"Elsa og Fred" er historien om to mennesker, der i slutningen af liv, opdager, at det er aldrig for sent at elske og gøre drømme til virkelighed. Elsa har levet de sidste 60 år og drømt om et øjeblik, Fellini allerede havde forudset: scenen i 'La Dolce Vita' på Fontana di Trevi. Den samme scene uden Anita Ekberg, men med Elsa i stedet.
Don Anselmo, a retired old man, decides to buy a motorized disabled stroller since all his pensioner friends own one. His family strongly refuses him to purchase the vehicle, so don Anselmo decides to take extreme measures to achieve his goal…
Recently widowed after 41 years of marriage, Frank Walsh meets the outgoing Florence, sparking joy back into his life again. However, there is clear disapproval of her from his grown children, especially his eldest son Robert. As Frank and Florence grow closer in their relationship, Robert begins to change his perspective on their commitment and devotion to one another.