Senior Transportation in West, TX: Rides With a Caregiver

Local figures

Senior Transportation in West, TX: the local picture

5.6%

of households have no vehicle (5.3% in McLennan County)

15 mi

to the nearest hospital with an emergency department (Hillsboro)

522

residents 65 or older (20% of West)

44%

of residents 65+ report a disability (37% in McLennan County)

About 51 West households, 5.6%, have no vehicle (5.3% in McLennan 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 West: Hill Regional Hospital in Hillsboro (15 mi); Ascension Providence in Waco (22 mi); Baylor Scott & White Medical Center Hillcrest in Waco (22 mi). Distances are straight-line, so allow more on the road.

44% 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.

West compared with McLennan County and Texas

Census figure	West	McLennan County	Texas
Households with no vehicle	5.6%	5.3%	5.4%
Residents 65+ with a disability	44%	37%	35%
Residents 65 or older	20%	15%	13%
Residents 65+ in households who live alone	41%	25%	25%
Residents 65+ below the poverty line (approx.)	13%	10%	12%
Residents 85 or older	3.2%	1.7%	1.4%
Median income, households headed by someone 65+	$44,688	$56,849	—

Older residents in towns around West

Town	Distance	Residents 65+	Households with no car
Lacy-Lakeview, TX	12 mi	800	7.9%
Bellmead, TX	14 mi	1,485	2.6%
Hillsboro, TX	14 mi	1,306	11%
Waco, TX	18 mi	19,292	6.8%
Woodway, TX	23 mi	2,201	2.6%
Robinson, TX	24 mi	1,865	2.4%

Hospitals near West

Hospital with an emergency department	Town	Distance	CMS overall rating	Phone
Hill Regional Hospital	Hillsboro, TX	15 mi	1 of 5	(254) 580-8500
Ascension Providence	Waco, TX	22 mi	2 of 5	(254) 751-4000
Baylor Scott & White Medical Center Hillcrest	Waco, TX	22 mi	4 of 5	(254) 202-2000
Goodall Witcher Hospital	Clifton, TX	25 mi	not rated	(254) 675-8322

Straight-line miles from the center of West. 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 West

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 27% of the $3,724 monthly median income of West 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 West: common questions

Where is the nearest emergency hospital to West?

Hill Regional Hospital in Hillsboro, about 15 mi in a straight line from the center of West (Medicare hospital file). Its listed phone number is (254) 580-8500. In an emergency, call 911.

How much does senior transportation cost in West?

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 27% of the $3,724 monthly median income of West 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 near West

More senior care near West

Senior Transportation in nearby cities

Other care in West

More for West 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 West, TX