Senior Transportation and Escorted Rides in San Antonio, TX
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 San Antonio for free and hire a caregiver directly, with no agency mark-up.
Senior Transportation in San Antonio, TX: the local picture
About 42,660 San Antonio households, 7.7%, have no vehicle (6.4% in Bexar 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 San Antonio: Children's Hospital Of San Antonio in San Antonio (2.8 mi); Baptist Medical Center in San Antonio (3.3 mi); Brooke Army Medical Center (Ft Sam Houston) in Fort Sam Houston (3.3 mi). Distances are straight-line, so allow more on the road.
42% 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.
San Antonio compared with Bexar County and Texas
| Census figure | San Antonio | Bexar County | Texas |
|---|---|---|---|
| Households with no vehicle | 7.7% | 6.4% | 5.4% |
| Residents 65+ with a disability | 42% | 40% | 35% |
| Residents 65 or older | 13% | 13% | 13% |
| Residents 65+ in households who live alone | 28% | 27% | 25% |
| Residents 65+ below the poverty line (approx.) | 15% | 13% | 12% |
| Residents 85 or older | 1.5% | 1.4% | 1.4% |
| Median income, households headed by someone 65+ | $52,234 | $56,300 | — |
Older residents in towns around San Antonio
| Town | Distance | Residents 65+ | Households with no car |
|---|---|---|---|
| Balcones Heights, TX | 2.4 mi | 339 | 27% |
| Alamo Heights, TX | 3.7 mi | 1,315 | 2.6% |
| Castle Hills, TX | 4.3 mi | 745 | 3.2% |
| Terrell Hills, TX | 4.8 mi | 878 | 0.5% |
| Leon Valley, TX | 5.8 mi | 1,993 | 14% |
| Lackland AFB, TX | 7.7 mi | 0 | 2.4% |
Hospitals near San Antonio
| Hospital with an emergency department | Town | Distance | CMS overall rating | Phone |
|---|---|---|---|---|
| Children's Hospital Of San Antonio | San Antonio, TX | 2.8 mi | not rated | (210) 704-3342 |
| Baptist Medical Center | San Antonio, TX | 3.3 mi | 3 of 5 | (210) 297-8256 |
| Brooke Army Medical Center (Ft Sam Houston) | Fort Sam Houston, TX | 3.3 mi | not rated | (210) 916-4141 |
| University Health System | San Antonio, TX | 3.9 mi | 3 of 5 | (210) 358-2000 |
Straight-line miles from the center of San Antonio. 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 San Antonio
At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 23% of the $4,353 monthly median income of San Antonio households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 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 STAR+PLUS in Texas: using consumer directed services to pay a family 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 San Antonio: common questions
Where is the nearest emergency hospital to San Antonio?
Children's Hospital Of San Antonio in San Antonio, about 2.8 mi in a straight line from the center of San Antonio (Medicare hospital file). Its listed phone number is (210) 704-3342. In an emergency, call 911.
How much does senior transportation cost in San Antonio?
At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 23% of the $4,353 monthly median income of San Antonio households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 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 San Antonio
Senior Transportation in nearby cities
- Senior Transportation in Balcones Heights, TX
- Senior Transportation in Alamo Heights, TX
- Senior Transportation in Castle Hills, TX
- Senior Transportation in Terrell Hills, TX
- Senior Transportation in Leon Valley, TX
- Senior Transportation in Lackland AFB, TX
- Senior Transportation in Kirby, TX
- Senior Transportation in Shavano Park, TX
- Senior Transportation in Windcrest, TX
- Senior Transportation in Hollywood Park, TX
- Senior Transportation in Helotes, TX
- Senior Transportation in Live Oak, TX
- Senior Transportation in Converse, TX
- Senior Transportation in Universal City, TX
- Senior Transportation in Selma, TX
- Senior Transportation in Cross Mountain, TX
Other care in San Antonio
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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