For seniors in Northeast Ohio, transportation to medical appointments is critical for health and independence. Akron and Cleveland offer different approaches to senior transit, each with unique advantages and trade-offs. Here's a quick breakdown:
- Akron: Offers flexible scheduling, including weekend service, with options like Uber Health and ReliaRide. Costs average $18.70/hour or $20 per trip. Medicaid waivers can cover some services. Providers focus on suburban areas with tech-enabled coordination.
- Cleveland: Provides low-cost, community-subsidized options like Senior Transportation Connection (STC), charging $1.25 per trip. Services are limited to weekdays and two trips per week. Veterans and eligible seniors benefit from free or reduced fares through programs like Laketran.
Quick Comparison
| Feature | Akron | Cleveland |
|---|---|---|
| Cost | $18.70/hour or $20/trip | $1.25/trip (STC) or $5/trip (Laketran) |
| Scheduling | Flexible, 24/7 options | Weekdays only, limited to 2 trips/week |
| Coverage | Suburban-focused | Cuyahoga County and major medical centers |
| Accessibility | Wheelchair-accessible, tech-enabled | Door-to-door, community-based |
| Special Features | Tailored for frequent appointments | Subsidized fares, veteran programs |
Akron is ideal for seniors needing flexibility and frequent rides, while Cleveland excels in affordability for predictable, routine appointments. Choosing the right service depends on balancing cost, convenience, and trip frequency.
Akron vs Cleveland Senior Transportation Services Comparison
1. Akron Senior Transportation Services
Availability
Akron's senior transportation network serves Summit County and nearby areas like Barberton, Cuyahoga Falls, Fairlawn, Green, Hudson, Stow, and Tallmadge. Uber Health extends its reach to Norton, Mogadore, and New Franklin, offering rides on demand 24/7 or scheduled up to 30 days in advance. Freedmans Health operates Monday through Friday from 9:00 a.m. to 5:00 p.m., with Saturday appointments available upon request. For non-emergency medical transportation, Uber Health requires scheduling between 24 hours and 60 days ahead.
Affordability
Private senior transportation in Akron is priced competitively. As of February 2026, the average hourly rate starts at $18.70, slightly below Ohio's average of $19.11 per hour and 11% cheaper than the national average of $21.01 per hour. An average UberX trip costs around $20. For seniors with Medicaid or Area Agency on Aging waivers, services like ReliaRide are often fully covered. Eligible seniors and individuals with disabilities can also use PARTA for free transportation to medical, dental, and pharmacy appointments in the Portage/Akron area by calling 330-678-1287.
Accessibility
Akron's transportation options cater to a range of mobility needs. Many providers offer wheelchair-accessible vehicles and door-to-door assistance. Freedmans Health supports those requiring oxygen, service animals, or even ambulance transport. Uber Health simplifies access by allowing ride scheduling for seniors without smartphones, providing trip details via text or call, and offering multilingual support in over 15 languages. Additionally, Freedmans Health provides free trip-planning services, though travel costs are billed separately.
Specialized Services
For seniors managing chronic conditions or attending frequent appointments, Akron offers tailored transportation solutions. Uber Health has been shown to reduce clinical trial dropout rates by 20%, while OneWell Health Care reports monthly savings of $407 per participant by using Uber Health technology. ReliaRide operates Monday through Saturday from 6:00 a.m. to 6:00 p.m., accepting Medicaid and specialized waivers to support ongoing medical needs. These services provide a strong foundation for comparison with Cleveland's offerings.
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2. Cleveland Senior Transportation Services
Availability
Cleveland's senior transportation system operates on a more structured schedule compared to Akron's flexible options. The Senior Transportation Connection (STC) serves 36 zip codes in Cuyahoga County, supporting over 12,000 registered riders with a fleet of 48 accessible vehicles and 75 trained staff members. Operating Monday through Friday, STC allows riders to take up to two one-way trips per week. Meanwhile, Laketran Dial-a-Ride in Lake County offers five daily departures to Cleveland's major medical centers, starting as early as 6:15 a.m..
First-time STC users must pre-register by calling to confirm their home address before booking their initial trip. Reservations must be made between 1 and 14 days in advance, depending on the provider. These scheduling requirements help Cleveland maintain its cost-effective transportation pricing.
Affordability
Cleveland is known for its low-cost medical transportation in Northeast Ohio. STC charges just $1.25 per one-way trip for riders aged 60 and older. Laketran offers a reduced fare of $5.00 each way for those with a Reduced Fare Card, compared to the standard $20.00 fare. Private caregiver services average $19.07 per hour as of February 2026. Veterans registered with the Veterans Service Commission in Lake County can access free transportation to VA locations or medical appointments within the service area.
The Cleveland area boasts approximately 251 transportation providers, with an average rating of 4.5 out of 5 stars based on 83 local reviews. Additionally, Personal Care Assistants or escorts ride for free with STC when their presence is noted during scheduling.
Accessibility
Rather than focusing on on-demand technology like Akron, Cleveland prioritizes consistent and community-oriented scheduling. Both STC and Laketran provide door-to-door service with wheelchair-accessible vehicles and trained drivers who offer personal assistance. These services accommodate needs like oxygen support, service animals, and ambulette transport, ensuring timely pickups and drop-offs.
ReliaRide, a prominent wheelchair ambulette service in Ohio, has completed more than 450,000 rides for seniors and individuals with disabilities in Northeast Ohio. Their average return pickup time is just 20 minutes - much faster than the typical 1-to-3-hour industry standard.
Specialized Services
Cleveland also offers specialized routes catering to key facilities like the Cleveland VA Medical Center, Cleveland Sight Center, and CWRU Dental School. These routes are designed for frequent medical travelers. For seniors with complex care needs, providers like Freedmans Health offer complimentary trip planning, including arrangements for oxygen security and service animals. However, patients are responsible for the cost of travel.
Laura Kleinman, Executive Director of Senior Transportation Connection, highlights the importance of mobility:
"Mobility is a key privilege tied to freedom, equity, and belonging".
Private caregivers also play a vital role in Cleveland's senior transportation ecosystem, combining transportation, mobility support, and companionship. Chelsea K., an Occupational Therapist, shares her perspective:
"I have always connected with elderly more than most people. I have all the patience to give and appreciation and respect for the full life they have lived".
These services reflect Cleveland's commitment to providing reliable, non-emergency medical transportation that supports seniors' healthcare needs while fostering independence and dignity.
Age Friendly Cleveland: Senior Transportation Connection

Advantages and Disadvantages
This section builds on earlier evaluations, comparing how Akron and Cleveland's approaches to senior transit services create specific trade-offs for users and caregivers.
| Feature | Akron | Cleveland |
|---|---|---|
| Cost Structure | Market-based hourly rates averaging $18.70/hour, with Uber Health trips around $20 per ride | Subsidized fares - STC charges $1.25 per one-way trip |
| Scheduling Flexibility | METRO operates Monday–Saturday, while Uber Health allows on-demand rides or scheduling up to 30 days in advance | STC runs Monday–Friday (8:30 a.m.–4:30 p.m.) with a limit of two one-way trips per week |
| Technology Requirements | Providers book rides via a HIPAA-enabled dashboard, so seniors don’t need a smartphone | Registration and scheduling are phone-based; first-time riders must verify eligibility |
| Service Coverage | METRO operates 30+ regular routes and 11 special service routes across Summit County | STC covers 36 zip codes in Cuyahoga County with 48 accessible vehicles |
| Primary Advantage | More scheduling flexibility, weekend availability, and tech-driven coordination to reduce no-shows | Lower costs due to community subsidies and nonprofit support |
| Primary Disadvantage | Higher out-of-pocket expenses and no Sunday service through METRO | Strict trip limits, weekday-only service, and advance registration required |
Akron's market-based model offers unlimited trips and weekend service, but these benefits come at a higher cost. The tech-driven scheduling system, while pricier, helps reduce missed appointments. On the other hand, Cleveland’s subsidized model through STC significantly lowers costs but imposes a strict two-trip weekly limit, which may not meet the needs of seniors with frequent medical appointments, such as dialysis.
For seniors in Cleveland, Laketran provides an alternative with reduced fares of $5.00 each way for those holding a Reduced Fare Card, compared to the standard $20.00 fare. This option offers targeted affordability for eligible residents outside STC’s core service.
Ultimately, these trade-offs highlight the importance of balancing cost, trip frequency, and service availability. Seniors and caregivers must weigh these factors carefully to determine the most suitable service for their needs, whether prioritizing budget constraints or access flexibility across Northeast Ohio.
Conclusion
Selecting the right NEMT service in Northeast Ohio involves weighing cost, scheduling flexibility, and the frequency of care needed. For routine appointments in Cleveland, seniors can take advantage of the Senior Transportation Connection (STC), which offers an affordable fare of just $1.25. However, it’s worth noting that this service is limited to two trips per week and operates only on weekdays. For those requiring more frequent treatments or needing last-minute transportation to specialists, Akron’s tech-enabled platforms provide 24/7 scheduling and flexible ride options, typically costing around $20 per trip.
Cleveland’s STC is available to Cuyahoga County residents aged 60 and older, while seniors in Lake County can benefit from discounted fares if they book in advance. Veterans in Lake County also have access to free Dial-a-Ride services for transportation to any VA location. While Cleveland’s low-cost options are appealing, they come with strict eligibility requirements and the need for advance reservations, highlighting the balance between affordability and convenience.
A practical strategy is to combine services based on the urgency of appointments. Subsidized options like STC work well for predictable, recurring visits, allowing seniors to save money. On the other hand, on-demand platforms are ideal for urgent or after-hours appointments. Caregivers should ensure they have valid ID, such as an RTA Senior ID or Medicare card, to access discounted rates through Cleveland RTA. Eligibility requirements and registration protocols also play a key role in determining the best service for each individual.
For seniors who need specialized assistance, it’s essential to confirm whether door-to-door service is required or if they can manage independently. Keeping appointment details readily available when booking can help ensure a smooth experience. Additionally, registering for subsidized services well in advance of the first trip can prevent unnecessary delays.
ReliaWheels stands out as a dependable provider in Cleveland, offering door-to-door service with wheelchair-accessible vehicles and CPR-certified drivers. This service is tailored to meet the specialized medical transportation needs of seniors throughout Northeast Ohio.
FAQs
Which service fits frequent treatments like dialysis?
Non-Emergency Medical Transportation (NEMT) is a reliable solution for patients needing frequent treatments, such as dialysis. With specialized vehicles, trained drivers, and recurring ride schedules, this service ensures patients get to their appointments safely and on time. NEMT is specifically designed to meet the needs of individuals requiring consistent medical care, offering transportation that fits seamlessly into their routines.
What paperwork do I need to qualify for discounts?
To take advantage of discounts on senior transportation services, you'll usually need to present the following:
- A completed registration form
- Proof of age, such as a driver's license or state-issued ID
- Income or Medicaid eligibility documentation (if required)
It's a good idea to reach out to your local transportation provider to confirm the specific documents they need for your area.
How far ahead should I book a medical ride?
To make sure you secure a ride, it’s best to book a medical transportation service 24 to 48 hours in advance. While certain providers, such as ReliaWheels, can handle urgent or even same-day requests in as little as 3 minutes, planning ahead is key for non-emergency medical trips. Scheduling early helps avoid last-minute complications and ensures a smooth, dependable experience.
Related Blog Posts
- What Does Medical Transport Cost?
- Senior Transportation Solutions: Getting to Medical Appointments in Cuyahoga County
- Finding Medical Transportation Near Me: Serving Cleveland, Akron, and Surrounding Suburbs
- Comparing NEMT vs. Rideshare for Seniors in Northeast Ohio: Safety, Cost, and Door-Through-Door Care
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