A transportation plan can preserve access to healthcare, groceries, work, community activities, and relationships when driving changes or stops.
Start by asking the health plan, clinic, and local transit agency what transportation is available. Some Medicare Advantage plans offer supplemental rides. State Medicaid programs arrange non-emergency medical transportation for eligible beneficiaries under program rules that vary by state. Where fixed-route public transit exists, complementary ADA paratransit serves eligible riders whose disabilities prevent use of the regular service; application and reservation procedures are local.
Local options may include volunteer-driver programs, senior vans, public transit, taxi vouchers, or commercial rideshare and concierge services. Compare service area, advance notice, accessibility, escort policies, wait time, cancellation fees, payment method, and whether the rider must use a smartphone. The Eldercare Locator transportation page is a starting point for local programs.
If walking is part of the plan, review the actual route at the time it will be used. Look for surface damage, curb ramps, crossing time, lighting, traffic, weather exposure, rest points, and access to help. Report hazards through the local public-works or accessibility process. A mobility aid should be selected and fitted with qualified guidance when balance, strength, or gait is a concern.
Driving decisions should consider vision, cognition, movement, medications, crash or near-miss history, and state licensing rules. A clinician or driver-rehabilitation specialist can help evaluate ability and possible adaptations. Test alternative transportation before it is urgently needed, and use the NHTSA older-driver resources to structure the conversation.
Four-wheel walkers with built-in benches that may offer a place to pause during longer outings.
Read fall-prevention guidanceSwivel cushions, handle bars, and leg lifters that make getting in and out of any car easier.
Find transportation resourcesLightweight chairs that fit in a trunk for appointment days.
Explore accessible transportationSimple phones with speed-dial and location sharing for riders using ride services solo.
Read CDC driver-safety guidanceProduct categories are provided as planning examples, not endorsements. Compare safety features, return policies, installation requirements, and advice from a qualified professional before buying.
Eligibility is based on whether a disability prevents a person from using the fixed-route transit system for some or all trips—not simply on age or a diagnosis. Apply through the local transit agency and follow its documentation process.
Some transit agencies, volunteer programs, taxi services, and commercial concierge services accept reservations by phone. Availability and fees vary, so confirm who operates the ride, how drivers are screened, what assistance is offered, and how cancellations are handled.
Programs set their own fares, donations, eligibility, service areas, and reservation rules. Contact the local program directly or use the federal Eldercare Locator to identify options to compare.
Available categories and listing counts vary by city. Treat listings as research leads and confirm services, credentials, and availability directly.
Browse cities →Key claims were checked against the following primary or authoritative resources. Program rules, coverage, prices, and local availability can change; verify current details before acting.
See an error or outdated link? Request a correction.
Serve seniors? Get listed while the directory grows.