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Get paid to care for family in Aleutians East Borough

Most of the 335 people in Aleutians East Borough who are 65 or older are cared for at home, by a relative. Alaska Medicaid can pay you for that work.

Aleutians East Borough at a glance

Aged 65+
335

9.2% of residents

Aged 85+
28

when daily help usually starts

Rank in AK
25th

of 30 counties, by residents 65+

Median age
43.7

younger than the country

A farmhouse set back from a gravel road, typical of Aleutians East Borough

U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Aleutians East Borough is one of the most rural counties in the country (Rural-Urban Continuum Code 9).

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counties with local data
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Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program

Care in Aleutians East

What being a paid caregiver looks like here

About 335 people in Aleutians East Borough are 65 or older — 9.2% of everyone who lives here. Aleutians East Borough skews younger than Alaska overall, but the families caring for an older parent here face the same bills. Roughly 28 are 85 or older, the age when daily help usually starts. Out here, hiring an outside agency often is not realistic at all. Being paid to do the care yourself is not a workaround — it is how these programs were designed to work.

Statewide, 109,200 people in Alaska are 65 or older — 15% of the state, across 30 counties.

What Alaska pays family caregivers

$24–$26/hr

Rates vary — check with the program.

Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.

Source: Alaska Medicaid program data · Updated September 2026

Alaska's programs at a glance

  • Personal Care Services (PCS)
  • Community First Choice (CFC)
  • Children's waivers (CCMC & IDD)
Spouse paid?
Sometimes
Parent paid for a child?
Sometimes
Waitlist
No waitlist.

These rules are set by the state, so they are the same in every county. Read the full Alaska guide →

Towns and cities in Aleutians East Borough

Alaska sets eligibility, not your town — so a family in Akutan and a family at the far edge of the county apply the same way. The largest communities in Aleutians East Borough:

  • Akutan1,596
  • King Cove833
  • Sand Point681
  • False Pass404
  • Cold Bay60

Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.

How families in Aleutians East apply

You do not need a county office to start. Families in Aleutians East Borough start with Alaska's program:

Contact a PCS provider agency or SDS to complete the PCA-08 Initial Application (doh.sds.info@alaska.gov, 907-269-3666); an Aging and Disability Resource Center can help; approval can take ~3 months.

Or skip the phone tag — our free 2-minute check tells you which Alaska program fits your family, then we help with the forms.

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Aleutians East questions, answered honestly

Can I get paid to care for a family member in Aleutians East Borough?

Yes. Alaska runs real Medicaid programs — like Personal Care Services (PCS) — that pay family caregivers, and they cover families in Aleutians East Borough. We help you enroll, and applying costs you nothing.

How much do family caregivers earn in Aleutians East Borough?

Reported figures in Alaska are around $24–$26/hr, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.

Where do families in Aleutians East Borough apply?

Families in Aleutians East Borough start with the state, not the county. Contact a PCS provider agency or SDS to complete the PCA-08 Initial Application (doh.sds.info@alaska.gov, 907-269-3666); an Aging and Disability Resource Center can help; approval can take ~3 months.

Can I get paid to care for my spouse in Aleutians East Borough?

Sometimes — it depends on the program. The fine print for Alaska: limited — since 8/1/2025 a spouse can be paid for Community First Choice personal care when hired through a CFC personal-care agency (SDS memo 6/27/2025); State Plan PCS still bars spouses

How many people in Aleutians East Borough might need this?

335 residents of Aleutians East Borough are 65 or older and about 28 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. Alaska's programs exist to pay for exactly that care.

Which towns in Aleutians East do you cover?

All of Aleutians East Borough — including Akutan, King Cove, Sand Point, False Pass and Cold Bay. Eligibility is set by Alaska, not by your town, so where you live inside the county does not change whether you qualify.

Program facts come from Alaska's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.

Nearby

Counties next to Aleutians East

The counties Aleutians East touches, by Census boundaries — a few of those borders run across water.

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