Senior Transportation and Escorted Rides in Fredericktown, MO
Rides to appointments, shopping, the pharmacy and visits with a caregiver who stays with the person, not only a driver who drops them off. Post what you need in Fredericktown for free and hire a caregiver directly, with no agency mark-up.

Senior Transportation in Fredericktown, MO: the local picture
About 220 Fredericktown households, 12%, have no vehicle (8.2% in Madison County). The Census figure covers all ages, but older adults who stop driving are a large part of it.
Hospitals with an emergency department near Fredericktown: Madison Medical Center in Fredericktown (5.3 mi); Parkland Health Center in Farmington (16 mi); Iron County Medical Center in Pilot Knob (19 mi). Distances are straight-line, so allow more on the road.
54% of residents 65 and older report a disability. If walking is hard, look for a caregiver who is comfortable with walkers and car transfers, not only a driver.
Fredericktown compared with Madison County and Missouri
| Census figure | Fredericktown | Madison County | Missouri |
|---|---|---|---|
| Households with no vehicle | 12% | 8.2% | 6.6% |
| Residents 65+ with a disability | 54% | 42% | 34% |
| Residents 65 or older | 20% | 20% | 18% |
| Residents 65+ in households who live alone | 39% | 27% | 30% |
| Residents 65+ below the poverty line (approx.) | 4.3% | 9.9% | 10% |
| Residents 85 or older | 2.2% | 1.6% | 2.0% |
| Median income, households headed by someone 65+ | $38,245 | $39,583 | — |
Older residents in towns around Fredericktown
| Town | Distance | Residents 65+ | Households with no car |
|---|---|---|---|
| Farmington, MO | 17 mi | 3,359 | 6.5% |
| Park Hills, MO | 21 mi | 1,028 | 9.1% |
| Desloge, MO | 25 mi | 968 | 5.9% |
| Perryville, MO | 26 mi | 1,370 | 9.9% |
| Bonne Terre, MO | 28 mi | 848 | 16% |
| Terre du Lac, MO | 29 mi | 500 | 1.3% |
Hospitals near Fredericktown
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Madison Medical Center | Fredericktown, MO | 5.3 mi | not rated | (573) 781-3341 |
| Parkland Health Center | Farmington, MO | 16 mi | 4 of 5 | (573) 431-6005 |
| Iron County Medical Center | Pilot Knob, MO | 19 mi | not rated | (573) 546-1260 |
| Ste Genevieve County Memorial Hospital | Sainte Genevieve, MO | 22 mi | 4 of 5 | (573) 883-2751 |
Straight-line miles from the center of Fredericktown. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a caregiver who drives can help with
- Rides to doctor, dental and therapy appointments
- Waiting during the appointment and taking notes
- Grocery shopping, pharmacy and errands
- Trips to church, the senior center and family
What senior transportation costs in Fredericktown
At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 43% of the $3,187 monthly median income of Fredericktown households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Consumer Directed Services in Missouri: how a relative becomes a paid caregiver.
What to know before hiring a caregiver who drives
Giving up driving is a common reason older adults start to miss appointments and see fewer people. Before a caregiver drives, agree whose car is used, check that the auto insurance covers it, and agree a mileage rate in writing. The National Aging and Disability Transportation Center and the Eldercare Locator (1-800-677-1116) can point you to free and low-cost ride programs.
Questions worth asking: May I see your license and proof of auto insurance? Will you drive your car or ours? How do you help someone with a walker in and out of the car? More in our senior transportation guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Senior Transportation in Fredericktown: common questions
Where is the nearest emergency hospital to Fredericktown?
Madison Medical Center in Fredericktown, about 5.3 mi in a straight line from the center of Fredericktown (Medicare hospital file). Its listed phone number is (573) 781-3341. In an emergency, call 911.
How much does senior transportation cost in Fredericktown?
At the Missouri median aide wage of $15.90 an hour, 20 hours of help a week comes to about $1,378 a month in wages, which is 43% of the $3,187 monthly median income of Fredericktown households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Missouri's minimum wage is $15.00 an hour (U.S. Department of Labor table, updated July 1, 2026).
Does Medicare pay for rides to appointments?
Original Medicare covers emergency ambulance trips, not routine rides. Medicaid covers non-emergency medical transportation for eligible members, and some Medicare Advantage plans include rides (Medicare.gov).
More senior care near Fredericktown
Senior Transportation in nearby cities
- Senior Transportation in Farmington, MO
- Senior Transportation in Park Hills, MO
- Senior Transportation in Desloge, MO
- Senior Transportation in Perryville, MO
- Senior Transportation in Bonne Terre, MO
- Senior Transportation in Terre du Lac, MO
- Senior Transportation in Ste. Genevieve, MO
- Senior Transportation in Piedmont, MO
- Senior Transportation in Chester, IL
- Senior Transportation in Potosi, MO
- Senior Transportation in Jackson, MO
- Senior Transportation in De Soto, MO
- Senior Transportation in Chaffee, MO
- Senior Transportation in Cape Girardeau, MO
- Senior Transportation in Festus, MO
- Senior Transportation in Crystal City, MO
Other care in Fredericktown
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
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