Senior benefits in New York County, New York

Manhattan (New York County) emergency aid: (1) NYC HRA One-Shot Deal / Cash Assistance for utility shut-off, rent arrears, eviction prevention (212-331-3126); (2) NYC Aging Older Adult Centers for ongoing meals/social services (212-244-6469); (3) NYC H+H for healthcare (844-692-4692); (4) Catholic Charities of New York (212-371-1000, archdiocese-wide) and Catholic Charities Brooklyn-Queens (718-722-6000); (5) Met Council on Jewish Poverty; (6) Borough-specific food pantries via City Harvest. Dial 311 for general referrals or 211 for the United Way 2-1-1 line.

Estimated bill savings: $200–$3,000 a year

In this county: Manhattan/New York County: NYC referral-coordination model. ACCESS HRA + 311 are the universal entry points.

NYC HRA delivers NY's HEAP for Manhattan residents: Regular HEAP (annual heating help), Emergency HEAP (utility shut-off / fuel-out crises), and Cooling Assistance (AC unit). Eligibility approximately at 60% State Median Income; seniors 60+ get priority. Apply through ACCESS HRA online (access.nyc.gov), in person at an HRA Job Center, by calling 311, or at a designated NYC Aging Older Adult Center. NYC DSS OneNumber: 718-557-1399.

Estimated bill savings: $200–$1,500 a year

In this county: Manhattan: NYC HRA delivery of NY HEAP. Application windows are seasonal — Regular and Emergency HEAP close in spring; Cooling opens around April 15.

NYC Health + Hospitals operates the city's public hospital safety net. Options (formerly HHC Options) is a sliding-scale fee program for uninsured or underinsured patients regardless of immigration status — applies to all H+H hospitals and Gotham Health clinics, including those serving Manhattan. Patients pay a flat reduced rate based on family income: at or below 200% FPL the fee is $0 for clinic visits, ER visits, prescriptions, ambulatory surgery and inpatient stays; 201%-500% FPL pays a sliding fee scale (table effective 04/01/2026). Apply at any H+H facility, online at nychealthandhospitals.org, or call 1-844-692-4692 (option 3) for a financial counselor. Manhattan primary H+H hospitals: NYC Health + Hospitals/Bellevue, NYC Health + Hospitals/Harlem, NYC Health + Hospitals/Metropolitan (Manhattan).

Estimated bill savings: $500–$30,000 a year

In this county: Manhattan: HHC Options is regardless of immigration status — distinctive among US public hospital systems. Fee is $0 at or below 200% FPL; sliding fee scale from 201% to 500% FPL.

NYC Aging (DFTA) operates 300+ Older Adult Centers (OACs) across all 5 boroughs serving ~30,000 New Yorkers age 60+ daily with healthy meals, fitness classes, social activities, and case management — membership is FREE. Additional services: Home-Delivered Meals (HDM) for homebound seniors; Naturally Occurring Retirement Community (NORC) social services; Caregiver Support; Legal Services; Geriatric Mental Health (licensed clinicians at OACs in every borough). Find a Manhattan Older Adult Center or apply for HDM by calling DFTA at 212-244-6469 or 311 (Aging Connect).

Estimated service value: $1,200–$6,000 a year

In this county: Manhattan/NYC: Older Adult Center membership is FREE and largely income-blind for the social/meals/programs side. NYC Aging is the largest urban AAA in the country.

MTA Reduced-Fare MetroCard (and OMNY) cuts subway, bus, and Staten Island Railway fares in half for riders age 65+ or with a qualifying disability. Access-A-Ride is the MTA's ADA paratransit for people who cannot use the subway or bus due to disability — covers all 5 boroughs door-to-door. Reduced-Fare: apply in person (riders 65+ can get the Reduced-Fare OMNY card the same day) or by mail — the online application is not currently available. Access-A-Ride: apply by calling 877-337-2017 for an eligibility assessment.

Estimated service value: $500–$3,500 a year

In this county: Manhattan/NYC: MTA Reduced-Fare is essentially automatic for age 65+. Access-A-Ride requires functional assessment.