Smithville, Texas

Senior Transportation and Escorted Rides in Smithville, 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 Smithville for free and hire a caregiver directly, with no agency mark-up.

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Local figures

Senior Transportation in Smithville, TX: the local picture

3.6%
of households have no vehicle (3.4% in Bastrop County)
0.6 mi
to the nearest hospital with an emergency department (Smithville)
962
residents 65 or older (23% of Smithville)
26%
of residents 65+ report a disability (29% in Bastrop County)

About 64 Smithville households, 3.6%, have no vehicle (3.4% in Bastrop 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 Smithville: Ascension Seton Smithville in Smithville (0.6 mi); Ascension Seton Edgar B Davis in Luling (37 mi); Dell Children's Medical Center in Austin (38 mi). Distances are straight-line, so allow more on the road.

26% 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.

Smithville compared with Bastrop County and Texas

Census figureSmithvilleBastrop CountyTexas
Households with no vehicle3.6%3.4%5.4%
Residents 65+ with a disability26%29%35%
Residents 65 or older23%15%13%
Residents 65+ in households who live alone33%21%25%
Residents 65+ below the poverty line (approx.)11%9.2%12%
Residents 85 or older2.5%1.2%1.4%
Median income, households headed by someone 65+$54,896$65,730—

Older residents in towns around Smithville

TownDistanceResidents 65+Households with no car
Circle D-KC Estates, TX12 mi3474.3%
Bastrop, TX12 mi1,6256.1%
Camp Swift, TX15 mi9156.1%
La Grange, TX18 mi85712%
Giddings, TX18 mi9952.7%
Wyldwood, TX21 mi4680.0%

Hospitals near Smithville

Hospital with an emergency departmentTownDistanceCMS overall ratingPhone
Ascension Seton SmithvilleSmithville, TX0.6 minot rated(512) 237-3214
Ascension Seton Edgar B DavisLuling, TX37 minot rated(830) 875-7000
Dell Children's Medical CenterAustin, TX38 minot rated(512) 324-0000

Straight-line miles from the center of Smithville. 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 Smithville

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 22% of the $4,575 monthly median income of Smithville 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.

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 Smithville: common questions

Where is the nearest emergency hospital to Smithville?

Ascension Seton Smithville in Smithville, about 0.6 mi in a straight line from the center of Smithville (Medicare hospital file). Its listed phone number is (512) 237-3214. In an emergency, call 911.

How much does senior transportation cost in Smithville?

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 22% of the $4,575 monthly median income of Smithville 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).

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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