When shopping for In-Home Care, beware the agency that quotes an unusually low price. Dependable, professional caregivers are in high demand and expect a fair wage. If an agency is billing at a very low rate, it is questionable what kind of caregivers they can provide. It is not unknown for an agency to offer services at a very low cost, but then find a reason to increase the agreed rate very shortly after your services start. This is a bait and switch technique. Most agencies follow ethical business practices, but it is wise to get a written confirmation that the agreed upon services and rates will not increase for six months. A recognized agency with high standards will have no difficulty accepting such an agreement.