Senior benefits in Delaware County, Iowa
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Seniors in Delaware County, Iowa can tap into help at the local, state, and federal levels. A good first stop is the Northeast Iowa Area Agency on Aging (NEI3A), which connects older adults and caregivers to in-home support and family caregiver services. The Iowa HHS county office can help with programs like Medicaid and SNAP food assistance. Other local options include Hospital Financial Assistance through Regional Medical Center in Manchester, LIHEAP energy assistance through HACAP, and rides through the Region 8 Regional Transit Authority. Veterans can reach the Delaware County Commission of Veteran Affairs for help with claims and benefits. Iowa also offers property tax credits, Medicare Savings Programs, and free Medicare counseling through SHIIP. Federal programs may apply too. The page below lists each program with its official source and the date it was last verified. Keep in mind that the agency running each program makes the final decision on eligibility.
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Local programs
20
Iowa programs
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Federal programs
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Categories
Last verified · October 22, 2026
Local starting point
Northeast Iowa Area Agency on Aging (NEI3A)
1-800-779-8707
See which of these Delaware County programs you may qualify for.
Discover my benefitsHelping others? Print the Delaware 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 Delaware County
Run by the county, its Area Agency on Aging, or another agency serving Delaware County. Start here.
Elder Services in Delaware County
Programs here typically provide services worth $200–$2,000 a year to an eligible household.
Area Agency on Aging services (Northeast Iowa Area Agency on Aging) — Delaware
County · IowaNortheast Iowa Area Agency on Aging (NEI3A) is the Area Agency on Aging for Delaware County. It helps older adults stay independent at home. Its services include options counseling, case management, meal programs, caregiver support, respite services, health and wellness programs, advocacy, and recreation and education programs. NEI3A has offices in Decorah, Dubuque and Waterloo. Call toll-free 1-800-779-8707 to get started.
Estimated service value: $200–$2,000 a year
Energy Assistance in Delaware County
Programs here typically lower an eligible household's bills by $80–$800 a year.
LIHEAP energy assistance (HACAP) — Delaware
County · IowaThe Low-Income Home Energy Assistance Program (LIHEAP) helps low-income households pay part of their heating costs. In Delaware County, HACAP takes applications. The program year starts October 1, 2026 for households with someone 60 or older or disabled; everyone else may apply November 1, 2026 through April 30, 2027. Household income must be at or below 200% of the federal poverty guidelines. You can apply online or with a paper application. If you have a disconnect notice or your heat is shut off, contact your local office. HACAP's Delaware County Office, 721 S 5th St. in Manchester can be reached at 563-927-4629.
Estimated bill savings: $80–$800 a year
General Assistance in Delaware County
Iowa HHS county office — Delaware
County · IowaThe Iowa Department of Health and Human Services (HHS) office for Delaware County (Delaware County DHS) is at 721 South Fifth St, Manchester, IA 52057. It is open by appointment only and is served by the Buchanan County office in Independence. You can apply at a local HHS office for SNAP food benefits, Medicaid and Rent Reimbursement (up to $1000 back on rent for income-eligible older or disabled renters). You can also apply online through the Iowa HHS Benefits Portal. Call 319-334-6091 or toll-free 800-642-6609.
Estimated bill savings: about $0 a year
Healthcare in Delaware County
Hospital Financial Assistance (Regional Medical Center) — Delaware
County · IowaRegional Medical Center (RMC) in Manchester gives quality, medically necessary care to all in need, regardless of ability to pay. Financial assistance is available to eligible people who are uninsured, underinsured or otherwise unable to pay for medically necessary care. A Financial Counselor can help. The policy, application and a plain language summary are on RMC's website in English and Spanish. Call RMC Financial Assistance at 563-927-7587.
Estimated bill savings: about $0 a year
Transportation in Delaware County
Programs here typically provide services worth $150–$1,500 a year to an eligible household.
Region 8 Regional Transit Authority (RTA) — Delaware
County · IowaThe Region 8 Regional Transit Authority (RTA) provides public transit in the cities, communities and rural areas of Delaware, Dubuque and Jackson counties, including Delaware County. All RTA services are open to the general public. If you are 60 or older, you may be able to get reduced fare passes through Northeast Iowa Area Agency on Aging; ask the RTA about the NAPIS form. The RTA is a certified Medicaid transportation provider, and Rides to Wellness vouchers are income-based. Call the RTA at 563-588-4592 or toll-free 1-800-839-5005.
Estimated service value: $150–$1,500 a year
Veteran Benefits in Delaware County
County Veterans Affairs office — Delaware
County · IowaThe Delaware County Veterans Affairs office at 601 Grand Street, Manchester, IA 52057 helps veterans and their families. The office helps veterans and dependents apply for benefits such as service-connected disability compensation, VA pension, survivors pension, aid and attendance, VA health care, admission to the Iowa Veterans Home, VA cemetery benefits and the Iowa Department of Veterans Affairs Trust Fund. The county also has a Delaware County Veterans Affairs Assistance Application. Hours are Monday to Friday, 8:00 am to 4:30 pm. Call the office at 563-927-5116.
Estimated cash: about $0 a year
Local agencies serving Delaware County
Who runs the county programs above, and how to reach them. Every line comes from a program record on this page — nothing is added that the catalog does not cite.
Hawkeye Area Community Action Program, Inc. (HACAP)
Iowa Department of Health and Human Services (HHS)
Runs: Iowa HHS county office
Regional Medical Center (Manchester)
Runs: Hospital Financial Assistance (Regional Medical Center)
Region 8 Regional Transit Authority (RTA)
Delaware County Commission of Veteran Affairs
Northeast Iowa Area Agency on Aging (NEI3A)
Runs: Area Agency on Aging services (Northeast Iowa Area Agency on Aging)
Iowa and federal programs
Open to eligible households in Delaware County and across the rest of Iowa. Full details are on the Iowa benefits page.
Money & income3 programs
Cash paid to you, and emergency help when money runs short.
Health & Medicare costs9 programs
Medicaid, Medicare savings, and help with drug and doctor bills.
- Medicare Savings Programs in Iowa (QMB, SLMB, E-SLMB)
- Iowa Medicaid for people who are aged (65+), blind, or disabled
- Iowa SHIIP: free Medicare and health insurance counseling (Senior Health Insurance Information Program)
- Extra Help (Part D Low-Income Subsidy)
- Qualifying Individual (QI)
- Qualified Medicare Beneficiary (QMB)
- Specified Low-Income Medicare Beneficiary (SLMB)
- Community Health Center Sliding Fee Discount
- State Health Insurance Assistance Program (SHIP)
Food6 programs
SNAP (food stamps), meals, and farmers market coupons.
Home, bills & taxes13 programs
Help with heating and electric bills, rent, property taxes, and home repairs.
- Iowa Low-Income Home Energy Assistance Program (LIHEAP)
- Iowa Disabled Veteran Homestead Property Tax Credit (100% of property tax)
- Iowa Property Tax Credit for Senior and Disabled Citizens (Elderly and Disabled Property Tax Credit)
- Iowa Homestead Tax Exemption for homeowners 65 and older
- Iowa Military Service Property Tax Exemption for veterans
- Iowa retirement income exclusion (no state income tax on pensions, IRAs, and 401(k)s at 55+)
- Iowa property tax credit for homeowners 70 and older (property tax freeze)
- Iowa Rent Reimbursement for renters 65 and older or with a disability
- Federal Lifeline
- Weatherization Assistance Program (WAP)
- Federal Credit for the Elderly or the Disabled (IRS Schedule R)
- Housing Choice Voucher (Section 8)
- HUD Section 202 Supportive Housing for the Elderly
Care at home & long-term care6 programs
Help staying in your home, nursing home alternatives, and support for family caregivers.
- Iowa in-home support services for older adults (Area Agencies on Aging case management, homemaker, and personal care)
- Iowa Medicaid HCBS Elderly Waiver (in-home care for people 65 and older)
- Iowa Veterans Home (Marshalltown): nursing and residential care for veterans and spouses
- Iowa family caregiver support through the Area Agencies on Aging
- PACE — Program of All-Inclusive Care for the Elderly
- National Family Caregiver Support Program (OAA Title III-E)
Help, advice & legal6 programs
Free counseling, legal help, rides, and other senior services.
- Iowa lifetime hunting and fishing license for disabled veterans ($7)
- Iowa Veterans Cemetery (Van Meter / Adel): burial for veterans, spouses, and dependent children
- Free veterans benefits and VA claims help in Iowa (County Veterans Service Offices and IDVA)
- Older Americans Act Supportive Services (Title III-B)
- Long-Term Care Ombudsman Program
- Senior Medicare Patrol (SMP)
Veterans3 programs
Benefits for veterans and their surviving spouses.
Nearby counties
Local 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.
