Senior benefits in Lexington County, South Carolina
Seniors in Lexington County, South Carolina have access to a wide range of benefit programs that can help with everyday costs, health care, housing, and more. The Central Midlands Council of Governments Area Agency on Aging is a strong local starting point — it connects older adults and their families to services and guidance across the region. Other county-level resources include Hospital Financial Assistance through Lexington Medical Center, energy bill help through the Aiken/Barnwell Counties Community Action Agency's LIHEAP program, and transportation options through The COMET paratransit service. At the state level, programs like the Homestead Exemption, Healthy Connections Medicaid, Medicare Savings Programs, and the South Carolina SHIP for free Medicare counseling may be available to qualifying residents. Dozens of federal programs also apply here. Each listing on this page includes its official source and the date it was last verified. The agency behind each program makes the final decision on eligibility.
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Local programs
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South Carolina programs
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Federal programs
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Categories
Last verified · October 12, 2026
Local starting point
Central Midlands Council of Governments Area Agency on Aging
1-803-376-5390
See which of these Lexington County programs you may qualify for.
Discover my benefitsHelping others? Print the Lexington 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 Lexington County
Run by the county, its Area Agency on Aging, or another agency serving Lexington County. Start here.
Elder Services in Lexington County
Programs here typically provide services worth $200–$2,000 a year to an eligible household.
Area Agency on Aging services (Central Midlands Council of Governments Area Agency on Aging) — Lexington
County · South CarolinaThe Central Midlands Council of Governments is the Area Agency on Aging for Fairfield, Lexington, Newberry and Richland counties, including Lexington County. It plans and coordinates services that help seniors and people with disabilities stay in their homes — home-delivered meals, homemaker and personal care (after an assessment), family caregiver respite, Medicare counseling (SHIP), long-term care ombudsman help, legal referrals, and free advance directive forms. Call the information and referral specialist at 803-376-5390.
Estimated service value: $200–$2,000 a year
Energy Assistance in Lexington County
Programs here typically lower an eligible household's bills by $300–$1,000 a year.
LIHEAP energy assistance (Aiken/Barnwell Counties Community Action Agency) — Lexington
County · South CarolinaSouth Carolina's Low-Income Home Energy Assistance Program (LIHEAP) helps pay heating and cooling bills. In Lexington County, applications are taken by the Aiken/Barnwell Counties Community Action Agency at its Lexington County office, 650 Knox Abbott Drive in Cayce. Households facing a shutoff may get crisis help. Call 803-794-6778. Bring an SC license or ID, Social Security cards for everyone in the home, your most recent utility bill, and the last 30 days of income for household members 18 and older.
Estimated bill savings: $300–$1,000 a year
Healthcare in Lexington County
Hospital Financial Assistance (Lexington Medical Center) — Lexington
County · South CarolinaPatients with limited or no insurance can apply for financial assistance at Lexington Medical Center in West Columbia. Eligibility is based on federal poverty standards, and people on Medicaid or SNAP, or getting county or state housing, utility or food help, may be presumed eligible. Eligible patients are not charged more than insured patients for emergency or medically necessary care. Call a financial counselor at 803-791-2490.
Estimated bill savings: about $0 a year
Transportation in Lexington County
Programs here typically provide services worth $150–$1,500 a year to an eligible household.
Public & Paratransit Transit (The COMET) — Lexington
County · South CarolinaThe COMET is the public bus system for Richland and Lexington counties. It runs fixed routes in the parts of Lexington County it serves and DART, a curb-to-curb paratransit service for riders with disabilities who are ADA certified. Seniors 65 and older with a senior driver's license or state ID pay the discount fare — $1.00 per one-way ride instead of $2.00. Call the COMET call center at 803-255-7100.
Estimated service value: $150–$1,500 a year
Local agencies serving Lexington 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.
Central Midlands Council of Governments Area Agency on Aging
Runs: Area Agency on Aging services (Central Midlands Council of Governments Area Agency on Aging)
Aiken/Barnwell Counties Community Action Agency, Inc.
Runs: LIHEAP energy assistance (Aiken/Barnwell Counties Community Action Agency)
Lexington Medical Center (Lexington Health)
Runs: Hospital Financial Assistance (Lexington Medical Center)
Central Midlands Regional Transit Authority (The COMET)
South Carolina and federal programs
Open to eligible households in Lexington County and across the rest of South Carolina. Full details are on the South Carolina benefits page.
Money & income3 programs
Cash paid to you, and emergency help when money runs short.
Health & Medicare costs7 programs
Medicaid, Medicare savings, and help with drug and doctor bills.
- Medicare Savings Programs (QMB, SLMB, QI)
- Healthy Connections Medicaid for people 65+, blind, or disabled (ABD)
- 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)
Food6 programs
SNAP (food stamps), meals, and farmers market coupons.
Home, bills & taxes8 programs
Help with heating and electric bills, rent, property taxes, and home repairs.
- LIHEAP energy assistance (South Carolina)
- Homestead Exemption (property tax, 65+, disabled, or blind)
- South Carolina income tax: age 65 and older deduction and retirement income deduction
- 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 care3 programs
Help staying in your home, nursing home alternatives, and support for family caregivers.
Help, advice & legal5 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.
Not legal or financial advice. The agency makes the final eligibility decision.