Senior Transportation in Madison, IL: Rides With a Caregiver

Local figures

Senior Transportation in Madison, IL: the local picture

12%

of households have no vehicle (5.7% in Madison County)

2.8 mi

to the nearest hospital with an emergency department (Granite City)

406

residents 65 or older (14% of Madison)

62%

of residents 65+ report a disability (35% in Madison County)

About 157 Madison households, 12%, have no vehicle (5.7% 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 Madison: Gateway Regional Medical Center in Granite City (2.8 mi); St Louis-John Cochran Va Medical Center in St. Louis (6.4 mi); Touchette Regional Hospital Inc in Centreville (7.0 mi). Distances are straight-line, so allow more on the road.

62% 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.

Madison compared with Madison County and Illinois

Census figure	Madison	Madison County	Illinois
Households with no vehicle	12%	5.7%	11%
Residents 65+ with a disability	62%	35%	32%
Residents 65 or older	14%	19%	17%
Residents 65+ in households who live alone	49%	32%	30%
Residents 65+ below the poverty line (approx.)	39%	9.0%	10%
Residents 85 or older	0.4%	2.1%	2.0%

Older residents in towns around Madison

Town	Distance	Residents 65+	Households with no car
Pontoon Beach, IL	3.2 mi	794	10%
Granite City, IL	3.2 mi	5,153	9.3%
East St. Louis, IL	5.1 mi	4,154	22%
Collinsville, IL	5.2 mi	4,375	6.1%
Caseyville, IL	5.4 mi	828	7.2%
Riverview, MO	7.1 mi	188	18%

Hospitals near Madison

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Gateway Regional Medical Center	Granite City, IL	2.8 mi	2 of 5	(618) 798-3000
St Louis-John Cochran Va Medical Center	St. Louis, MO	6.4 mi	5 of 5	(314) 652-4100
Touchette Regional Hospital Inc	Centreville, IL	7.0 mi	not rated	(618) 332-3060
Anderson Hospital	Maryville, IL	7.6 mi	3 of 5	(618) 288-5711

Straight-line miles from the center of Madison. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

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

Cost

What senior transportation costs in Madison

At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois'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 Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

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.

Questions

Senior Transportation in Madison: common questions

Where is the nearest emergency hospital to Madison?

Gateway Regional Medical Center in Granite City, about 2.8 mi in a straight line from the center of Madison (Medicare hospital file). Its listed phone number is (618) 798-3000. In an emergency, call 911.

How much does senior transportation cost in Madison?

At the Illinois median aide wage of $18.30 an hour, 20 hours of help a week comes to about $1,586 a month in wages. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Illinois'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 near Madison

More senior care near Madison

Senior Transportation in nearby cities

Other care in Madison

More for Madison families

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.

Senior Transportation and Escorted Rides in Madison, IL