Montgomery County, Maryland vs Palm Beach County, Florida

SPDAP pays up to $100 a month toward the Medicare Part D or Medicare Advantage drug-plan premium for moderate-income Maryland residents on Medicare. Members must live in Maryland (at least six months), be enrolled in a Part D plan, and not receive full federal Extra Help or Medicaid. Income must be under the program's cap (about three times the federal poverty level — call for the current dollar amounts). Apply by mail or phone: 1-800-551-5995.

Estimated bill savings: $300–$1,200 a year

Uninsured and underinsured residents of Montgomery can apply for financial assistance (charity care) at Adventist HealthCare Shady Grove Medical Center for emergency and medically necessary care. Adventist HealthCare provides free care at or below 200% of the federal poverty level and sliding-scale discounts above that (per its assistance page). Maryland law requires every hospital to offer financial assistance with state-set minimums.

Estimated bill savings: about $0 a year

Maryland's Senior Call Check program — the first statewide program of its kind — gives residents 60 and older a free automated telephone check-in every day. If the participant does not answer their scheduled call (after retries), the program alerts a designated contact or emergency services. The expanded Social Connections side adds friendly conversation options. Register free at 1-866-502-0560 or online.

Estimated service value: about $0 a year

SOAR is a Maryland Department of Aging program that helps older adults who need help with daily activities stay in their homes. It offers case management and home and community supports that may include personal care, homemaker and chore help, meals, transportation, safety-related minor home repairs, adult day care, medical supplies, emergency response systems, and respite care. It can also pay part of the monthly fee for assisted living. It is for Marylanders 62 and older with income under 60% of the state median income and limited assets, including people who do not qualify for Medicaid or are on a Medicaid waiver waitlist. In 2026 Maryland combined three older state programs into SOAR. Services depend on yearly state funding. To apply, contact Maryland Access Point or your local Area Agency on Aging, or call the Department of Aging at 1-800-243-3425.

Estimated service value: about $0 a year

Maryland's Homeowners' Property Tax Credit caps the property tax owed based on income — if taxes exceed a percentage of household income, the state pays the difference. Combined gross household income must be $60,000 or less and net worth under $200,000 (not counting the home and retirement accounts). One application also triggers any county supplemental credit automatically. Apply to SDAT by October 1 each year.

Estimated bill savings: $200–$2,000 a year

Maryland's Renters' Tax Credit pays up to $1,000 a year to renters — the renter's counterpart of the homeowners' credit, on the idea that rent indirectly pays property tax. Renters age 60 or older (or 100% disabled, or surviving spouses 50+) qualify based on an income chart; younger renters with children may also qualify. Apply to SDAT by October 1.

Estimated bill savings: $100–$1,000 a year

Maryland gives residents 65 and older a nonrefundable state income-tax credit: $1,000 for single filers with federal adjusted gross income up to $100,000, and $1,750 for joint filers (both 65+) up to $150,000. Claim it on the Maryland income tax return — no separate application. Maryland also does not tax Social Security benefits.

Estimated bill savings: $1,000–$1,750 a year

The Health Care District of Palm Beach County (HCD) is a public special taxing district created by special act of the Florida Legislature in 1988 and funded by countywide property tax — i.e., every Palm Beach County property owner already pays into it. HCD runs an integrated public health system that includes the C. L. Brumback Primary Care Clinics (a federally qualified health center serving uninsured and underinsured Palm Beach residents), the District Cares Specialty Benefits program (which provides no-cost specialty care to eligible uninsured Brumback patients), Lakeside Medical Center in Belle Glade (the western county public hospital), the Trauma Agency, and pharmacy services. Adults at any income level can receive care at a Brumback Clinic — the clinics treat patients with or without insurance, regardless of ability to pay. For low-income uninsured patients, the sliding-fee scale based on household size and income reduces the visit fee to as little as a nominal co-pay. Community resource specialists at each clinic enroll qualifying patients into District Cares Specialty Benefits (free specialist visits, diagnostics, and outpatient procedures for eligible uninsured patients), Medicaid, the Health Insurance Marketplace, or other coverage. To schedule an appointment, call 561-642-1000. Walk-ins and same-day appointments are accepted.

Estimated bill savings: $600–$20,000 a year

Florida's Alzheimer's Disease Initiative is the state's dedicated program for adults living with Alzheimer's disease or related dementias (ADRD) and the family members who care for them. It pays for the kinds of services that keep a person with memory loss safely at home and that give caregivers a break: in-home respite, model adult day care designed for dementia, emergency respite when a caregiver is hospitalized, and extended respite of up to about 30 days. ADI also funds case management, specialized medical equipment and supplies, caregiver counseling and support groups, and caregiver training. Connected to the program is the state-funded network of 17 Memory Disorder Clinics across 13 service areas, which provide diagnostic evaluation, research participation, and follow-up care for people with suspected or confirmed ADRD. Eligibility is built around a probable ADRD diagnosis with cognitive impairment that affects daily living — not a strict income test — but a sliding-fee co-pay applies above a base income threshold, and most regions operate a waitlist managed by the local Area Agency on Aging. To apply, contact the statewide Elder Helpline at 1-800-96-ELDER (1-800-963-5337) or your local Aging and Disability Resource Center.

Estimated service value: $2,400–$18,000 a year

Community Care for the Elderly is Florida's broadest state-funded in-home services program for functionally impaired seniors aged 60 and older who want to stay in their own home instead of moving to a facility. CCE is not Medicaid — it is funded by the state through the Florida Department of Elder Affairs, which works through 11 Area Agencies on Aging and 47 contracted lead agencies (and their subcontractors) to deliver a wide menu of services. Eligible clients may receive case management, adult day care, adult day health care, personal care, homemaker and chore services, home-delivered meals, home health aide and home nursing, respite for family caregivers, emergency alert response systems, escort and shopping assistance, transportation, emergency home repair, consumable medical supplies, counseling, and other community-based supports. There is no rigid income or asset test, but most counties operate a waitlist and apply a sliding-fee co-payment scale once a participant's income rises above a base threshold — at or below roughly 150% of the Federal Poverty Level the participant typically pays nothing, and the co-pay rises in steps for higher-income participants. Priority for services goes to seniors referred by Adult Protective Services as victims of abuse, neglect, or exploitation, followed by those with the greatest functional impairment. Apply through the statewide Elder Helpline at 1-800-96-ELDER (1-800-963-5337) or your local Aging and Disability Resource Center.

Estimated service value: $2,000–$15,000 a year

Home Care for the Elderly is a state-funded program that helps frail Florida seniors aged 60 and older stay in a private home with a non-spouse adult caregiver instead of moving to a nursing facility. Each enrolled participant receives a basic monthly subsidy of $160 paid to the caregiver to help offset the cost of food, household supplies, and personal care. The program can also authorize 'special subsidies' for specific needs — incontinence supplies, medications, medical and assistive devices, ramps and home accessibility modifications, nutritional supplements, home health aide visits, home nursing, and respite. To qualify, you must be at risk of nursing-home placement, have monthly income at or below the Institutional Care Program (ICP) standard (300% of the SSI federal benefit rate — $2,982 a month for one person in 2026), have countable assets at or below $2,000 ($3,000 for a couple), and live with an adult caregiver other than a spouse who is willing and able to provide or arrange care. You must also receive SSI, or Medicare cost-sharing help as a Qualified Medicare Beneficiary (QMB) or Special Low-Income Medicare Beneficiary (SLMB). HCE is administered statewide by the Florida Department of Elder Affairs through 11 regional Area Agencies on Aging, which contract with local Lead Agencies to manage cases and authorize subsidies. Apply through the statewide Elder Helpline at 1-800-96-ELDER (1-800-963-5337) or your local Aging and Disability Resource Center.

Estimated service value: $1,920–$6,000 a year

Optional State Supplementation is a monthly cash payment from the State of Florida that supplements an SSI-eligible senior's income so they can afford the cost of an Assisted Living Facility (ALF), Adult Family Care Home (AFCH), or Mental Health Residential Treatment Facility. OSS is for low-income seniors and disabled adults who need help with the activities of daily living but who do not require nursing-home-level care. The state pays the difference between the resident's countable income and a published 'provider rate plus personal needs allowance' total — for an individual in an ALF the monthly income eligibility standard is $1,045.40 and the base provider rate is $991.40, plus a $160 monthly Personal Needs Allowance the resident keeps for incidentals (Florida Administrative Code 65A-2.036, effective June 24, 2025). To qualify, you must meet SSI's categorical eligibility (age 65+, blind, or disabled with countable income and resources below the SSI limits), be assessed as needing the level of care the facility provides, and reside in a state-licensed facility that accepts OSS payments. Eligibility is determined by DCF; payments are made monthly.

Estimated cash: $1,200–$9,600 a year

Florida runs State Veterans' Nursing Homes around the state — including Daytona Beach, Land O' Lakes, Pembroke Pines, Panama City, Port Charlotte, St. Augustine, and Port St. Lucie — plus a veterans' assisted living facility in Lake City. They provide skilled nursing care or assisted living for veterans who need help with daily living, generally at below private-market rates because federal VA per-diem support helps cover the cost. Florida law also makes the spouse or surviving spouse of a veteran eligible, with admission priority behind eligible veterans. Admission requires Florida residency, needing the level of care, and approval by the U.S. Department of Veterans Affairs.

Florida gives free hunting, freshwater fishing, and saltwater fishing licenses to resident veterans who were honorably discharged and have a VA service-connected disability rating of 50% or more. The license is good for 5 years and is reissued on request every 5 years after that. Bring the VA letter showing the rating and proof of Florida residency to a county tax collector's office. Florida residents certified as totally and permanently disabled by the VA, workers' compensation, or Social Security qualify for free licenses under the same law even without the 50% veteran rating.

Estimated service value: $40–$50 a year

Florida law directs the Florida Department of Veterans' Affairs to help veterans, their spouses, and their dependents prepare and file claims for VA benefits — disability compensation, pension, Aid and Attendance, survivor benefits — at no charge. FDVA claims examiners work alongside County Veteran Service Officers available in counties across the state. Getting the VA rating right matters twice in Florida: the rating drives federal compensation AND unlocks state benefits like the disabled-veteran property tax exemptions and free licenses. No one needs to pay a private company to file a VA claim.

Florida residents who are active or retired members of the U.S. Armed Forces, the Reserves, the National Guard, or the Coast Guard can buy the Military Gold Sportsman's License for $18.50 a year — the same package that costs other residents $98.50. It bundles the hunting, freshwater fishing, and saltwater fishing licenses along with the deer, wildlife management area, archery, muzzleloading gun, crossbow, turkey, Florida waterfowl, snook, and spiny lobster permits. Show a current military ID at a county tax collector's office, or verify online through Florida's license portal.

Estimated service value: $75–$85 a year

Florida gives veterans age 65 and older a discount on the property tax bill for their homestead when they have a permanent, combat-related, service-connected disability and were honorably discharged. The discount percentage equals the VA disability rating — a 70% rating means 70% off the ad valorem taxes on the home. This is one of the largest senior-specific veteran benefits in Florida. If the veteran dies, the discount carries over to a surviving spouse who keeps the home and does not remarry. Apply with the county property appraiser by March 1 using Form DR-501DV, the VA letter showing the percentage and the combat-related finding, proof of honorable discharge, and proof of age.

Estimated bill savings: $150–$3,000 a year

A Florida veteran with a service-connected, total and permanent disability pays NO property tax on the homestead — the home is fully exempt. The veteran must have been honorably discharged, and a letter from the VA certifying total and permanent disability is the proof. This is one of the largest dollar benefits available to Florida veterans. A surviving spouse who holds title, lives in the home, and does not remarry keeps the full exemption, and can transfer a fixed dollar amount to a new home after a sale. Apply once through the county property appraiser.

Estimated bill savings: $2,000–$5,000 a year

Florida exempts $5,000 of a disabled veteran's property value from taxation. It applies to an honorably discharged veteran who is a Florida resident and is disabled 10% or more from wartime service or by misfortune. The VA disability letter showing the rating counts as proof. An unremarried surviving spouse keeps the exemption. Apply once through the county property appraiser by March 1. This exemption stacks on top of the regular homestead exemption, and it is separate from the larger benefits for 100% disabled veterans and for combat-disabled veterans age 65 and older.

Estimated bill savings: $40–$50 a year

Florida's Homestead Exemption reduces the taxable assessed value of an owner-occupied primary residence by up to $50,000. The first $25,000 is exempt from all ad-valorem property taxes (including school taxes). A second $25,000 exemption applies to the assessed value between $50,000 and $75,000 and is exempt from all property taxes except school district levies — so a homeowner whose home is assessed at $75,000 or more receives the full $50,000 reduction (with $25,000 of that not exempt from school taxes). Eligibility hinges on owning and making the home your permanent residence as of January 1 of the tax year. There is no age or income test for the base exemption. Once granted, the exemption automatically continues each year as long as the homeowner continues to occupy the home — re-application is only required if ownership or occupancy changes. The Homestead Exemption is also what unlocks the 'Save Our Homes' 3% annual assessment-increase cap, which protects long-time homeowners from large property-tax jumps when market values rise.

Estimated bill savings: $200–$750 a year

Florida homeowners with a homestead exemption can put off paying part of their property taxes when the bill is high compared with their income. If you are 65 or older, you can defer the part of your taxes and assessments that is more than 3% of your household income (5% if you are younger than 65). You can defer the whole bill if household income was under $10,000 last year, or if you are 65 or older and your income is under the limit for the senior additional homestead exemption. The taxes are not canceled. They become a lien on the home, earn interest (no more than 7%), and come due when the home is sold or is no longer your homestead; a surviving spouse who qualifies can keep the deferral. You must apply each year with your county Tax Collector by March 31 and keep fire and extended insurance on the home.

On top of the base Florida Homestead Exemption and the $50,000 Senior Additional Homestead Exemption, Florida gives counties and cities the option to grant a Long-Term Resident Senior Homestead Exemption that can wipe out up to 100 percent of the assessed value of a qualifying low-income senior's home — paying $0 in the local property taxes the exemption applies to. To qualify you must be age 65 or older, hold the base homestead, have lived in the same home as your permanent residence for at least 25 years, have a household adjusted gross income at or below the same CPI-adjusted limit used for the $50,000 senior add-on ($38,686 for tax year 2026), and the home's just (market) value must be less than $250,000. Like the $50,000 senior add-on, this exemption is not automatic statewide — each county and each city has to adopt it by a super-majority ordinance, and adoption rates vary across Florida's 67 counties and 400+ municipalities. The exemption applies only to taxes levied by the adopting jurisdiction and does not apply to school district taxes. Apply by March 1 with your county Property Appraiser using the senior add-on application packet (typically Form DR-501SC plus a sworn statement of household income).

Estimated bill savings: $800–$2,500 a year

Florida lets counties and municipalities grant an additional homestead exemption of up to $50,000 to homeowners age 65 and older with limited household income. This stacks on top of the base $25,000+$25,000 Homestead Exemption — so a qualifying low-income senior can shield up to $100,000 of assessed value from non-school property taxes in a county that adopts the maximum. The exemption applies only to taxes levied by the county or city that has adopted it; it does not apply to school district taxes. For the 2026 tax year, household income (the adjusted gross income of all household members, as defined by IRC §62) must not exceed $38,686 — a figure that the Florida Department of Revenue adjusts each January 1 by the change in the federal cost-of-living index from the statutory $20,000 base set in §196.075, Fla. Stat. Each county and city must adopt the exemption by ordinance, and the amount adopted (up to the $50,000 maximum) varies — many but not all Florida counties have adopted it, often at the full $50,000.

Estimated bill savings: $300–$700 a year