Millions of older adults are having trouble making ends meet, especially during these inflationary times. Yet many don鈥檛 realize help is available, and some notable programs that offer financial assistance are underused.
A few examples: age 60 or older qualify for aid from the federal Supplemental Nutrition Assistance Program (also known as food stamps) but haven鈥檛 signed up, according to recent estimates. Also, more than 3 million adults 65 or older are eligible but not enrolled in , which pay for Medicare premiums and cost sharing. And 30% to 45% of seniors may be missing out on help from the program, which covers plan premiums and cost sharing and lowers the cost of prescription drugs.
鈥淭ens of billions of dollars of benefits are going unused every year鈥 because seniors don鈥檛 know about them, find applications too difficult to complete, or feel conflicted about asking for help, said , chief customer officer at the National Council on Aging, an advocacy group for older Americans that runs the National Center for Benefits Outreach and Enrollment.
Many programs target seniors with extremely low incomes and minimal assets. But that isn鈥檛 always the case: Programs funded by the Older Americans Act, such as home-delivered meals and legal assistance for seniors facing home foreclosures or eviction, don鈥檛 require a means test, although people with low incomes are often prioritized. And some local programs, such as property tax breaks for homeowners, are available to anyone 65 or older.
Even a few hundred dollars in assistance monthly can make a world of difference to older adults living on limited incomes that make it difficult to afford basics such as food, housing, transportation, and health care. But people often don鈥檛 know how to find out about benefits and whether they qualify. And older adults are often reluctant to seek help, especially if they鈥檝e never done so before.
鈥淵ou鈥檝e earned these benefits,鈥 Hodges said, and seniors should think of them 鈥渓ike their Medicare, like their Social Security.鈥
Here鈥檚 how to get started and some information about a few programs.
Getting help. In every community, Area Agencies on Aging, organizations devoted to aiding seniors, perform benefits assessments or can refer you to other organizations that conduct these evaluations. (To get contact information for your local Area Agency on Aging, use the , a service of the federal Administration on Aging, or call 800-677-1116 on weekdays during business hours.)
Assessments identify which federal, state, and local programs can assist with various needs 鈥 food, housing, transportation, health care, utility costs, and other essential items. Often, staffers at the agency will help seniors fill out application forms and gather necessary documentation.
A common mistake is waiting until a crisis hits and there鈥檚 no food in the refrigerator or the power company is about to turn off the electricity.
鈥淚t鈥檚 a much better idea to be prepared,鈥 said , chief executive officer of USAging, a national organization that represents Area Agencies on Aging. 鈥淐ome in, sit down with somebody, and put all your options on the table.鈥
Older adults who are comfortable online and want to do their own research can use BenefitsCheckUp, a service operated by the National Council on Aging, at . Those who prefer using the phone can call 800-794-6559.
Aid with food expenses. Some aging organizations are adapting to heightened demand for help from seniors by focusing attention on core benefits such as food stamps, which have become even more important as food inflation runs around 10%.
The potential to help seniors with these expenses is enormous. In a , the AARP Public Policy Institute estimates that 71% of adults age 60 and above who qualify for the Supplemental Nutrition Assistance Program haven鈥檛 signed up for benefits.
In some cases, older adults may think benefits are too small to be worth the hassle. But seniors who lived alone received in food stamps per month in 2019. And at least 3 million adults 50 and above with very low incomes would receive , AARP estimates.
To combat the stigma that some older adults attach to food stamps, AARP has launched a marketing campaign in Atlanta and Houston explaining that 鈥渇ood prices are rising and we鈥檙e all trying to stretch our grocery budgets,鈥 said Nicole Heckman, vice president of benefit access programs at the AARP Foundation.
If the effort alters seniors鈥 perception of the program and increases enrollment, AARP plans to do a major expansion next year, she said.
Aid with health care expenses. AARP is also working closely with community organizations in South Carolina, Alabama, and Mississippi that help older adults apply for Medicare Savings Programs and low-income subsidies for Part D prescription drug plans. It plans to expand this program next year to as many as 22 states.
The value of these health care benefits, targeted at low-income seniors, is substantial. At a minimum, Medicare Savings Programs will cover the cost of Medicare鈥檚 Part B premiums: $170 a month, or $2,040 annually, for most seniors. For older adults with the lowest incomes, benefits are even broader, with cost sharing for medical services also covered.
鈥淓ven if you think you might not qualify, you should apply because there are different rules across states,鈥 said , a senior policy analyst for KFF鈥檚 Program on Medicare Policy.
Low-income subsidies for Part D prescription drug plans, also known as Extra Help, , according to the Social Security Administration. Currently, some seniors get only partial benefits, but that , when all older adults with incomes below 150% of the federal poverty level ($20,385 for a single person in 2022) will qualify for full Extra Help benefits.
Because these health care programs are complicated, getting help with your application is a good idea. Freed suggested that people start by contacting the State Health Insurance Assistance Program in their state (contact information can be found ). Other potential sources of help are the Medicare hotline (800-633-4227) and your state鈥檚 department of aging, which can direct you to community organizations that help with applications. A list of the state departments can be found .
Other kinds of assistance. Be sure to check out property tax relief programs for seniors in your area as part of a broader 鈥渂enefits checkup鈥 process.
Older adults with low incomes also can get assistance with high energy bills through the . Your local utility company may also provide emergency relief to seniors who can鈥檛 pay their bills. It鈥檚 worth making a call to find out, advised Rebecca Lerfelt, the retired assistant director of a Chicago-area . These resource centers help people seeking access to long-term care services and are another potential source of assistance for older adults. You can find one in your area .
For veterans, 鈥渢his may be the time to take a look at using your VA benefits,鈥 said , president of AgeOptions, an Area Agency on Aging in suburban Cook County, Illinois. 鈥淚 run into a lot of people who are eligible for veterans benefits but not taking advantage of them.鈥
Barriers to getting help. Advocates for many programs note that agencies serving older adults are facing staff shortages, which are complicating the efforts to provide assistance. Low pay is a commonly cited reason. For example, 41% of Area Agencies on Aging report staff vacancies of up to 15%, while an additional 18% report vacancies up to 25%, according to Markwood. Also, agencies have lost significant numbers of volunteers during the covid-19 pandemic.
At the same time, demand for help has risen, and clients鈥 needs have become more complex because of the pandemic and growing inflation.
鈥淎ll of this is being amplified by the financial strains older adults are feeling,鈥 Markwood said.
We鈥檙e eager to hear from readers about questions you鈥檇 like answered, problems you鈥檝e been having with your care, and advice you need in dealing with the health care system. Visit聽聽to submit your requests or tips.
