Senior benefits in Real County, Texas
Seniors in Real County, Texas have access to a wide range of benefit programs — from local county services to state and federal assistance. The Area Agency on Aging of the Middle Rio Grande (MRGDC AAA) is the local starting point for older adults seeking help with services, referrals, and support under the Older Americans Act. For transportation, Middle Rio Grande Rural Transit offers demand-response service for residents who need rides across this rural region. Energy bill help is available through the Community Council of South Central Texas (CCSCT) CEAP Energy Assistance program. Residents with limited income may also qualify for the Real County Indigent Health Care Program (CIHCP), administered locally in Leakey. For broader needs, Real County Emergency Aid — Referral Coordination connects residents to multiple local and community partners. State programs such as Texas Medicaid for the Aged, Blind, or Disabled (MEPD), Texas STAR+PLUS, and the Texas Over-65 Homestead Exemption also apply here, along with dozens of federal programs. Each listing below includes its official source and the date it was last verified; the administering agency makes all final eligibility decisions.
5
Local programs
16
Texas programs
25
Federal programs
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Categories
Last verified · October 12, 2026
Local starting point
Middle Rio Grande Development Council (MRGDC) — established 1970; the regional COG and designated AAA under OAA Title III for 9 counties of the Middle Rio Grande border region (Dimmit, Edwards, Kinney, LaSalle, Maverick, Real, Uvalde, Val Verde, Zavala)
830-876-3533
See which of these Real County programs you may qualify for.
Discover my benefitsHelping others? Print the Real 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 Real County
Run by the county, its Area Agency on Aging, or another agency serving Real County. Start here.
Emergency Aid in Real County
Programs here typically lower an eligible household's bills by $100–$1,800 a year.
Community Council of South Central Texas (CCSCT) — CEAP Energy Assistance (Real County)
County · TexasReal County's CEAP is delivered through Community Council of South Central Texas (CCSCT). CEAP provides utility bill payment assistance for electric, gas, and propane; energy crisis assistance; and energy education. Eligibility at 150% FPL. Apply at https://www.ccsct.org/program/utility-assistance/ or by calling 830-379-9415. South Texas hot climate makes cooling-crisis assistance especially relevant.
Estimated bill savings: $200–$1,600 a year
Real County Emergency Aid — Referral Coordination
County · TexasReal County operates a referral-and-coordination emergency aid framework: (1) CCSCT or other CEAP subrecipient (830-379-9415); (2) MRGDC AAA for senior services (830-876-3533); (3) Real County CIHCP / Val Verde Regional / Uvalde Memorial for healthcare (830-232-5304); (4) Catholic Charities of the Diocese of Laredo or San Antonio; (5) Salvation Army Del Rio or Uvalde. Dial 211 for general referrals.
Estimated bill savings: $100–$1,800 a year
Healthcare in Real County
Programs here typically lower an eligible household's bills by $1,000–$18,000 a year.
Real County Indigent Health Care Program (CIHCP)
County · TexasThe Real County Indigent Health Care Program (CIHCP) is required by Texas Health & Safety Code Chapter 61 for low-income residents. Eligibility: Real County resident age 18+; household income less than 21% of the Federal Poverty Level; not Medicaid-eligible. PRIMARY HOSPITAL: No hospital in county; residents access Uvalde (UMH), Kerrville (Peterson), or San Antonio hospitals. For regional tertiary care, Uvalde Memorial Hospital and Val Verde Regional Medical Center (Del Rio) are the typical referral hospitals; San Antonio hospitals (University Health, CHRISTUS) for complex care. Apply by calling Real County at 830-232-5304.
Estimated bill savings: $1,000–$18,000 a year
In this county: Real CIHCP at 21% FPL — very strict. No hospital in county; residents access Uvalde (UMH), Kerrville (Peterson), or San Antonio hospitals. Val Verde Regional Medical Center (300% FPL FAP, Del Rio) is the regional generous referral.
Nutrition in Real County
Programs here typically provide services worth $1,200–$4,500 a year to an eligible household.
Area Agency on Aging of the Middle Rio Grande (MRGDC AAA) — Title III + ADRC (Real County)
County · TexasMRGDC AAA serves Real County seniors age 60+ and their caregivers as part of its 9-county Middle Rio Grande border region. Services include Title III Congregate Meals + Home-Delivered Meals, Care Coordination, Caregiver Support, Benefits Counseling (HICAP/SHIP Medicare), Long-Term Care Ombudsman, and ADRC intake. Apply by calling MRGDC AAA at 830-876-3533. Office: 307 W Nopal Street, Carrizo Springs TX 78834.
Estimated service value: $1,200–$4,500 a year
Transportation in Real County
Programs here typically provide services worth $100–$1,500 a year to an eligible household.
SWART Rural Public Transit — Real County
County · TexasThe Southwest Area Regional Transit District (SWART) is the rural public transit district for Real County, open to the general public. Routes go to Uvalde every Thursday ($20 round trip), to San Antonio on the 1st and 3rd Wednesday of the month ($30.00 round trip), to Junction on the 2nd Wednesday ($20.00 round trip), and to Kerrville every Tuesday and Thursday ($30.00 round trip). Rides must be booked at least 24 hours ahead, and a route needs at least 3 riders to run. Extra stops cost $2 each and same-day rides cost double. Discount fare cards give 33.33% off a pack of 30 one-way trips. To book a ride, call SWART at 1-800-499-1617.
Estimated service value: $100–$1,500 a year
Local agencies serving Real 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.
Real County Commissioners Court
Runs: Real County Emergency Aid, Real County Indigent Health Care Program (CIHCP)
Southwest Area Regional Transit District (SWART)
Community Council of South Central Texas (CCSCT)
Middle Rio Grande Development Council (MRGDC)
Runs: Area Agency on Aging of the Middle Rio Grande (MRGDC AAA)
Texas and federal programs
Open to eligible households in Real County and across the rest of Texas. Full details are on the Texas benefits page.
Money & income4 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.
- Medicare Savings Programs in Texas (QMB, SLMB, QI-1)
- Texas Medicaid for the Aged, Blind, or Disabled (MEPD)
- Texas STAR+PLUS — Medicaid Managed Care + Long-Term Services and Supports
- 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 & taxes10 programs
Help with heating and electric bills, rent, property taxes, and home repairs.
- Texas 100% Disabled Veteran Homestead Exemption (Total Property Tax Exemption)
- Texas Disabled Veteran Property Tax Exemption (Partial, 10%–100% Rating)
- Texas Over-65 Homestead Exemption + School District Tax Ceiling (Tax Freeze)
- Texas Property Tax Deferral for Homeowners 65+ or Disabled
- Amy Young Barrier Removal Program (AYBR)
- 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 care4 programs
Help staying in your home, nursing home alternatives, and support for family caregivers.
Help, advice & legal7 programs
Free counseling, legal help, rides, and other senior services.
- Texas Health Information, Counseling and Advocacy Program (HICAP): free Medicare counseling
- Texas Disabled Veteran Super Combo Hunting & Fishing License (Free)
- Texas State Veterans Cemeteries (No-Cost Burial Benefits)
- Texas Veterans Commission Claims Assistance (Free VA Claims Help)
- 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.
