Senior benefits in Adair County, Iowa

Connections Area Agency on Aging serves older adults and family caregivers in 20 counties in southwest and western Iowa, including Adair County. Its Information and Assistance specialists and Options Counselors help people find and apply for benefits such as Medicare Extra Help, Medicare Savings Programs, Medicaid, SNAP food help and LIHEAP energy help. Other services include case management for people age 60 or older who need help with at least two daily activities (such as bathing or dressing) so they can stay at home, senior center meals and home-delivered meals for people 60 and older, caregiver support and respite options, free Medicare counseling through SHIIP, and Solution Options for Seniors (S.O.S.), which helps pay for home repairs or changes for people 60 and older who own their home or live with a caregiver. Call toll free 1-800-432-9209. The Council Bluffs office (231 S. Main St.) and Sioux City office (2301 Pierce St.) take walk-ins Monday through Thursday, 8:00 a.m. to 4:00 p.m.; the Creston office (109 N. Elm St.) is by appointment.

Estimated service value: $200–$2,000 a year

In Adair County, MATURA Action Corporation takes applications for LIHEAP, the Low-Income Home Energy Assistance Program. LIHEAP is a one-time payment that helps households at or below 200% of poverty pay part of their winter heating costs. You do not need to be behind on your heating bill to apply. For the 2026-2027 heating season, households with someone age 60 or older, people with disabilities, or households in crisis can apply from October 1, 2026 to April 30, 2027; all other households from November 1, 2026 to April 30, 2027. Apply through the MATURA Adair County Outreach Center at 354 Public Square, Greenfield (phone 641-743-2424), or online at liheap-apply.hhs.iowa.gov starting November 1. If you have a disconnect notice, have 30% or less left in your fuel tank, or your furnace does not make heat, call the outreach office right away; crisis help can include furnace repair or replacement, emergency propane delivery, and reconnection of gas or electric service. LIHEAP households can also be considered for free weatherization.

Estimated bill savings: $80–$800 a year

The Iowa Department of Health and Human Services (HHS) lists an office for Adair County at 400 Public Square, Greenfield. This office is by appointment only and is served by the Union County office in Creston. Phone: 641-782-1745 or toll free 877-394-1438. Iowa HHS says you can apply for SNAP food benefits and for Medicaid health coverage, including Medicaid for older adults and people with disabilities, at your local HHS office. You can also apply online through the Iowa HHS Benefits Portal, or apply for Medicaid by phone at 1-855-889-7985.

Estimated bill savings: about $0 a year

Adair County Health System (ACHS) runs the hospital in Greenfield. Financial assistance is offered to everyone served by ACHS. Eligibility is based on the Federal Poverty Guidelines, using the number of people in the household and the household's yearly income. If you do not have insurance, the ACHS Financial Counselor can also help you see whether you qualify for Medicaid and help with the application. Download the Financial Assistance Policy and Application from the ACHS website, or call the Financial Counselor at 641-743-7266. If you do not qualify, the Financial Counselor can set up payment arrangements, and ACHS offers prompt-pay discounts.

Estimated bill savings: about $0 a year

Southern Iowa Trolley is the regional public transit system for Adair County and six other south-central Iowa counties. It gives door-to-door weekday rides to the general public, including people with disabilities, and every vehicle is ADA accessible. In Adair County, in-town rides are offered in Greenfield, with daily trips between Greenfield and Creston. Main in-town service runs Monday to Friday, 7 a.m. to 3:45 p.m. (days and hours can change with driver availability). Seniors age 60 and older pay $3.00 per in-town ride (or $30.00 for a 12-ride ticket), and in-town rides on Fridays are $1.00. Before riding, seniors must fill out a Connections Area Agency on Aging intake form, which you can get from the driver or the office at 301 Industrial Parkway in Creston. Out-of-town trips start at $10.00 one way. To schedule a ride, call 641-782-6571 or toll free 866-782-6571.

Estimated service value: $150–$1,500 a year

The Adair County Commission of Veteran Affairs is the county veterans office. The office helps veterans and their spouses learn about and apply for county, state and federal benefits, and it is accredited to file VA claims. The Adair County Veterans Relief Program, paid for by the county, helps resident veterans with emergency basic needs: rent, utilities, food, fuel and burial. To qualify, a veteran must have an honorable discharge, meet income guidelines, apply for all other benefits, and have emergency needs that cannot be met another way. Visit the office at 270 Public Square, Greenfield (Monday to Thursday, 8:00 a.m. to 4:00 p.m.), or call 641-743-2656.

Estimated cash: $200–$1,500 a year