Senior benefits in Fayette County, Iowa

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Seniors in Fayette County, Iowa, can find help with health care, home support, energy bills, rides, and more. A good place to start is the Northeast Iowa Area Agency on Aging (NEI3A), which offers local services for older adults and caregivers. The Iowa HHS county office can help with state programs such as Medicaid and SNAP. Other local options include Hospital Financial Assistance through MercyOne Oelwein Medical Center, LIHEAP energy assistance from Northeast Iowa Community Action Corporation, and EARL Public Transit. Veterans can turn to the Fayette County Commission of Veteran Affairs. Iowa also offers property tax credits, Medicare Savings Programs, and free Medicare counseling through SHIIP. Federal programs may apply as well. The page below lists each program with its official source and the date it was last verified. Each agency makes the final decision on who is eligible, so check with the agency before you apply.

6

Local programs

20

Iowa programs

26

Federal programs

20

Categories

Last verified · October 22, 2026

Local starting point

Northeast Iowa Area Agency on Aging (NEI3A)

1-800-779-8707

See which of these Fayette County programs you may qualify for.

Discover my benefits

Helping others? Print the Fayette 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.

Benefit changes →

Programs run in Fayette County

Run by the county, its Area Agency on Aging, or another agency serving Fayette County. Start here.

Elder Services in Fayette County

Programs here typically provide services worth $200–$2,000 a year to an eligible household.

Area Agency on Aging services (Northeast Iowa Area Agency on Aging) — Fayette

County · Iowa

Northeast Iowa Area Agency on Aging (NEI3A) is the Area Agency on Aging for Fayette County. It helps older adults stay independent at home. Its services include options counseling, case management, meal programs, caregiver support, respite services, health and wellness programs, advocacy, and recreation and education programs. NEI3A has offices in Decorah, Dubuque and Waterloo. Call toll-free 1-800-779-8707 to get started.

Estimated service value: $200–$2,000 a year

How to apply →Official source →1-800-779-8707Last verified · October 21, 2026

Energy Assistance in Fayette County

Programs here typically lower an eligible household's bills by $80–$800 a year.

LIHEAP energy assistance (Northeast Iowa Community Action Corporation) — Fayette

County · Iowa

The Low Income Home Energy Assistance Program (LIHEAP) helps pay part of winter heating costs and can help in an energy crisis. In Fayette County, Northeast Iowa Community Action Corporation (NEICAC) takes applications. Homeowners and renters with income at or below 200% of the federal poverty guidelines may qualify. Households with a member 60 or older, a disabled member, or a disconnect notice can apply starting October 1; all other households can apply starting November 1. Regular applications are taken October through April, and crisis requests are taken all year. NEICAC has a family services office in West Union (Courthouse Basement, 114 North Vine Street, 563-422-3354) and Oelwein (1 West Charles Street, Suite 5, office 319-283-2510). To book an appointment or have an application mailed, call 563-382-8436.

Estimated bill savings: $80–$800 a year

How to apply →Official source →1-563-382-8436Last verified · October 21, 2026

General Assistance in Fayette County

Iowa HHS county office — Fayette

County · Iowa

The Iowa Department of Health and Human Services (HHS) office for Fayette County (Fayette County DHS) is at 129 S. Vine, West Union, IA 52175. You can apply at a local HHS office for SNAP food benefits, Medicaid and Rent Reimbursement (up to $1000 back on rent for income-eligible older or disabled renters). You can also apply online through the Iowa HHS Benefits Portal. Call 563-422-5634.

Estimated bill savings: about $0 a year

How to apply →Official source →1-563-422-5634Last verified · October 21, 2026

Healthcare in Fayette County

Hospital Financial Assistance (MercyOne Oelwein Medical Center) — Fayette

County · Iowa

MercyOne Oelwein Medical Center follows MercyOne's financial assistance program. MercyOne does not refuse medically necessary or emergency care, and gives help to low-income people and people with special health care expenses who live in its service area. The program covers medically necessary hospital services, including inpatient, emergency and medical group outpatient care. MercyOne will not take legal action to collect a judgment, place a lien or report you to a credit bureau while you are applying for or receiving assistance. Download the application, policy and plain language summary online, or call the Oelwein line at 1-800-728-0159 or 319-272-0044.

Estimated bill savings: about $0 a year

How to apply →Official source →1-800-728-0159 (or 1-319-272-0044)Last verified · October 21, 2026

Transportation in Fayette County

Programs here typically provide services worth $150–$1,500 a year to an eligible household.

EARL Public Transit (NEICAC, Region 1) — Fayette

County · Iowa

EARL Public Transit, run by Northeast Iowa Community Action Corporation (NEICAC), is the Region 1 public transit provider for Fayette County. All rides are open to the general public, including people with disabilities, and vehicles are wheelchair accessible with lift assistance. EARL offers demand-response rides for work, school, shopping and errands, leisure activities and non-emergency medical appointments. Call toll-free 1-866-382-4259 to schedule a ride. Online scheduling is available for in-town routes once your account is set up.

Estimated service value: $150–$1,500 a year

How to apply →Official source →1-866-382-4259Last verified · October 21, 2026

Veteran Benefits in Fayette County

County Veterans Affairs office — Fayette

County · Iowa

The Fayette County Veterans Affairs office helps veterans and their families. The county Veterans Affairs Director and Service Officer help honorably discharged veterans, widows, widowers and dependents with federal VA laws and benefits. Call the office at 319-283-3329.

Estimated cash: about $0 a year

How to apply →Official source →1-319-283-3329Last verified · October 21, 2026

Local agencies serving Fayette 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.

Iowa and federal programs

Open to eligible households in Fayette County and across the rest of Iowa. Full details are on the Iowa benefits page.

Money & income3 programs

Cash paid to you, and emergency help when money runs short.

Health & Medicare costs9 programs

Medicaid, Medicare savings, and help with drug and doctor bills.

Food6 programs

SNAP (food stamps), meals, and farmers market coupons.

Home, bills & taxes13 programs

Help with heating and electric bills, rent, property taxes, and home repairs.

Care at home & long-term care6 programs

Help staying in your home, nursing home alternatives, and support for family caregivers.

Help, advice & legal6 programs

Free counseling, legal help, rides, and other senior services.

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.

← All Iowa counties

Not legal or financial advice. The agency makes the final eligibility decision.