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Why referral commissions matter when you search for care

How commission-based referral services work, and why we chose a different model.

3 min read. Updated July 30, 2026

How most referral services make money

Many free senior care referral services are paid by the agency when a family signs up, often a large share of the first month of care.

That payment can shape which agencies you hear about first, and which you never hear about.

What we do instead

Every licensed agency is listed for free. Agencies can pay a flat monthly fee for a richer profile. We never take a fee per placement, and paying never hides the state record.

Common questions

Do featured agencies rank higher?
Featured agencies appear at the top of county lists with a visible Featured label. Their state record and reviews are shown exactly the same way as every other agency.