Senior benefits in Montgomery County, Virginia
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Seniors aged 65 and older living in Montgomery County, Virginia have access to a wide range of benefit programs that can help with everyday costs, health care, housing, and more. The New River Valley Agency on Aging is a strong local starting point — it connects older adults and family caregivers to services across the region. Right here in the county, programs like Real Estate Tax Relief for the Elderly and Disabled, Energy Assistance through LIHEAP, and Senior and Disabled Transit through Blacksburg Transit may help reduce financial pressure. LewisGale Hospital Montgomery offers financial assistance for eligible patients. State programs such as Virginia Medicaid, Medicare Savings Programs, VICAP, the Virginia Age Deduction, and the Commonwealth Coordinated Care Plus Waiver add another layer of support. Federal programs covering food, health coverage, and veterans' benefits are also listed below. Each program on this page includes its official source and the date it was last verified. The administering agency always makes the final eligibility decision.
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Local programs
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Virginia programs
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Federal programs
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Categories
Last verified · October 7, 2026
Local starting point
New River Valley Agency on Aging — Virginia Department for Aging and Rehabilitative Services (DARS) network
1-540-980-7720
See which of these Montgomery County programs you may qualify for.
Discover my benefitsHelping others? Print the Montgomery 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 Montgomery County
Run by the county, its Area Agency on Aging, or another agency serving Montgomery County. Start here.
Elder Services in Montgomery County
Programs here typically provide services worth $500–$6,000 a year to an eligible household.
Area Agency on Aging (New River Valley Agency on Aging) — Montgomery
County · VirginiaNew River Valley Agency on Aging is the Area Agency on Aging for Montgomery County. It is the local starting point that connects older adults and caregivers to Care coordination, congregate and home-delivered meals, homemaker services, medical transportation, respite care, legal services, ombudsman, and VICAP Medicare counseling for adults 60+; service area includes Montgomery County and the towns of Blacksburg and Christiansburg. Most services are for adults 60 and older; adults with disabilities may also qualify for some services. Call 1-540-980-7720 to get started.
Estimated service value: $500–$6,000 a year
Energy Assistance in Montgomery County
Programs here typically lower an eligible household's bills by $300–$1,000 a year.
Energy Assistance (LIHEAP) — Montgomery
County · VirginiaThe Virginia Energy Assistance Program (LIHEAP) helps income-eligible households in Montgomery County pay heating and cooling bills, with crisis help for shut-offs and broken equipment. Apply during the program windows through the Montgomery County Department of Social Services, online at CommonHelp, or by phone at 1-855-635-4370. Cooling Assistance requires a household member who is 60 or older, has a disability, or is a child under 6. Fuel Assistance applications are taken each fall and Cooling Assistance each summer, while funds last.
Estimated bill savings: $300–$1,000 a year
Healthcare in Montgomery County
Hospital Financial Assistance (LewisGale Hospital Montgomery) — Montgomery
County · VirginiaUninsured and underinsured residents of Montgomery County can apply for financial assistance (charity care) at LewisGale Hospital Montgomery for emergency and medically necessary care. Discounts are based on household size and income compared with the Federal Poverty Level. Two in-county hospitals: LewisGale Hospital Montgomery, 3700 S Main St, Blacksburg (HCA — 100% charity discount at 0-200% FPL; expanded assistance 201-400% FPL for balances over $1,500) and Carilion New River Valley Medical Center, 2900 Lamb Circle, Christiansburg (Carilion FAP: https://www.carilionclinic.org/financial_assistance_policy_english.pdf, 1-866-720-3742).
Estimated bill savings: about $0 a year
Tax Relief in Montgomery County
Programs here typically lower an eligible household's bills by $200–$3,000 a year.
Real Estate Tax Relief for the Elderly & Disabled — Montgomery
County · VirginiaMontgomery County offers real estate tax relief (exemption) for homeowners who are 65 or older or permanently disabled. Total household income must be $72,000 or less, and net worth (not counting the home) must be $210,000 or less. Relief ranges from 40 percent to 100 percent depending on total household income; covers real estate and mobile homes. Repeat applicants file by March 1; first-time applicants may file through Dec. 31. Apply through the local commissioner of the revenue or assessment office.
Estimated bill savings: $200–$3,000 a year
Transportation in Montgomery County
Programs here typically provide services worth $150–$1,500 a year to an eligible household.
Senior & Disabled Transit (Blacksburg Transit) — Montgomery
County · VirginiaBlacksburg Transit serves Montgomery County with Fixed-route bus service in Blacksburg and Christiansburg plus BT Access ADA paratransit — all fare-free, so no senior fare/ID is needed. County areas outside BT's service area are covered by the fare-free CTGo on-demand service for riders 65+ or disabled (nrvcs.org/ctgo, 540-831-4020). Older adults and people with disabilities can use reduced fares or demand-response rides for medical appointments, shopping, and other essential trips. Rides are free or low-cost depending on the service. Call 1-540-443-1500 for schedules, eligibility, or to book a ride.
Estimated service value: $150–$1,500 a year
Local agencies serving Montgomery 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.
New River Valley Agency on Aging
Runs: Area Agency on Aging (New River Valley Agency on Aging)
LewisGale Hospital Montgomery
Runs: Hospital Financial Assistance (LewisGale Hospital Montgomery)
Montgomery County Commissioner of the Revenue / assessment office
Blacksburg Transit
Virginia Department of Social Services
Virginia and federal programs
Open to eligible households in Montgomery County and across the rest of Virginia. Full details are on the Virginia benefits page.
Money & income3 programs
Cash paid to you, and emergency help when money runs short.
Health & Medicare costs8 programs
Medicaid, Medicare savings, and help with drug and doctor bills.
- Medicare Savings Programs (QMB / SLMB / QI) — Virginia
- Virginia Medicaid — Aged, Blind & Disabled (Cardinal Care)
- VICAP — Virginia Insurance Counseling and Assistance Program
- 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.
- Farm Market Fresh (Senior Farmers' Market Nutrition Program) — Virginia
- Nutrition Counseling
- 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 & taxes11 programs
Help with heating and electric bills, rent, property taxes, and home repairs.
- Virginia Energy Assistance Program (Fuel, Crisis & Cooling)
- Senior Cool Care
- Weatherization Assistance Program — Virginia
- Real Estate Tax Exemption for 100% Disabled Veterans & Surviving Spouses
- Virginia Age Deduction (State Income Tax)
- Virginia Military Benefits Subtraction
- 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 care7 programs
Help staying in your home, nursing home alternatives, and support for family caregivers.
- Adult Services In-Home Help (Homemaker, Companion & Chore Services)
- Virginia DARS Personal Assistance Services (attendant care)
- Commonwealth Coordinated Care Plus Waiver (Medicaid Long-Term Care at Home)
- Virginia Veterans Care Centers (State Veterans Homes)
- Family Caregiver Support — Virginia
- PACE — Program of All-Inclusive Care for the Elderly
- National Family Caregiver Support Program (OAA Title III-E)
Help, advice & legal7 programs
Free counseling, legal help, rides, and other senior services.
- Disease Prevention & Wellness Programs
- Virginia Brain Injury Services (DARS community brain injury programs)
- Free VA Benefits Claims Assistance (Virginia Department of Veterans Services)
- Virginia State Veterans Cemeteries (No-Cost Burial)
- 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.
