bathing and personal care assistance (if required)
- Medication reminders and general supervision
- Simple meals and refreshments
- Short walks and light activities (if appropriate)
- Day-to-day assistance and emotional support
Daily rates are charged in addition to the one-time annual registration fee of LKR 20,000. The same daily rates apply to day care, night care, live-in, and hospital bystander support — no shift premiums, no travel supplements for any district. A free care assessment is provided before any commitment.
A one-way transfer for the caregiver is arranged at the start of placement.
Families we look after
Trusted with the people who raised us.
“BetterHands transformed my mother's quality of life. The caregivers are professional, compassionate, and treat her with so much dignity. Our whole family is relieved and grateful.”
Chamari W.
Colombo 07
“After my father's heart surgery at Lanka Hospitals, the nursing team from BetterHands provided exceptional post-operative care at home. They were thorough, kind, and always on time.”
Roshan & Dilini P.
Nugegoda
“My grandfather was very lonely after being discharged from hospital. His BetterHands companion has become a true friend — he is happier and more engaged than he's been in years.”
Priya N.
Kandy
Questions from the US
Frequently Asked Questions from US Families.
Yes. BetterHands runs a free assessment with your parents in Sri Lanka, matches a caregiver, and sends a written welfare update after every shift. You approve the care plan and pay from the United States. Nobody needs to fly over to set the placement up.
No. Medicare generally does not cover healthcare received outside the United States, and Medicaid is administered state by state for care delivered domestically. Home care for a parent living in Sri Lanka is a private arrangement, regardless of your parents' immigration or residency history.
Possibly, and this is worth checking carefully. Some US long-term care policies include an international benefit, often paying a reduced percentage of the daily rate. Read your policy schedule or call the carrier directly. It is the one funding route that sometimes works overseas.
Sri Lanka runs roughly ten and a half hours ahead of Eastern Time and thirteen and a half ahead of Pacific. Your parents' entire day happens while you sleep. Caregivers write the update at the end of the Sri Lankan shift, so it is waiting when you wake.
In many cases yes, though rules depend on citizenship, benefit type, and country. The Social Security Administration publishes guidance for beneficiaries living abroad. Confirm your parents' specific position with SSA rather than assuming, as this is separate from care funding.
BetterHands places caregivers island-wide. There is no district travel surcharge, so a placement in Kandy, Galle or Jaffna costs the same daily rate as one in Colombo. Availability for a specific area is confirmed during the free assessment.
You get unlimited replacements at no additional cost under the annual membership. Judging a match from eight thousand miles and half a day away is genuinely hard. The guarantee therefore has no cap for the life of your membership.
BetterHands nurses are registered with Sri Lanka's Private Health Services Regulatory Council. Coverage, Social Security and insurance questions should be confirmed with Medicare, the Social Security Administration, or your carrier, as individual circumstances vary.
Her whole day happens while you are asleep.
That is the plain arithmetic for Sri Lankan families in America. You cannot supervise from thirteen hours away, and a weekly call only tells you what your parents choose to share. Caregiver services in Sri Lanka replace that gap with something written down.
A vetted caregiver in the house. Home nursing when the condition calls for it. A written update after every shift, waiting before your alarm. One team accountable, with unlimited replacements if the match is wrong.
The assessment costs nothing and commits you to nothing. Sometimes it tells families their parents need less than they feared. Either way you stop waking up to silence.
Check it yourself
Sources and further reading for US families.
Entitlements and health guidance change. These are the official sources — go to them rather than taking our word for it.
Your parents are in Sri Lanka.
We are already there.
A 15-minute call, scheduled for your morning or evening rather than your 3am. We will tell you honestly what your parents need — even if that turns out to be less than you expected.
1,000+
Caregiver profiles
96%
First-match success
Trained
Caregiver training
14
Days to placement