Senior benefits in Pike County, Missouri
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Seniors in Pike County, Missouri have access to a wide range of benefit programs that can help with health care costs, home energy bills, transportation, and more. The Northeast Missouri Area Agency on Aging (NEMO AAA) is a strong local starting point — it connects older adults and family caregivers to services across the region. Pike County residents may also qualify for the Senior Property Tax Freeze under SB 190, which was adopted locally, as well as financial assistance through Pike County Memorial Hospital for those who need help with medical bills. OATS Transit provides demand-response rides for seniors who need transportation, and energy cost help may be available through the local LIHEAP program delivered by North East Community Action Corporation (NECAC). State programs such as the Missouri Property Tax Credit, MO HealthNet, Missouri SHIP free Medicare counseling, and Senior Meals add even more layers of support. Federal programs also apply here. Each listing on this page includes its official source and the date it was last verified, but the administering agency makes the final eligibility decision.
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Local programs
17
Missouri programs
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Federal programs
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Categories
Last verified · October 9, 2026
Local starting point
Northeast Missouri Area Agency on Aging (NEMO AAA) — Missouri Area Agency on Aging network (DHSS Senior and Disability Services)
1-660-665-4682
See which of these Pike County programs you may qualify for.
Discover my benefitsHelping others? Print the Pike 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 Pike County
Run by the county, its Area Agency on Aging, or another agency serving Pike County. Start here.
Elder Services in Pike County
Programs here typically provide services worth $500–$6,000 a year to an eligible household.
Area Agency on Aging (Northeast Missouri Area Agency on Aging (NEMO AAA)) — Pike
County · MissouriNortheast Missouri Area Agency on Aging (NEMO AAA) is the Area Agency on Aging for Pike County. It is the local starting point that connects older adults and caregivers to Region 5 Area Agency on Aging in Kirksville, serving 16 northeast Missouri counties. Programs include information and referral/assistance, in-home services, congregate and home-delivered nutrition, legal assistance, the long-term care ombudsman program, transportation (contracted with OATS Transit), caregiver resources and respite, advocacy, and an in-house wellness center. Site states: "NEMO AAA programs and services are available for anyone above the age of 60 or a caregiver who resides in the counties of Adair, Clark, Knox, Lewis, Lincoln, Macon, Marion, Monroe, Montgomery, Pike, Ralls, Randolph, Schuyler, Scotland, Shelby, and Warren." The services list and the age-60 sentence quoted above both appear on the NEMO AAA home page (https://nemoaaa.org/), which is cited here because the deeper pages https://nemoaaa.org/services/ and https://nemoaaa.org/services-by-county/ rate-limit automated fetchers (HTTP 429) and 403 plain fetchers; they load normally in a browser. Most services are for adults 60 and older; adults with disabilities may also qualify for some services. Call 1-660-665-4682 to get started.
Estimated service value: $500–$6,000 a year
Energy Assistance in Pike County
Programs here typically lower an eligible household's bills by $300–$1,000 a year.
Energy Assistance (LIHEAP) — Pike
County · MissouriMissouri's Energy Assistance and Energy Crisis Intervention programs (LIHEAP) help income-eligible households in Pike County pay heating and cooling bills and resolve utility emergencies. The DSS Family Support Division funds the program, and North East Community Action Corporation (NECAC) takes applications for this county. Winter and summer components run on their own seasons while funds last. Call 1-573-564-4002 to apply.
Estimated bill savings: $300–$1,000 a year
Healthcare in Pike County
Hospital Financial Assistance (Pike County Memorial Hospital) — Pike
County · MissouriUninsured and underinsured residents of Pike County can apply for financial assistance (charity care) at Pike County Memorial Hospital for emergency and medically necessary care. Discounts are based on household size and income compared with the Federal Poverty Level. Hospital in Louisiana, MO (Pike County). Its page states PCMH "will offer financial assistance and counseling for uninsured or underinsured people" and that "Financial Assistance applications must be completed and returned within 60 days." Questions: 573-754-5531 ext 116.
Estimated bill savings: about $0 a year
Tax Relief in Pike County
Programs here typically lower an eligible household's bills by $100–$2,000 a year.
Senior Property Tax Freeze (SB 190) — Pike
County · MissouriPike County has adopted Missouri's senior property tax credit (SB 190): homeowners 62 or older can freeze the real-estate tax bill on their primary home, so it stops rising in later years. Applications: March 15 through June 30 (2027 applications available starting March 15, 2027 until June 30, 2027). The Pike County Collector's Senior Tax Freeze page lists the qualifications as: "Deed holder of primary residence in Pike County"; "62 years of age by January 1 of the year applying"; "A Missouri resident"; "All taxes must be current, no delinquencies." It states "Senior Tax Freeze 2027 Applications will be available starting March 15, 2027 until June 30, 2027." Collector Tara J. Eskew, 115 West Main, Bowling Green, MO 63334, 573-324-3281, collector@pikecounty-mo.gov. Apply through the county's program office.
Estimated bill savings: $100–$2,000 a year
Transportation in Pike County
Programs here typically provide services worth $150–$1,500 a year to an eligible household.
Public Demand-Response Rides (OATS Transit) — Pike
County · MissouriOATS Transit serves Pike County. OATS Transit is a shared-ride, demand-response public transportation service covering 87 rural Missouri counties. Reservations are taken 7:00 am to 4:00 pm (next-day service must be requested by 1:00 pm). Fares are paid in advance from a rider account: add funds by credit or debit card ($10.00 minimum when adding funds by phone), or mail a personal check, money order, or cashier's check to the OATS Transit office. Drivers do not accept payment on the bus. Pike County routes: Bowling Green every Thursday. Fares $2.00 in-town / $3.00 county service. InterCity routes: Hwy 54 & I-70 from Louisiana to Columbia on the 1st & 3rd Thursday; Hwy 54 & 61 from Louisiana to Quincy, IL on the 2nd & 4th Thursday; St. Louis Tuesday, Wednesday and Friday ($10.00 round trip, appointments 10am-2pm). Pickup points: Bowling Green (Jct 61 & 161 McDonald's), Eolia (Jct 61 & FF Phillips 66), Frankford (Haden's Motorsports Center) and Louisiana (Jct 79 & 54 Fast Lane). OATS Transit is open to riders of any age — the page for this county states it is 'available to anyone regardless of age, income, disability, race, gender, religion, or national origin'. Fares are listed above, but riders age 60 and older — and riders with disabilities — who travel under the Area Agency on Aging contract do not pay a set fare. They are asked to contribute what they can instead. Ask about the AAA contract when you book. Call ahead, as rides are scheduled in advance. Call 660-415-0901 or 800-654-6287 for schedules, fares, or to book a ride.
Estimated service value: $150–$1,500 a year
Local agencies serving Pike 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.
Northeast Missouri Area Agency on Aging (NEMO AAA)
Runs: Area Agency on Aging (Northeast Missouri Area Agency on Aging (NEMO AAA))
Pike County Memorial Hospital
Runs: Hospital Financial Assistance (Pike County Memorial Hospital)
Pike County (program authorized by RSMo 137.1050, adopted by county action)
Missouri and federal programs
Open to eligible households in Pike County and across the rest of Missouri. Full details are on the Missouri 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 (QMB / SLMB / QI-1) — Missouri
- MO HealthNet for the Aged, Blind & Disabled (MHABD)
- MO HealthNet Spend Down
- Missouri SHIP — Free Medicare Counseling (formerly CLAIM)
- Extra Help (Part D Low-Income Subsidy)
- Qualifying Individual (QI)
- Qualified Medicare Beneficiary (QMB)
- Specified Low-Income Medicare Beneficiary (SLMB)
- State Health Insurance Assistance Program (SHIP)
Food7 programs
SNAP (food stamps), meals, and farmers market coupons.
- Senior Farmers Market Nutrition Program — Missouri
- Senior Meals — Home-Delivered & Congregate (Missouri)
- Commodity Supplemental Food Program (CSFP) Senior Food Box
- Congregate Meals at Senior Centers
- Home-Delivered Meals (Meals on Wheels)
- Senior Farmers' Market Nutrition Program (SFMNP)
- SNAP (Supplemental Nutrition Assistance Program) for Seniors
Home, bills & taxes9 programs
Help with heating and electric bills, rent, property taxes, and home repairs.
- LIHEAP — Energy Assistance & Energy Crisis Intervention (Missouri)
- Weatherization Assistance Program — Missouri
- Missouri Property Tax Credit (Circuit Breaker)
- Social Security State Income Tax Exemption — Missouri
- 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.
Help, advice & legal5 programs
Free counseling, legal help, rides, and other senior services.
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.
