Senior benefits in Martin County, Kentucky
Seniors in Martin County, Kentucky have access to a wide range of benefit programs that can help with health care, home services, energy costs, housing, and more. A strong local starting point is the Big Sandy Senior Center & Nutrition Services, operated by the Big Sandy Area Agency on Aging & Independent Living. This local agency can connect you with state programs such as the Kentucky Homecare Program, Personal Care Attendant Program, Kentucky Homestead Exemption, and LIHEAP for help with heating and cooling costs. Other state options include Kentucky Medicaid for the Aged, Blind & Disabled, Kentucky State Supplementation, and the Program of All-Inclusive Care for the Elderly. Nineteen federal programs also apply in Martin County, covering areas like health coverage, housing assistance, and prescription drug costs. Each program listed on this page includes its official source and the date it was last verified. The sponsoring agency always makes the final decision on eligibility.
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Local programs
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Kentucky programs
19
Federal programs
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Categories
Local starting point
Big Sandy Area Agency on Aging & Independent Living (Big Sandy Area Development District)
1-800-737-2723
See which of these Martin County programs you may qualify for.
Find my benefitsEmployment
Senior Community Service Employment Program (SCSEP)
FederalSCSEP places low-income job seekers age 55 and older into paid part-time community service assignments at nonprofits and public agencies — schools, libraries, food pantries, senior centers, parks departments, and similar host sites. Participants typically work 20 hours per week and earn at least the federal, state, or local minimum wage (in California, $16.50/hour in 2026, which works out to roughly $17,000 per year before taxes). The placement is paired with skills training, computer literacy, resume help, and one-on-one coaching aimed at moving the participant into unsubsidized employment within the broader job market. SCSEP is administered nationally by the Department of Labor and locally by AARP Foundation, the National Council on Aging, Goodwill, the National Caucus and Center on Black Aging, and state agencies; coverage exists in every California county though slot availability and the host-site mix vary by grantee.
$15,000–$17,000/yr
Energy Assistance
LIHEAP — Kentucky Low Income Home Energy Assistance Program
StateLIHEAP helps low-income Kentucky households pay their home heating costs. It has two main parts: a Subsidy component that gives a one-time heating bill credit (the application period runs in November and December), and a Crisis component that helps households facing a heating emergency such as a disconnect notice or being out of fuel (the application period runs from early January until mid-March, or until funds run out). Eligibility is based on household income at or below 130% of the federal poverty level; there is no age requirement, though the seasonal cooling program, when offered, gives priority to households with a member age 65 or older. The program is funded federally and administered by the Cabinet for Health and Family Services, but applications are taken by local Community Action Agencies across the state.
$150–$500/yr
Food Assistance
Congregate Meals at Senior Centers
FederalFunded under Older Americans Act Title III-C1 and run locally by Area Agencies on Aging, the Congregate Nutrition Program serves hot meals to seniors age 60 and older at senior centers, community centers, places of worship, and similar gathering sites. Most sites serve lunch on weekdays; some serve dinner or weekend meals as well. There is no income test. A voluntary contribution (typically $2–$4 per meal) is suggested but never required, and no senior is turned away for inability or unwillingness to contribute. Beyond the meal itself, sites typically offer health screenings, nutrition counseling, social activities, transportation assistance, and a built-in social network that reduces the isolation that contributes to depression and accelerated cognitive decline in older adults.
$1,000–$2,500/yr
Home-Delivered Meals (Meals on Wheels)
FederalFederally authorized under the Older Americans Act and locally operated by Area Agencies on Aging and Meals on Wheels affiliates, the Home-Delivered Meals Program brings hot or frozen meals — typically five to seven per week — to seniors age 60 and older who are homebound or have difficulty preparing meals safely on their own. There is no income test; the program is open to all qualifying seniors regardless of wealth. A voluntary contribution is suggested (a few dollars per meal) but never required, and no senior is turned away for inability or unwillingness to pay. Beyond the meals themselves, the daily home visit functions as a wellness check — drivers are trained to notice changes in health, mood, or living conditions and to alert local care coordinators when something looks wrong.
$1,500–$4,000/yr
Senior Farmers' Market Nutrition Program (SFMNP)
FederalSFMNP gives low-income seniors annual vouchers — roughly $40 per eligible person in California in 2026 — to buy fresh, unprepared, locally-grown fruits, vegetables, herbs, and honey at participating farmers' markets, roadside stands, and community-supported agriculture (CSA) programs. The federal program is funded by USDA and distributed locally by the California Department of Food and Agriculture through county and nonprofit partners (food banks, area agencies on aging, senior centers). Vouchers are typically distributed once per year between May and October. SFMNP is small in dollar value relative to other senior benefits but pairs well with CalFresh because it lets recipients buy farmers'-market produce that traditional grocery-store benefits don't always cover well.
$35–$50/yr
Health Care
CHAMPVA (Civilian Health and Medical Program of the VA)
FederalCHAMPVA is the VA's health-care program for spouses, surviving spouses, and dependent children of veterans who are rated 100% permanently and totally disabled from a service-connected condition, who died of a service-connected condition, or who died on active duty. CHAMPVA shares the cost of covered services — inpatient and outpatient care, prescriptions, durable medical equipment, mental health, and skilled nursing care — typically paying 75% of the VA-allowable amount after a small annual deductible. Once a beneficiary becomes Medicare-eligible at 65, CHAMPVA functions as a secondary payer that picks up most of what Medicare doesn't cover, including Part B coinsurance and many Part D-equivalent prescriptions. CHAMPVA is administered out of the VA Health Administration Center in Denver and is separate from TRICARE; a person eligible for TRICARE cannot use CHAMPVA.
$3,000–$15,000/yr
VA Health Care
FederalVA Health Care covers primary care, specialty care, mental health, hospital stays, prescriptions, and preventive services at the nationwide network of VA medical centers and community-based outpatient clinics. Most veterans with an other-than-dishonorable discharge are eligible to enroll. After enrollment the VA assigns the veteran a Priority Group (1 through 8) based on service-connected disability rating, special circumstances (former POW, Purple Heart, catastrophic disability), and income relative to the geographic-means-test threshold. Priority Groups 1 through 5 receive most care at no cost; higher priority groups pay copays that are still well below typical Medicare and private-insurance cost-sharing. VA Health Care does not replace Medicare for most senior veterans — most enroll in both — but it can substantially reduce out-of-pocket costs for care received at VA facilities, especially prescriptions ($0–$11 per fill versus typical Medicare Part D copays).
$5,000–$20,000/yr
Health Coverage
Kentucky Medicaid for the Aged, Blind & Disabled
StateKentucky Medicaid for the Aged, Blind, and Disabled is the state's comprehensive health coverage for seniors 65 and older (and people who are blind or disabled at any age) with limited income and resources. It covers doctor visits, hospital care, prescriptions, lab work, and long-term care, usually with little or no out-of-pocket cost, and it works alongside Medicare to cover what Medicare doesn't. Kentucky links this coverage to the federal SSI program: a senior who qualifies for SSI is automatically eligible for Medicaid, so the income and resource limits track the federal SSI standards — about $967 per month in countable income for an individual ($1,450 for a couple) and $2,000 in countable resources ($3,000 for a couple). Countable resources exclude your primary home and one vehicle. Seniors whose income is a little too high may still qualify through the Medically Needy 'spend-down' pathway, where medical expenses are used to offset income above the limit.
$4,000–$12,000/yr
Home Care
Kentucky Homecare Program
StateThe Kentucky Homecare Program provides in-home services that help frail seniors stay in their own homes instead of moving to a nursing facility. It is for Kentuckians 60 and older who cannot safely perform everyday activities on their own, or who are at risk of being placed in an institution. Services can include case management, personal care, home-delivered meals, homemaker and chore help, home repair, respite for family caregivers, and home health aide visits. It is a state-funded program (separate from Medicaid) and generally serves seniors who do not qualify for Medicaid; a voluntary donation may be requested but services are not denied for inability to pay. Because state funding is limited, the local Area Agency on Aging assesses each applicant's functional need and may maintain a waiting list.
$1,000–$5,000/yr
Program of All-Inclusive Care for the Elderly (PACE)
StatePACE is a comprehensive, integrated care program for seniors who are certified as needing nursing-home level of care but want to keep living in the community. A single PACE organization becomes the participant's complete medical home — primary care, specialists, hospital care, prescriptions, physical and occupational therapy, dental, vision, hearing, mental health, transportation to appointments, meals, and adult day care at a PACE center. For seniors who have both Medicare and Kentucky Medicaid, PACE replaces those benefits as one program with no out-of-pocket cost. PACE is operated by eight organizations across Kentucky and serves specific counties — including Louisville (Jefferson), Lexington (Fayette), and the western Purchase region (Calloway, Fulton, Graves, Hickman, Marshall, McCracken). Participants must live in a PACE organization's service area and agree to use only PACE-network providers.
$30,000–$80,000/yr
Personal Care Attendant Program (PCAP)
StateThe Personal Care Attendant Program subsidizes a personal attendant for Kentucky adults with a severe physical disability so they can live and participate in the community. Attendants help with personal care, housekeeping, shopping, travel, self-care procedures, meal preparation, and other day-to-day activities. The program is for adults who are severely physically disabled — specifically, with permanent or temporary recurring functional loss of two or more limbs — who need between 14 and 40 hours of attendant care per week and are able to direct their own attendants (hiring, scheduling, and handling payroll paperwork). It is a consumer-directed program: the participant is the employer of their attendant.
$5,000–$20,000/yr
Participant Directed Services (PDS)
StateParticipant Directed Services is a self-direction option within Kentucky Medicaid's Home and Community Based Services waivers. It is not a standalone benefit you apply for on its own — it is available to people who qualify for and are enrolled in one of Kentucky's Medicaid waivers (Home and Community Based, Supports for Community Living, Acquired Brain Injury, or Michelle P.). For people in an eligible waiver, PDS lets the participant choose, hire, train, schedule, and manage their own non-medical caregivers — including hiring family or friends — instead of using an agency, with help from a support broker to build a service plan and budget. The value of PDS is control over who provides your care, not an additional dollar benefit on top of the waiver.
Housing
Housing Choice Voucher (Section 8)
FederalThe Housing Choice Voucher program (commonly called Section 8) helps very-low-income households rent housing in the private market. The household generally pays about 30% of its adjusted income toward rent and the voucher covers the rest, up to a local payment standard, so housing cost scales to income instead of market rent. Unlike Section 202, a voucher is not tied to one building — it can be used at any rental whose owner accepts it and that meets program rent and quality standards, and in California source-of-income discrimination law requires most landlords to consider voucher holders. Vouchers are administered by local Public Housing Agencies, each with its own waiting list; many California PHAs maintain senior or senior/disabled preference categories. The benefit is large in high-rent California markets, but voucher waiting lists are among the longest of any benefit — frequently 5 to 10+ years, and many are closed except during brief lottery openings.
$8,000–$20,000/yr
HUD Section 202 Supportive Housing for the Elderly
FederalSection 202 funds nonprofit-owned apartment communities built specifically for low-income seniors age 62 and older, paired with on-site supportive services (a service coordinator, transportation, meal programs, light housekeeping referrals) designed to let residents age in place. Residents generally pay 30% of their adjusted income toward rent and HUD covers the rest, so the out-of-pocket housing cost scales down with income rather than tracking market rent. For a low-income senior in a high-rent California market this is one of the largest single dollar-value benefits available — but Section 202 properties are individually owned, have limited units, and almost always carry multi-year waiting lists, so it is best understood as something to get on the list for now rather than a benefit that starts quickly.
$5,000–$15,000/yr
Income Support
Supplemental Security Income (SSI)
FederalSSI is a federal monthly cash benefit for people 65 and older (or blind / disabled at any age) with very limited income and resources. It's a separate program from Social Security retirement — you can qualify for SSI even if you never worked enough to get Social Security, and many people qualify for both. In California, SSI recipients also get the State Supplementary Payment (SSP) on top, which adds several thousand dollars a year to the federal benefit. SSI is also a gateway: it can automatically open the door to Medi-Cal, CalFresh, and Extra Help.
$11,604–$17,400/yr
Kentucky State Supplementation
StateKentucky State Supplementation is a state cash payment, on top of federal SSI, for aged, blind, or disabled Kentuckians in certain living arrangements. It is tied to where you live: a licensed personal care home, a licensed family care home, a home where a caretaker provides supervision and care, or a private residence for a person with a serious mental illness. The payment fills the gap between your countable income and a state-set standard of need for your living arrangement (for example, the monthly standard is higher for a personal care home than for a caretaker arrangement), so it is most valuable for low-income seniors in supported or congregate-care settings. There is no benefit for an aged/blind/disabled senior who lives fully independently without one of these arrangements. It is administered by the Department for Community Based Services and the countable-resource limit is $2,000 for an individual ($3,000 for a couple).
$1,000–$5,500/yr
Medicare Savings
Extra Help (Part D Low-Income Subsidy)
FederalExtra Help (also called the Part D Low-Income Subsidy or LIS) lowers your prescription drug costs under Medicare Part D. It can pay your Part D premium, cap copays at a few dollars per prescription, and eliminate the coverage gap. The Social Security Administration estimates Extra Help is worth about $5,300 a year for people who qualify. It's frequently bundled with QMB / SLMB / QI but you can apply independently.
$4,000–$5,300/yr
Qualifying Individual (QI)
FederalQI is the top income tier of the Medicare Savings Programs. Like SLMB, it pays the Medicare Part B premium (around $185/month, roughly $2,220/year) — but for households whose income is too high for SLMB. Eligibility falls between 120% and 135% of the federal poverty level. QI funding is a federal block grant awarded on a first-come, first-served basis each calendar year, and enrollment must be renewed every year. QI is mutually exclusive with full Medi-Cal — anyone already receiving Medi-Cal benefits is not eligible for QI but typically gets the Part B premium covered by Medi-Cal directly.
$2,100–$2,220/yr
Qualified Medicare Beneficiary (QMB)
FederalQMB pays your Medicare Part A and Part B premiums, deductibles, coinsurance, and copayments. If you qualify, you should not be billed for any Medicare-covered services. It's the most generous of the four Medicare Savings Programs and is widely under-enrolled — the federal government estimates millions of eligible Americans are not enrolled.
$1,800–$2,400/yr
Specified Low-Income Medicare Beneficiary (SLMB)
FederalSLMB pays your Medicare Part B premium (currently around $175/month, ~$2,100/year) if your income is too high for QMB but still below 120% of the federal poverty level. It's the middle tier of the Medicare Savings Programs and is widely under-enrolled — when income is just above the QMB cutoff, SLMB usually applies. Asset limits are the same as QMB.
$2,100–$2,220/yr
Supportive Services
National Family Caregiver Support Program (OAA Title III-E)
FederalTitle III-E of the Older Americans Act funds support specifically for the family members and informal caregivers who look after an older adult — not the senior, the person caring for them. Through the local Area Agency on Aging, an unpaid family caregiver (an adult child, a spouse, or another relative) of a person 60 and older can access respite care that gives them a break, individual counseling and caregiver support groups, training on safe transfers, medication management and dementia care, information and assistance navigating other programs, and limited supplemental services like consumable supplies or minor home modifications. There is no income test for the caregiver. Caregiver burnout is one of the leading reasons a senior ends up institutionalized, so this program protects both the caregiver's health and the senior's ability to stay home.
$1,000–$5,000/yr
Older Americans Act Supportive Services (Title III-B)
FederalTitle III-B of the Older Americans Act funds a broad menu of non-medical supportive services that help seniors age 60 and older stay independent in their own homes and communities. Through the local Area Agency on Aging, eligible seniors can access subsidized or free transportation to medical appointments and grocery stores, homemaker and chore help, personal care, friendly-visitor and telephone-reassurance programs, adult day care, home repair and modification (grab bars, ramps), legal assistance for non-criminal matters like benefits appeals and consumer fraud, and case management to coordinate all of it. There is no income test, though local agencies target services to those in greatest social and economic need and a voluntary contribution may be requested. The same Area Agency on Aging that runs senior meals administers these services, so one phone call opens the door to the whole package.
$500–$3,000/yr
Hart-Supported Living Program
StateThe Hart-Supported Living Program makes grants for flexible, individualized supports that help Kentuckians with a disability live in their own homes and communities and avoid institutional care. Funds can go toward a broad, person-centered range of supports chosen to promote community participation, independence, and skill-building. There is no income test. It is open to a Kentuckian of any age with a disability as defined by the Americans with Disabilities Act. Because grant funding is limited, applications go through an individualized review-and-funding process — meeting the disability criterion does not guarantee a grant.
$500–$5,000/yr
Kentucky Traumatic Brain Injury Trust Fund
StateThe Traumatic Brain Injury Trust Fund helps Kentuckians who have a partial or total disability caused by an injury to the brain and who do not have other viable funding sources for the services they need. It is a payer of last resort — it covers services only when other benefits have been exhausted or don't cover them. There is no family income cap. Covered supports include case management, community residential services, structured day programs, psychological services, prevocational and supported-employment services, companion services, respite care, occupational therapy, and speech/language therapy. It does not cover institutionalization, hospitalization, medication, or legal/court costs. Benefits are capped at $15,000 per year and $60,000 over a lifetime (case management does not count toward the caps).
$2,000–$15,000/yr
Big Sandy Senior Center & Nutrition Services
CountyThrough the Big Sandy Area Agency on Aging & Independent Living, Kentuckians 60 and older in Martin County can use Older Americans Act (Title III) aging services. The region runs 17 senior centers across its five counties offering education, health-promotion programs, information and assistance, outreach, recreation, telephone reassurance, and transportation, alongside congregate and home-delivered meals, in-home services, family-caregiver support, and a no-cost Aging & Disability Resource Center for one-stop information and referral across the five-county Big Sandy region (Floyd, Johnson, Magoffin, Martin, Pike). Most services have no income test; a voluntary donation may be requested but services are not denied for inability to pay.
Tax Relief
Federal Credit for the Elderly or the Disabled (IRS Schedule R)
FederalThe Credit for the Elderly or the Disabled is a nonrefundable federal income tax credit, claimed on IRS Schedule R, for taxpayers who are age 65 or older (or who are permanently and totally disabled) and have low income. The maximum credit is $1,125 for a single filer and up to $1,500 for a married couple, but the actual amount is reduced — often to zero — by any nontaxable Social Security benefits and by adjusted gross income above a low threshold. Because the income limits have not been updated since the 1980s, the credit most often produces a real dollar benefit for low-income seniors whose income comes from small pensions or wages rather than Social Security, and for people under 65 retired on permanent disability. It is one of the most under-claimed line items on the senior tax return, in part because the seniors it targets frequently are not required to file at all.
up to $1,125/yr
Kentucky Homestead Exemption
StateThe Homestead Exemption lowers the property taxes on a Kentucky homeowner's primary residence by reducing its taxable assessed value. For the 2025-2026 assessment years the exemption is $49,100 — that amount is subtracted from the home's assessed value before property tax is calculated, so the actual savings depends on the local tax rate (commonly a few hundred dollars a year). It is available to homeowners who are 65 or older, or who are totally and permanently disabled. The disability pathway requires being classified as totally disabled under a program authorized or administered by a U.S. government agency or a retirement system, and receiving disability payments for the entire assessment period. There is no income limit. Once granted to a homeowner who is 65 or older, the exemption does not have to be reapplied for; the disability exemption may require annual reapplication unless the disability is permanent per the Social Security Administration, the Kentucky Retirement Systems, or a service-connected veteran's rating.
$300–$550/yr
Utility Assistance
Federal Lifeline
FederalFederal Lifeline is a Universal Service Fund program that discounts a single phone or internet (or bundled) service line by $9.25 per month for low-income households — and by up to $34.25 per month for residents of qualifying Tribal lands. Eligibility has two paths: an income test (household income at or below 135% of the federal poverty level) and a program-based path (current participation in Medicaid/Medi-Cal, SNAP/CalFresh, SSI, federal public housing assistance, or the Veterans Pension or Survivors Pension Benefit). Either path qualifies the household — both don't have to be met. The federal Lifeline discount is separate from but designed to stack with California LifeLine, so most California seniors who qualify for one will qualify for the other.
$111–$411/yr
Weatherization Assistance Program (WAP)
FederalWAP funds free home energy upgrades for income-eligible households to reduce energy bills, improve comfort, and address health-and-safety hazards. After a free professional energy audit, local providers install whatever the audit identifies — typically attic and wall insulation, air-sealing, weatherstripping, duct sealing, water-heater wraps, LED lighting, smart thermostats, refrigerator replacement (for very old high-draw units), HVAC tune-ups or replacement, ventilation upgrades, and carbon-monoxide detector installation. Average per-home investment in California ranges from $3,000 to $8,000 depending on the home's condition. WAP is open to homeowners AND renters (rental units require landlord written consent). The program is one-time per home (typically), though homes can sometimes be re-weatherized after 15 years if a new audit identifies additional measures. WAP is funded primarily by the U.S. Department of Energy with additional layered funding from HHS (LIHEAP-Wx) and state utility programs, all delivered by the same local providers.
$3,000–$8,000/yr
Veteran Benefits
VA Aid & Attendance (Improved Pension)
FederalAid & Attendance is a tax-free monthly benefit added on top of the basic VA pension for wartime veterans (or their surviving spouses) who need help with daily activities like bathing, dressing, eating, or managing medications — or who are housebound, in a nursing facility, or have very limited eyesight. The benefit is widely under-claimed because many veterans assume their non-service-connected condition disqualifies them. Eligibility requires the veteran to have served at least 90 days of active duty with at least one day during a recognized wartime period, plus income and net worth below VA limits. VA uses a special income calculation that subtracts unreimbursed medical expenses from gross income before applying the limit — so the income test here is approximate.
$12,000–$34,488/yr
Not legal or financial advice. The agency makes the final eligibility decision.
