Benefits · Illinois

Senior benefits in Madison County, Illinois

Seniors in Madison County, Illinois, and their family caregivers have access to a wide range of benefit programs that can help cover everyday costs, health care, utilities, food, and transportation. AgeSmart Community Resources, the Area Agency on Aging serving this region, is a strong local starting point — it connects residents to Options Counseling, the Community Care Program, and meal services. Madison County Transit offers a Senior Free Ride program for getting around the county, and Madison County LIHEAP helps eligible households manage home energy costs. Hospitals including Alton Memorial, Anderson Hospital, and OSF Saint Anthony's each offer financial assistance programs for qualifying patients. At the state level, programs like the Illinois Medicare Savings Program, Illinois SHIP, the Senior Citizens Assessment Freeze, and the Illinois Community Care Program may reduce costs for those who qualify. Federal programs add another layer of potential support. Every program listed on this page includes its official source and the date it was last verified, and each agency makes the final eligibility decision.

5

Local programs

22

Illinois programs

25

Federal programs

17

Categories

Local starting point

AgeSmart Community Resources (O'Fallon) — the PSA 11 Area Agency on Aging serving Bond, Clinton, Madison, Monroe, Randolph, St. Clair, and Washington counties in Southwestern Illinois

618-222-2561

See which of these Madison County programs you may qualify for.

Find my benefits

Helping others? Print the Madison County benefits checklist — free to hand out.

When benefit rules change, it’s tracked here

Income limits, new requirements, how to apply — see what’s changed across senior benefit programs, from the official source in plain English.

Benefit changes →

Programs run in Madison County

Run by the county, its Area Agency on Aging, or another agency serving Madison County. Start here.

Emergency Aid

Programs here are typically worth $200–$3,000 a year to an eligible household.

Madison County LIHEAP — Energy Assistance (Madison County)

County

Illinois LIHEAP (Low Income Home Energy Assistance Program) for Madison County residents is administered by Madison County Community Development (MCCD). LIHEAP provides a one-time heating/cooling benefit and reconnection help; the year-round PIPP (Percentage of Income Payment Plan) caps the energy bill at a percentage of income with monthly credits; and furnace assistance for inoperable heating systems. Households at or below 200% of the Federal Poverty Level qualify; seniors 60+ get priority application windows. Apply through Madison County Community Development (MCCD) (618-296-6485) or HelpIllinoisFamilies (877-411-9276).

$250–$1,500/yr

In this county: Madison: LIHEAP via Madison County Community Development (MCCD) (+PIPP + furnace assistance). ≤60% State Median Income; seniors 60+ priority.

How to apply →Official source →618-296-6485Last verified · September 13, 2026

Madison County Township General Assistance + Emergency Aid — Referral Coordination (Madison County)

County

Madison County emergency aid: (1) DISTINCTIVE to Illinois — TOWNSHIP GENERAL ASSISTANCE (GA): each township supervisor provides emergency 'General Assistance' for residents with little or no income — help with rent, utilities, food, and personal/medical needs (Illinois's analog to Indiana's township-trustee relief). Madison County has 24 townships; find your township supervisor through the county. (2) AgeSmart / the local senior center for case management, meals, and the Community Care Program (618-222-2561). (3) Madison County Community Development (MCCD) for LIHEAP utility help. (4) The county hospital financial-assistance programs (Touchette / BJC / Anderson) for medical bills. (5) Salvation Army / St. Vincent de Paul / Catholic Charities. (6) St. Louis Area Foodbank. (7) Dial 211.

$200–$3,000/yr

How to apply →Official source →211Last verified · September 13, 2026

Healthcare

Programs here are typically worth $500–$40,000 a year to an eligible household.

Alton Memorial (BJC) + Anderson + OSF Saint Anthony's — Financial Assistance (Madison County)

County

Madison County hospital safety net: Madison = Alton Memorial (BJC) + Anderson Hospital (Maryville, independent) + OSF Saint Anthony's + Gateway Regional. DISTINCTIVE to Illinois: state law (the Hospital Uninsured Patient Discount Act + Fair Patient Billing Act) REQUIRES hospitals to provide financial assistance — uninsured patients at or below 200% (rural/critical-access) or 300% (urban) of the Federal Poverty Level generally receive free care, with capped discounts above that. Most Illinois hospitals have a robust charity-care policy as a result. Apply at the hospital financial counseling office or at https://www.bjc.org/patients-visitors/billing-and-financial-assistance. Phone: 618-463-7311.

$500–$40,000/yr

In this county: Madison: Madison = Alton Memorial (BJC) + Anderson Hospital (Maryville, independent) + OSF Saint Anthony's + Gateway Regional. Illinois LAW mandates hospital financial assistance (free care to ~200-300% FPL).

How to apply →Official source →618-463-7311Last verified · September 2, 2026

Nutrition

Programs here are typically worth $1,500–$6,000 a year to an eligible household.

AgeSmart Community Resources (PSA 11) — Options Counseling + Community Care Program + Meals (Madison County)

County

Madison County's Area Agency on Aging is AgeSmart Community Resources (PSA 11) (AgeSmart Community Resources). Services: Aging & Disability Resource Network information and assistance; intake/referral for the Illinois Community Care Program (CCP) in-home services via a local Care Coordination Unit; home-delivered and congregate meals; caregiver support (NFCSP); legal services; benefits counseling (SNAP / Medicare / Benefit Access); and adult protective services. AgeSmart is one of Illinois's 13 Area Agencies on Aging. Call 618-222-2561 or the Senior HelpLine (1-800-252-8966).

$1,500–$6,000/yr

How to apply →Official source →618-222-2561Last verified · September 8, 2026

Transportation

Programs here are typically worth $400–$2,500 a year to an eligible household.

Madison County Transit — Senior Free Ride (Madison County)

County

Madison County public transportation is Madison County Transit (MCT), a fixed-route bus and trail network (Alton / Edwardsville / Granite City / Wood River) connecting to MetroLink and St. Louis. DISTINCTIVELY, seniors age 65+ qualify for an MCT Senior Free Ride ID — FREE rides in Madison County and half fare in St. Clair County and Missouri. The Illinois Benefit Access Program also provides free/reduced fares. ADA paratransit is available. Madison = Madison County Transit (MCT); seniors 65+ get a Senior Free Ride ID (free in Madison, half fare St. Clair/MO).

$400–$2,500/yr

How to apply →Official source →618-797-4636Last verified · September 11, 2026

Illinois and federal programs

Open to eligible households in Madison County and across the rest of Illinois. Full details are on the Illinois benefits page.

Income Support

Utility Assistance

Veteran Benefits

Nearby counties

County programs differ from one county to the next. If you live near a county line, or you are helping a parent who lives in one of these, it is worth checking there too.

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Not legal or financial advice. The agency makes the final eligibility decision.