Suffolk County, New York vs Lee County, Florida
What senior and caregiver benefit programs are available in each county. 26 federal programs are available in both. 15 more are available in both under different names. The lists below show what is only in one county.
Available in both, under different names (15)The same kind of help in each county — sometimes under a different name or agency, sometimes through a federal program both share. Names link to the official source.
- Hunting and fishing license for disabled veteransSuffolk County
- New York Disabled Veteran Reduced-Fee Hunting, Fishing & Trapping Licenses ($5)StateNew York State Department of Environmental Conservation (DEC)
Lee County- Florida Free Hunting & Fishing Licenses for Disabled Veterans (50%+ Rating)StateFlorida Fish and Wildlife Conservation Commission (FWC), issued through county tax collectors
- Florida Military Gold Sportsman's License (Reduced-Fee Hunting & Fishing Package)StateFlorida Fish and Wildlife Conservation Commission (FWC)
- Property tax break for disabled veteransSuffolk County
- New York Alternative Veterans Property Tax Exemption (Wartime Service)StateLocal assessor's office (statewide exemption under Real Property Tax Law §458-a, overseen by the NYS Department of Taxation and Finance)
- New York Cold War Veterans Property Tax ExemptionStateLocal assessor's office (statewide exemption under Real Property Tax Law §458-b, overseen by the NYS Department of Taxation and Finance)
Lee County- Florida Combat-Disabled Veteran Age 65+ Property Tax DiscountStateLocal county property appraiser (statewide discount under Florida Statute 196.082, overseen by the Florida Department of Revenue)
- Florida Total Property Tax Exemption for 100% Disabled VeteransStateLocal county property appraiser (statewide exemption under Florida Statute 196.081, overseen by the Florida Department of Revenue)
- Florida $5,000 Disabled Veteran Property Tax Exemption (10%+ Disability)StateLocal county property appraiser (statewide exemption under Florida Statute 196.24, overseen by the Florida Department of Revenue)
- Homestead or senior property tax exemptionSuffolk County
- Enhanced STAR — Senior School Property Tax ExemptionStateNew York State Department of Taxation and Finance — administers the Enhanced School Tax Relief (STAR) exemption (or credit) for property owners age 65+ in coordination with local assessor offices
- Senior Citizens Property Tax Exemption (RPTL §467)StateLocal assessor (county, city, town, village or school district), under New York Real Property Tax Law §467; guidance from the NYS Department of Taxation and Finance
Lee County- Florida Homestead ExemptionStateCounty Property Appraiser (Florida Department of Revenue)
- Florida Long-Term Resident Senior Homestead ExemptionStateCounty Property Appraiser (Florida Department of Revenue)
- Florida Senior Additional Homestead ExemptionStateCounty Property Appraiser (Florida Department of Revenue)
- Home energy assistance (LIHEAP)Suffolk County
- NY HEAP — Home Energy Assistance Program (Regular + Emergency + Cooling)StateNew York State Office of Temporary and Disability Assistance (OTDA) — administers the federal LIHEAP-funded HEAP through 58 county Departments of Social Services (NYC HRA for the 5 boroughs)
- Suffolk County DSS — HEAP Energy Assistance (Suffolk County)CountySuffolk County Department of Social Services (DSS) — administers NY HEAP for Suffolk County as the local OTDA delivery agent; Suffolk OFA also accepts HEAP applications for seniors 60+
Lee County- LIHEAP — Low-Income Home Energy Assistance Program (Florida)StateFloridaCommerce (Florida Department of Commerce) — delivered by local Community Action Agencies and local governments
- Lee County Human & Veteran Services LIHEAP + Emergency AidCountyLee County Department of Human & Veteran Services
- Medicaid for people 65+, blind, or disabledSuffolk County
- New York Medicaid for Aged, Blind, or Disabled (Non-MAGI Medicaid)StateNew York State Department of Health (DOH) — Office of Health Insurance Programs administers Non-MAGI Medicaid for individuals age 65+, blind, or disabled; eligibility determined through county Departments of Social Services (NYC HRA Medicaid Office for the 5 boroughs)
Lee County- Florida Medicaid for the Aged, Blind & Disabled (MEDS-AD)StateFlorida Department of Children and Families (eligibility) / Agency for Health Care Administration (services)
- Medicaid long-term care at homeSuffolk County
- New York Managed Long Term Care (MLTC)StateNew York State Department of Health (DOH); plan choice through New York Medicaid Choice (Maximus), with the initial eligibility assessment by the New York Independent Assessor (NYIA)
Lee County- Florida Statewide Medicaid Managed Care Long-Term Care (SMMC LTC)StateFlorida Agency for Health Care Administration (AHCA), with eligibility and level-of-care assessed by DCF and DOEA's CARES program
- Medicare Savings ProgramsSuffolk County
- New York Medicare Savings Programs (QMB / SLMB / QI)StateNew York State Department of Health — Medicare Savings Programs administered through county Departments of Social Services (NYC HRA for the 5 boroughs); pays Medicare Part B premiums (and sometimes deductibles + coinsurance)
Lee County- Medicare Savings Programs in Florida (QMB, SLMB, QI-1 Medicare Buy-In)StateFlorida Department of Children and Families (DCF), Office of Economic Self Sufficiency (ACCESS)
- Help at home (non-Medicaid)Suffolk County
- Expanded In-home Services for the Elderly Program (EISEP) — New YorkStateNew York State Office for the Aging, delivered by county Offices for the Aging / Area Agencies on Aging
Lee County- Florida Alzheimer's Disease Initiative (ADI)StateFlorida Department of Elder Affairs (DOEA), delivered through 11 Area Agencies on Aging and contracted Lead Agencies
- Florida Community Care for the Elderly (CCE)StateFlorida Department of Elder Affairs (DOEA), delivered through 11 Area Agencies on Aging and 47 contracted lead agencies and their subcontractors
- Florida Home Care for the Elderly (HCE)StateFlorida Department of Elder Affairs (DOEA), delivered through 11 Area Agencies on Aging
- PACE all-inclusive careSuffolk County
- Program of All-Inclusive Care for the Elderly (PACE)StateNew York State Department of Health / Centers for Medicare & Medicaid Services
Lee County- Program of All-Inclusive Care for the Elderly (PACE)StateFlorida Agency for Health Care Administration / Department of Elder Affairs / Centers for Medicare & Medicaid Services
- State veterans homeSuffolk County
- New York State Veterans' Homes (Long-Term Care)StateNew York State Department of Health and SUNY (with the NYS Department of Veterans' Services as the benefits gateway)
Lee County- Florida State Veterans' Homes (Nursing Home and Assisted Living Care)StateFlorida Department of Veterans' Affairs (FDVA)
- Help filing VA claimsSuffolk County
- New York State Veterans Benefits Advisors (Free VA Claims Help)StateNew York State Department of Veterans' Services (DVS)
Lee County- Florida Department of Veterans' Affairs Claims Assistance (Free VA Claims Help)StateFlorida Department of Veterans' Affairs (FDVA), with County Veteran Service Officers
- Hospital financial assistance (charity care)Suffolk County
- Stony Brook University Hospital — Financial Assistance Program (Suffolk County)CountyStony Brook University Hospital — academic medical center owned by the State University of New York (SUNY) Stony Brook; the flagship public safety-net hospital for Suffolk County and most of eastern Long Island. The Stony Brook Financial Assistance Program covers uninsured/underinsured Suffolk residents.
Lee County- Lee Health Financial Assistance (Lee Memorial Health System)CountyLee Memorial Health System d/b/a Lee Health — a public health system established by special act of the Florida Legislature in 1968, governed by an elected Board of Directors
- Senior and disabled ridesSuffolk County
- Suffolk County Transit (SCT) — Reduced Senior Fare + ADA Paratransit (Suffolk County)CountySuffolk County — operates the county's public transit system covering all of Suffolk County and connecting to MTA Long Island Rail Road and NYC Transit at borough boundaries
Lee County- LeeTran Passport ADA ParatransitCountyLeeTran Passport Service — Lee County Transit
- LeeTran Senior Reduced Fare (TropiCard)CountyLeeTran — Lee County Transit (a Lee County government department)
- Free Medicare counseling (SHIP)Suffolk County
- State Health Insurance Assistance Program (SHIP)FederalAdministration for Community Living (delivered locally by state SHIP offices)
Lee County- SHINE: free Medicare counseling in Florida (Serving Health Insurance Needs of Elders)StateFlorida Department of Elder Affairs (DOEA), with the local Area Agencies on Aging
- Senior meals (home-delivered or group)Suffolk County
- Congregate Meals at Senior CentersFederalAdministration for Community Living (delivered locally by Area Agencies on Aging)
- Home-Delivered Meals (Meals on Wheels)FederalAdministration for Community Living (delivered locally by Area Agencies on Aging)
Lee County- Senior Friendship Centers Meals + AAA Southwest Florida Services (Lee)CountySenior Friendship Centers, Inc. (SFC, contracted meals provider) and Area Agency on Aging for Southwest Florida, Inc. (AAASWFL, designated AAA + ADRC for PSA 8)
Only in Suffolk County
11 programs not available in the other county
Emergency Aid
New York Veterans Emergency Housing Assistance Fund (Up to $2,000)
State · New YorkNew York's Veterans Emergency Housing Assistance Fund pays up to $2,000 to a veteran facing an immediate housing hardship without the money to cover it. Covered needs include overdue rent, utilities, or property taxes; fire or natural-disaster damage; temporary shelter when housing is lost or uninhabitable; replacing or repairing an essential appliance like a furnace or water heater; and home changes needed for disability access. The veteran must live in New York State, have a discharge other than dishonorable, and have a net worth at or below the VA's limit for the non-service-connected pension. After the application is submitted, a Veterans Benefits Advisor calls to verify the emergency and the household's income, assets, and expenses — and checks for other benefits the household may qualify for.
Estimated bill savings: $500–$2,000 a year
Suffolk County Emergency Aid — Referral Coordination
County · New YorkSuffolk County emergency aid: (1) Suffolk DSS for Temporary Assistance, Emergency HEAP, and one-time grants (631-853-8820); (2) Suffolk OFA for senior-specific case management (631-853-8200); (3) Suffolk hospital safety net (631-444-4000); (4) Suffolk transit (631-852-5200); (5) Catholic Charities of Long Island (516-733-7000 Nassau / 631-789-5210 Suffolk); (6) Long Island Cares — The Harry Chapin Regional Food Bank. Dial 211 (United Way) or the Suffolk OFA hotline for general referrals.
Estimated bill savings: $200–$3,000 a year
Healthcare
EPIC — Elderly Pharmaceutical Insurance Coverage
State · New YorkEPIC is a New York state program that helps more than 325,000 income-eligible seniors age 65+ supplement their out-of-pocket Medicare Part D drug costs. Two plans: (1) FEE PLAN for income up to $20,000 single / $26,000 married — modest annual fee, lowest copays; (2) DEDUCTIBLE PLAN for income $20,001-$75,000 single / $26,001-$100,000 married — meet annual deductible first. EPIC also helps pay Medicare Part D premiums for income up to $23,000 single / $29,000 married. Requires Medicare Part D enrollment (or eligibility). Cannot enroll in EPIC if on Medicaid. Apply at health.ny.gov/health_care/epic or by calling 800-332-3742.
Estimated bill savings: $200–$3,000 a year
Housing Assistance
Access to Home — Accessibility Modifications
State · New YorkAccess to Home pays to adapt your home so you can keep living there instead of moving into a nursing home or other institution. It covers wheelchair ramps and lifts, handrails, widened doorways, stair glides, roll-in showers with grab bars, bathtub grab bars and seats, non-skid flooring, and easy-to-reach work and storage areas. Repairs can total up to $25,000 for a unit. It works for a home you own or one you rent, as long as it is your primary, permanent residence. You apply through a Local Program Administrator — usually your county or town government or a local nonprofit — not to the state directly.
Estimated service value: $1,000–$25,000 a year
RESTORE — Emergency Home Repairs for Seniors
State · New YorkRESTORE pays for emergency home repairs for New York homeowners age 60 and over, so they can keep living safely at home. It covers repairs that fix a hazard or a code violation posing an immediate threat to your life, health or safety — a failing furnace, a dangerous roof, bad wiring, a collapsing step. Grants cover repair work up to $20,000 per property, and you do not pay it back. You cannot apply to the state directly: repairs are arranged through a Local Program Administrator, usually your county or town government or a local nonprofit.
Estimated service value: $1,000–$20,000 a year
Residential Repair Program — Small Home Repairs for Seniors (Suffolk County)
County · New YorkHelp with small repair jobs around the house for older Suffolk County residents. Each of the ten towns runs a Residential Repair program: the labor is provided and the participant pays only for materials. Call your town's Senior Citizen Division: Babylon 631-789-3309; Brookhaven 631-451-9092; East Hampton 631-329-6939 ext. 7209; Huntington 631-446-3721; Islip 631-224-5424; Riverhead 631-727-3200 ext. 736; Shelter Island 631-749-0291; Smithtown 631-360-7616; Southampton 631-728-1235; Southold 631-298-4460. The Suffolk County Office for the Aging is at 631-853-8200.
Estimated service value: $100–$1,500 a year
Income Support
New York State Blind Annuity (Cash Payment for Blind Wartime Veterans)
State · New YorkNew York pays a monthly annuity to legally blind wartime veterans — and to their unremarried surviving spouses — who live in New York State. The 2025 rate is $141.33 per month, about $1,696 per year. The blindness does not need to be connected to military service: legal blindness means 20/200 vision in the better eye with best correction, or a field of vision limited to 20 degrees. The veteran needs wartime service of at least 90 days on active duty (less if discharged early for a service-connected disability). Apply by mailing the Blind Annuity application and a Report of Legal Blindness form, with the discharge paperwork, to DVS — or call 1-888-838-7697 for help.
Estimated cash: $1,695–$1,696 a year
Nutrition
Suffolk County Office for the Aging — Title III + ADRC (Suffolk County)
County · New YorkSuffolk County OFA serves seniors age 60+ and their caregivers. Services include Title III Congregate Meals + Home-Delivered Meals, Benefits Counseling (HIICAP — NY's SHIP), HEAP intake assistance, EPIC intake, Care Coordination, Caregiver Support, Long-Term Care Ombudsman, and the local Aging & Disability Resource Center (ADRC). Suffolk OFA participates in NY State Office for the Aging (NYSOFA) initiatives like the Naturally Occurring Retirement Community (NORC) program. Apply by calling OFA at 631-853-8200 or emailing aging.office@suffolkcountyny.gov.
Estimated service value: $1,500–$5,500 a year
Supportive Services
Social Care Networks (SCN) — Food, Housing and Transport Help for Medicaid Members
State · New YorkIf you have New York Medicaid, a Social Care Network can connect you to free help with food, housing and transport. Every Medicaid member can be screened for these needs — the state intends for everyone to be screened once a year, or after a big change in your life — and anyone can be pointed to existing federal, state and local programmes. If you are in a Medicaid Managed Care plan and you qualify, you can also get Enhanced services paid for directly: nutrition help such as nutritional counselling, medically tailored meals, food prescriptions and groceries; housing support; transport; and social care management. Answer the screening questions at screening.shinny.org to get started. Nine regional networks cover the whole state.
New York State Veterans Cemetery — Finger Lakes (Burial Benefits)
State · New YorkNew York's first state-run veterans cemetery — the New York State Veterans Cemetery – Finger Lakes — sits on 162 acres along Seneca Lake in Romulus, Seneca County, and is open for interments. The State Department of Veterans' Services has managed it since February 2023. Burial is available to veterans discharged from active duty under other than dishonorable conditions, plus the veteran's legal spouse and eligible dependent children; certain reservists and National Guard members also qualify. Each burial includes a 30-minute committal service at the cemetery shelter, with cemetery staff completing the interment. Making pre-arrangements with a funeral director ahead of need keeps the discharge paperwork easy to find when it matters.
Senior Citizens' Law Program — Free Legal Help for Seniors (Suffolk County)
County · New YorkFree legal advice and help for Suffolk County residents age 60 and older and their families, through the Senior Citizens' Law Program at Touro Law Center, funded by the Suffolk County Office for the Aging. Matters include Medicaid and pooled income trusts, Social Security and SSI overpayments, Medicare Parts C and D, Medicaid appeals, nursing home, assisted living and adult home issues, housing, and advance directives. Call 631-761-7470 to ask for help; the Office for the Aging is at 631-853-8200.
Only in Lee County
2 programs not available in the other county
Income Support
Florida Optional State Supplementation (OSS)
State · FloridaOptional 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
Tax Relief
Florida Homestead Property Tax Deferral
State · FloridaFlorida 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.
Considering a move? See which programs you may personally qualify for in either county.
Discover my benefitsNot legal or financial advice. Availability is not eligibility — the agency makes the final decision.
