Senior benefits in Tompkins County, New York
Seniors in Tompkins County, New York have access to a wide range of benefit programs that can help with health care, energy costs, transportation, food, and more. The Tompkins County Office for the Aging serves as the local Area Agency on Aging and is a strong starting point for finding help — it connects residents to services through NY Connects and supports programs under the Older Americans Act. For help with heating bills, Tompkins County DSS administers HEAP energy assistance, and seniors 60 and older can also apply through the Office for the Aging directly. Cayuga Medical Center offers a Financial Assistance program for those who need help with hospital costs. Getting around is easier with TCAT fixed-route service, which offers reduced fares for seniors 65 and older, and Gadabout Paratransit for those who need additional support. State programs like EPIC, Enhanced STAR, and New York Medicare Savings Programs may also apply, along with more than two dozen federal programs. Each listing on this page includes its official source and the date it was last verified — the program's agency makes the final eligibility decision.
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Local programs
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New York programs
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Federal programs
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Categories
Last verified · October 12, 2026
Local starting point
Tompkins County Office for the Aging — designated Area Agency on Aging under the Older Americans Act Title III for Tompkins County; participates in NY Connects (the local ADRC); reports to NYSOFA
607-274-5482
See which of these Tompkins County programs you may qualify for.
Discover my benefitsHelping others? Print the Tompkins 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 Tompkins County
Run by the county, its Area Agency on Aging, or another agency serving Tompkins County. Start here.
Emergency Aid in Tompkins County
Programs here typically lower an eligible household's bills by $200–$3,000 a year.
Tompkins County Emergency Aid — Referral Coordination
County · New YorkTompkins County emergency aid: (1) Tompkins DSS for Temporary Assistance, Emergency HEAP, and one-time grants (607-274-5276); (2) Tompkins OFA for senior-specific case management (607-274-5482); (3) Tompkins hospital safety net (607-274-4011); (4) Tompkins transit (607-277-7433); (5) Catholic Charities of the Diocese of Syracuse; (6) Salvation Army of Greater Syracuse / local corps; (7) PEACE Inc. (Onondaga's Community Action Agency) and other regional CAAs. Dial 211 (211 Central NY) for general referrals.
Estimated bill savings: $200–$3,000 a year
Tompkins County DSS — HEAP Energy Assistance (Tompkins County)
County · New YorkTompkins County DSS delivers NY's HEAP: Regular HEAP (annual heating help), Emergency HEAP (utility shut-off / fuel-out crises), and Cooling Assistance (AC unit). Eligibility approximately at 60% State Median Income. People over age 60, and people who get SSI or SSD but not SNAP, can apply through the Tompkins County Office for the Aging (607-274-5482). Tompkins DSS HEAP line: 607-274-5264. Apply online at mybenefits.ny.gov.
Estimated bill savings: $200–$1,500 a year
Healthcare in Tompkins County
Programs here typically lower an eligible household's bills by $500–$25,000 a year.
Cayuga Medical Center (Ithaca) — Financial Assistance (Tompkins County)
County · New YorkTompkins County's principal community hospital safety net is Cayuga Medical Center (Ithaca, Cayuga Health System) — Tompkins's independent principal community hospital; named after Cayuga Lake, NOT Cayuga County (which has Auburn Community Hospital). The Financial Assistance Program covers uninsured/underinsured residents — sliding scale typically discounts charges up to 100% at the lower income brackets with reduced rates above. Note: NY Medicaid ABD's ~138% FPL gate means many Central NY seniors qualify for Medicaid and would access these hospitals through Medicaid rather than FAP. Apply at the hospital's financial counseling office or at https://centralushealth.org/billing/. Phone: 607-252-3728.
Estimated bill savings: $500–$25,000 a year
In this county: Tompkins: Cayuga Medical Center (Ithaca, Cayuga Health System) — Tompkins's independent principal community hospital; named after Cayuga Lake, NOT Cayuga County (which has Auburn Community Hospital). NY Medicaid ABD's ~138% FPL gate covers many seniors; FAP fills the gap.
Nutrition in Tompkins County
Programs here typically provide services worth $1,500–$5,500 a year to an eligible household.
Tompkins County Office for the Aging — Title III + NY Connects (Tompkins County)
County · New YorkTompkins 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, NY Connects (local ADRC), and Long-Term Care Ombudsman. Apply by calling OFA at 607-274-5482 or emailing cofa@tompkins-co.org, or find contact details at tompkinscountyny.gov.
Estimated service value: $1,500–$5,500 a year
Transportation in Tompkins County
Programs here typically provide services worth $200–$2,000 a year to an eligible household.
TCAT (Tompkins Consolidated Area Transit) + Gadabout Paratransit (Tompkins County)
County · New YorkTCAT (Tompkins Consolidated Area Transit) + Gadabout Paratransit covers Tompkins County. Reduced senior fares for riders age 60+ (county systems) or 65+ (Centro/TCAT IDs). ADA paratransit available where fixed-route exists. Apply at the county transit office or via the operator. Phone: 607-277-7433.
Estimated service value: $200–$2,000 a year
In this county: Tompkins: TCAT (Tompkins Consolidated Area Transit).
Local agencies serving Tompkins 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.
Tompkins County DSS + OFA + community-based organizations
Tompkins County Department of Social Services (DSS)
Runs: Tompkins County DSS
Tompkins County Office for the Aging
Tompkins County / regional transit operator
Runs: TCAT (Tompkins Consolidated Area Transit) + Gadabout Paratransit
New York and federal programs
Open to eligible households in Tompkins County and across the rest of New York. Full details are on the New York benefits page.
Money & income5 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.
- EPIC — Elderly Pharmaceutical Insurance Coverage
- New York Medicaid for Aged, Blind, or Disabled (Non-MAGI Medicaid)
- New York Medicare Savings Programs (QMB / SLMB / QI)
- 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)
Food5 programs
SNAP (food stamps), meals, and farmers market coupons.
Home, bills & taxes11 programs
Help with heating and electric bills, rent, property taxes, and home repairs.
- New York Alternative Veterans Property Tax Exemption (Wartime Service)
- New York Cold War Veterans Property Tax Exemption
- Senior Citizens Property Tax Exemption (RPTL §467)
- Enhanced STAR — Senior School Property Tax Exemption
- Access to Home — Accessibility Modifications
- RESTORE — Emergency Home Repairs for Seniors
- 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 care6 programs
Help staying in your home, nursing home alternatives, and support for family caregivers.
- Program of All-Inclusive Care for the Elderly (PACE)
- Expanded In-home Services for the Elderly Program (EISEP) — New York
- New York Managed Long Term Care (MLTC)
- New York State Veterans' Homes (Long-Term Care)
- 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.
- New York Disabled Veteran Reduced-Fee Hunting, Fishing & Trapping Licenses ($5)
- New York State Veterans Benefits Advisors (Free VA Claims Help)
- Social Care Networks (SCN) — Food, Housing and Transport Help for Medicaid Members
- New York State Veterans Cemetery — Finger Lakes (Burial Benefits)
- 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.
