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Older Americans Act Services for Seniors

The Older Americans Act is the foundation of senior services in the US. We'll help you tap into these programs and make sure your Medicare works alongside them. Call 1-800-MEDIGAP (1-800-633-4427).

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Quick answer

The Older Americans Act of 1965 funds services that help adults 60 and older live independently, including meals, transportation, in-home care, caregiver support, and elder-rights protection, delivered through about 618 Area Agencies on Aging. Most services are free or donation-based. To connect these with your Medicare, call 1-800-MEDIGAP (1-800-633-4427).

Since 1965, the Older Americans Act has built the national safety net that keeps seniors independent. Here is what it provides and how to use it.

What services does the Older Americans Act provide for seniors?

The Older Americans Act (OAA), first passed in 1965, funds a wide range of services delivered locally through the national Aging Network of roughly 618 Area Agencies on Aging. Key program areas include nutrition (home-delivered and congregate meals), supportive services (transportation, personal care, homemaker help, and information-and-assistance), the National Family Caregiver Support Program, disease prevention and health promotion, and elder-rights protections such as the Long-Term Care Ombudsman and elder-abuse prevention. Most OAA services are available to anyone 60 and older, with priority for those in greatest social or economic need. Services are typically free or offered on a voluntary donation basis.

Who is eligible for Older Americans Act services?

Most Older Americans Act services are open to adults 60 and older, regardless of income, though agencies target those with the greatest need โ€” including low-income, minority, rural, and isolated seniors. The National Family Caregiver Support Program also serves caregivers of older adults and grandparents 55+ raising grandchildren. There is generally no income test or means-testing for core OAA programs like meals and transportation, which removes a major barrier to getting help. Call your Area Agency on Aging or 1-800-MEDIGAP (1-800-633-4427) to confirm eligibility for a specific program.

How do Older Americans Act services work with Medicare?

Older Americans Act services complement Medicare rather than replace it. The OAA funds non-medical supports โ€” meals, rides, in-home help, and caregiver respite โ€” that Medicare generally does not cover, while Medicare pays for your medical care. Many AAAs also host SHIP for free Medicare counseling. To make sure your medical coverage fills the gaps the OAA does not, pair these community services with a licensed Medicare specialist. Call 1-800-MEDIGAP (1-800-633-4427) for a free comparison of Supplement, Advantage, and Part D plans from every major carrier.

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Frequently asked questions

What is the Older Americans Act?+

The Older Americans Act is a 1965 federal law that funds services helping adults 60 and older live independently โ€” meals, transportation, in-home care, caregiver support, and elder-rights protections. It created the national Aging Network of roughly 618 Area Agencies on Aging that deliver these services locally.

What services does the Older Americans Act cover?+

The Older Americans Act funds nutrition programs (meals), supportive services (transportation, personal care, homemaker help), the National Family Caregiver Support Program, health promotion, and elder-rights protections like the Long-Term Care Ombudsman. These are delivered through Area Agencies on Aging and are usually free or donation-based for adults 60 and older.

Who qualifies for Older Americans Act services?+

Most Older Americans Act services are open to adults 60 and older regardless of income, with priority for those in greatest need. Family caregivers and grandparents 55+ raising grandchildren also qualify for support. There is generally no income test for core programs like meals and transportation.

Are Older Americans Act services free?+

Most Older Americans Act services are free or offered on a voluntary donation basis, with no required fee or means test. Donations help sustain programs but are never mandatory. Some specialized or Medicaid-funded long-term care services may have separate income requirements.

How do I access Older Americans Act services?+

Contact your local Area Agency on Aging through the Eldercare Locator at 1-800-677-1116 or eldercare.acl.gov. No referral is needed. Ask for an assessment to match your needs to available programs. Call 1-800-MEDIGAP (1-800-633-4427) for help coordinating these services with your Medicare.

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