Get paid to care for family in Fremont County
Most of the 1,640 people in Fremont County who are 65 or older are cared for at home, by a relative. Iowa Medicaid can pay you for that work.
Fremont County at a glance
- Aged 65+
- 1,640
- Aged 85+
- 232
- Rank in IA
- 91st
- Median age
- 45.3
25% of residents
when daily help usually starts
of 99 counties, by residents 65+
older than the country
U.S. Census Bureau, 2024 Population Estimates (Vintage 2024). Fremont County is one of the most rural counties in the country (Rural-Urban Continuum Code 8).
- 50 + DC
- states covered
- 3,144
- counties with local data
- $0
- it is always free to apply
- 2 min
- to see if you qualify
Population figures from the U.S. Census Bureau · Rules from each state's published Medicaid program
Care in Fremont
What being a paid caregiver looks like here
About 1,640 people in Fremont County are 65 or older — 25% of everyone who lives here. That is an older county than Iowa overall, so more families here are already doing this work. Roughly 232 are 85 or older, the age when daily help usually starts. Out here, hiring an outside agency often is not realistic at all. Being paid to do the care yourself is not a workaround — it is how these programs were designed to work.
Statewide, 612,400 people in Iowa are 65 or older — 19% of the state, across 99 counties.
What Iowa pays family caregivers
$2,691/month
Your exact pay is set by the program and your care plan. We'll tell you your real number before you enroll.
Source: Iowa Medicaid program data · Updated September 2026
Iowa's programs at a glance
- Consumer Choices Option (CCO)
- CDAC (agency-delivered)
- Spouse paid?
- Not right now
- Parent paid for a child?
- Not right now
- Waitlist
- Some programs have no waitlist.
These rules are set by the state, so they are the same in every county. Read the full Iowa guide →
Towns and cities in Fremont County
Iowa sets eligibility, not your town — so a family in Sidney and a family at the far edge of the county apply the same way. The largest communities in Fremont County:
- Sidney1,048
- Tabor898
- Hamburg863
- Farragut480
- Riverton243
- Randolph183
- Thurman162
- Imogene37
Source: U.S. Census Bureau, 2024 Subcounty Population Estimates.
How families in Fremont apply
You do not need a county office to start. Families in Fremont County start with Iowa's program:
Apply for Medicaid and the appropriate HCBS waiver through Iowa HHS (hhs.iowa.gov or a local office, 800-338-8366); after waiver approval and level-of-care assessment, ask the case manager to enroll in the Consumer Choices Option.
Or skip the phone tag — our free 2-minute check tells you which Iowa program fits your family, then we help with the forms.
See if you qualify →Fremont questions, answered honestly
Can I get paid to care for a family member in Fremont County?
Yes. Iowa runs real Medicaid programs — like Consumer Choices Option (CCO) — that pay family caregivers, and they cover families in Fremont County. We help you enroll, and applying costs you nothing.
How much do family caregivers earn in Fremont County?
Reported figures in Iowa are around $2,691/month, but rates vary — the program sets your exact pay. We'll tell you your real number before you enroll.
Where do families in Fremont County apply?
Families in Fremont County start with the state, not the county. Apply for Medicaid and the appropriate HCBS waiver through Iowa HHS (hhs.iowa.gov or a local office, 800-338-8366); after waiver approval and level-of-care assessment, ask the case manager to enroll in the Consumer Choices Option.
Can I get paid to care for my spouse in Fremont County?
Not right now — but other family members often can be. The fine print for Iowa: no — a spouse cannot be the paid attendant under CDAC or CCO
How many people in Fremont County might need this?
1,640 residents of Fremont County are 65 or older and about 232 are 85 or older, according to the U.S. Census Bureau's 2024 population estimates. Most of them are cared for at home by a relative rather than in a facility. Iowa's programs exist to pay for exactly that care.
Which towns in Fremont do you cover?
All of Fremont County — including Sidney, Tabor, Hamburg, Farragut and Riverton. Eligibility is set by Iowa, not by your town, so where you live inside the county does not change whether you qualify.
Program facts come from Iowa's published Medicaid program rules · Population figures from the U.S. Census Bureau · Updated September 2026. Rules change — always confirm with the program.
Guides
For families in Fremont County
Start with the Iowa caregiver program, then read how the pieces fit together.
Nearby
Counties next to Fremont
The counties Fremont touches, by Census boundaries — a few of those borders run across water. Ones marked with a state abbreviation are across the line, and their rules are their state's, not this one's.
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