Senior benefits in Swain County, North Carolina

Older adults age 60 and over in Swain County, and adults with disabilities, can get help through the Southwestern Commission Area Agency on Aging (Region A). Services include caregiver support, free Medicare counseling (SHIIP), home-delivered and congregate meals, in-home aide help, and guidance on long-term care choices. Call 828-586-1962 to ask which services are open and how to start.

Estimated service value: $500–$6,000 a year

Swain County Department of Social Services runs the Low Income Energy Assistance Program (LIEAP), a one-time yearly payment toward heating bills, and the Crisis Intervention Program (CIP) for households facing a heating or cooling emergency. Households with someone age 60 or over, or a person with a disability who gets services through the Division of Aging, can apply starting December 1; all other households can apply January 1 through March 31 or until funds run out. Apply online through ePASS (https://epass.nc.gov) or contact the county DSS at 1-828-488-6921.

Estimated bill savings: $300–$900 a year

Swain Community Hospital in Bryson City offers financial assistance for patients who cannot afford their care. Eligibility is based on family size and income measured against the federal poverty guidelines, using a sliding fee scale. Both insured and uninsured patients may apply. Call Patient Financial Services at 828-586-7355 for help with the application.

Estimated bill savings: $500–$20,000 a year

In this county: Financial assistance is income-based on a sliding scale tied to the federal poverty guidelines (family size and income); the hospital determines the discount after you apply.

Home Care Independence lets Swain County residents age 60 and older hire a family member, friend or other person of their choice as a paid personal assistant. The assistant helps with personal care such as bathing and dressing, and with home tasks such as cooking, cleaning, laundry and shopping. A care advisor helps you plan and direct your own care, and a payroll service pays the assistant. Call Swain County Health Department at 828-488-3198 to ask about openings.

Swain Public Transit gives rides across Swain County to medical appointments, the senior center, shopping, and errands, with a focus on older adults and people with disabilities. It is run through the county's Focal Point on Aging. Rides are demand-response and booked ahead. Call 828-488-3213 to schedule.

Estimated service value: $200–$1,500 a year