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 benefitsHelping 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.
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)
CountyIllinois 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.
Madison County Township General Assistance + Emergency Aid — Referral Coordination (Madison County)
CountyMadison 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
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)
CountyMadison 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).
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)
CountyMadison 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
Transportation
Programs here are typically worth $400–$2,500 a year to an eligible household.
Madison County Transit — Senior Free Ride (Madison County)
CountyMadison 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
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.
Caregiver Support
- Illinois Family Caregiver Support Program (NFCSP)State$500–$5,000/yrOfficial source →
Cash Assistance
Emergency Aid
Employment
- Senior Community Service Employment Program (SCSEP)Federal$15,000–$17,000/yrOfficial source →
Food Assistance
- Commodity Supplemental Food Program (CSFP) Senior Food BoxFederal$240–$600/yrOfficial source →
- Congregate Meals at Senior CentersFederal$1,000–$2,500/yrOfficial source →
- Home-Delivered Meals (Meals on Wheels)Federal$1,500–$4,000/yrOfficial source →
- Senior Farmers' Market Nutrition Program (SFMNP)Federal$35–$50/yrOfficial source →
- SNAP (Supplemental Nutrition Assistance Program) for SeniorsFederal$280–$2,400/yrOfficial source →
Healthcare
- CHAMPVA (Civilian Health and Medical Program of the VA)Federal$3,000–$15,000/yrOfficial source →
- State Health Insurance Assistance Program (SHIP)FederalOfficial source →
- VA Health CareFederal$5,000–$20,000/yrOfficial source →
- Illinois Medicaid — Aid to the Aged, Blind, and Disabled (AABD)State$4,000–$30,000/yrOfficial source →
- Illinois Medicare Savings Program (QMB / SLMB / QI)State$2,435–$8,000/yrOfficial source →
- Illinois SHIP — Senior Health Insurance Program (Medicare Counseling)Stateup to $2,000/yrOfficial source →
Home Care
- Program of All-Inclusive Care for the Elderly (PACE)State$30,000–$80,000/yrOfficial source →
- Illinois Community Care Program (CCP) — In-Home Services for Seniors 60+State$3,000–$25,000/yrOfficial source →
Housing
- Housing Choice Voucher (Section 8)Federal$8,000–$20,000/yrOfficial source →
- HUD Section 202 Supportive Housing for the ElderlyFederal$5,000–$15,000/yrOfficial source →
Income Support
- Supplemental Security Income (SSI)Federal$11,928–$17,892/yrOfficial source →
Long Term Care
- PACE — Program of All-Inclusive Care for the ElderlyFederal$6,000–$40,000/yrOfficial source →
- Comprehensive Care in Residential Settings (CCRS)StateOfficial source →
- Illinois Veterans' Homes (Long-Term Care)StateOfficial source →
- Illinois Supportive Living Program — Medicaid-covered assisted livingStateOfficial source →
Medicare Savings
- Extra Help (Part D Low-Income Subsidy)Federal$4,000–$5,300/yrOfficial source →
- Qualifying Individual (QI)Federal$2,400–$2,435/yrOfficial source →
- Qualified Medicare Beneficiary (QMB)Federal$2,435–$3,500/yrOfficial source →
- Specified Low-Income Medicare Beneficiary (SLMB)Federal$2,400–$2,435/yrOfficial source →
Nutrition
Supportive Services
- Long-Term Care Ombudsman ProgramFederalOfficial source →
- National Family Caregiver Support Program (OAA Title III-E)Federal$1,000–$5,000/yrOfficial source →
- Older Americans Act Supportive Services (Title III-B)Federal$500–$3,000/yrOfficial source →
- Senior Medicare Patrol (SMP)FederalOfficial source →
- Illinois Free Hunting and Fishing Licenses for Disabled VeteransStateOfficial source →
- Illinois Veteran Service Officers (Free VA Claims Help)StateOfficial source →
- Illinois Care Connections (ICC)StateOfficial source →
- Illinois Volunteer Money Management ProgramStateOfficial source →
- Sunset Veterans Cemetery at Quincy (State Veterans Cemetery)StateOfficial source →
Tax Relief
- Federal Credit for the Elderly or the Disabled (IRS Schedule R)Federalup to $1,125/yrOfficial source →
- Illinois 70%+ Disabled Veteran Homestead Exemption (Property Tax Exempt up to $250,000 EAV)State$3,000–$9,000/yrOfficial source →
- Illinois Veterans with Disabilities Homestead Exemption (Partial, 30%–69% Rating)State$150–$500/yrOfficial source →
- Illinois Senior Citizens Assessment Freeze + Homestead Exemption (Property Tax)State$150–$4,000/yrOfficial source →
Transportation
Utility Assistance
- Federal LifelineFederal$111–$411/yrOfficial source →
- Weatherization Assistance Program (WAP)Federal$3,000–$8,000/yrOfficial source →
Veteran Benefits
- VA Aid & Attendance (Improved Pension)Federal$12,000–$34,488/yrOfficial source →
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.
Not legal or financial advice. The agency makes the final eligibility decision.
