
The Supplemental Nutrition Assistance Program (SNAP) provides benefits for over 8 million elderly and disabled individuals, as well as other low-income households, to help them purchase food. To qualify for larger SNAP benefits, individuals can deduct out-of-pocket medical expenses that exceed $35 per month. These expenses include transportation costs, over-the-counter drugs, and medical supplies. However, it's important to note that only expenses incurred by elderly or disabled household members that are not paid by insurance or a third party can be deducted. This raises the question: do insurance payments count as medical expenses for SNAP benefits?
| Characteristics | Values |
|---|---|
| Who is eligible for the deduction? | Households with elderly/disabled members |
| What is the minimum monthly medical expense to claim the deduction? | >$35 |
| What are some examples of eligible expenses? | Transportation costs to a doctor or pharmacy, over-the-counter drugs, medical supplies, home renovations to increase accessibility, hospitalization costs, cost of a personal care attendant, cost of securing and maintaining a service dog |
| What documentation is required? | Print-outs or bills from a health provider, pharmacy printouts of prescription drug costs, receipts for over-the-counter medications or health supplies, transportation receipts, bills or statements showing insurance premiums and deductibles |
| How does the deduction impact SNAP benefits? | Every $3 less in countable net income increases SNAP by $1; for a typical senior living alone, claiming $50-$200 in medical expenses can result in an additional $7-$69 in SNAP benefits a month |
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What You'll Learn

Medical expenses for elderly or disabled household members
The Supplemental Nutrition Assistance Program (SNAP) provides benefits to over 8 million struggling elderly individuals and individuals with disabilities, as well as millions of other low-income households. Households with elderly or disabled members face high out-of-pocket health care expenses, which can create additional barriers to affording an adequate diet.
Under SNAP regulations, households are entitled to a medical expenses deduction from their income calculation if one or more household members are elderly or disabled. Only those medical expenses incurred by the elderly or disabled household member in excess of $35 per month and not paid by insurance or another third party can be deducted. This includes transportation costs to a doctor or pharmacy, over-the-counter drugs, medical supplies, and home renovations to increase accessibility.
To qualify as elderly, a person must be 60 years or older. To qualify as disabled, an adult or child must receive SSI or Social Security as disabled, EAEDC cash assistance or MassHealth as disabled, or another disability-based benefit.
The medical expense deduction can have a significant impact on SNAP benefits. For a typical senior living alone, claiming $50-$200 in medical expenses can result in an additional $7-$69 in SNAP benefits per month. A standard medical deduction can benefit both participants and state agencies, as it simplifies the process and may encourage participants to provide evidence of expenses.
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Deducting insurance premiums and deductibles
The Supplemental Nutrition Assistance Program (SNAP) provides benefits to over 8 million struggling elderly individuals and individuals with disabilities, as well as millions of other low-income households. SNAP allows households to deduct unreimbursed medical expenses over $35 per month from their income in calculating their net income for SNAP purposes, which could potentially qualify them for higher SNAP benefits.
The medical expense deduction can have a significant impact on SNAP benefits. For a typical senior living alone, claiming $50-$200 in medical expenses can result in an additional $7-$69 in SNAP benefits per month. A wide range of medical and related expenses may be deducted, including many that health insurance does not cover. Deductible expenses include transportation costs to a doctor or pharmacy, over-the-counter drugs, medical supplies, and home renovations to increase accessibility.
To qualify for SNAP, households with older adults or adults living with disabilities must meet the net income test of 100% of the federal poverty level. Net income means gross income minus allowable deductions. The medical expense deduction is one way for seniors and adults with disabilities to maximize what counts toward meeting the net income test, and to ensure they are receiving all the benefits for which they are eligible.
Bills or statements showing private insurance premiums and deductibles can be used as proof of medical costs incurred by an elder or disabled member of the SNAP household.
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Transportation costs
The Supplemental Nutrition Assistance Program (SNAP) provides benefits to over 8 million struggling individuals, including the elderly, individuals with disabilities, and other low-income households. SNAP allows eligible households to deduct certain expenses from their income calculation, thereby increasing their benefits.
To be eligible for the medical expense deduction, a household must have at least $35 per month in unreimbursed medical costs for elderly or disabled household members. If a household has at least $35 in monthly medical expenses, they can self-declare these expenses, and SNAP will be calculated with a standard medical expense deduction of $155 per month. For expenses above $190 per month, additional proof may be required.
It is important to note that only medical expenses not paid by insurance or another third party can be deducted. This includes a wide range of costs that are not reimbursed or covered by health insurance, such as over-the-counter medications, medical supplies, and home renovations to increase accessibility.
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Over-the-counter medications
The Supplemental Nutrition Assistance Program (SNAP) provides benefits to over 8 million struggling individuals. This includes the elderly, individuals with disabilities, and other low-income households. SNAP allows households to deduct unreimbursed medical expenses over $35 per month from their income when calculating their net income for SNAP purposes. This deduction can have a significant impact on SNAP benefits. For example, for a typical senior living alone, claiming $50-$200 in medical expenses can result in an additional $7-$69 in SNAP benefits per month.
A wide range of medical and related expenses may be deducted, including many that health insurance does not cover. Deductible expenses include transportation costs to a doctor or pharmacy, over-the-counter drugs, medical supplies, and home renovations to increase accessibility. It is important to note that receipts for over-the-counter medications or health supplies are required, and these must be recommended by a health provider. A prescription is not required, but the medication must be deemed necessary by a healthcare professional.
Other deductible expenses include the unreimbursed portion of hospitalization, outpatient treatment, community-based treatment, or nursing home care. Costs for a personal care attendant, home health aide, certified nursing aide, visiting nurse, or other attendants or housekeepers necessary due to age or illness are also deductible. Spend-down expenses incurred by Medicaid recipients and the cost of securing and maintaining a seeing-eye, hearing, or service dog can also be deducted.
It is important to inform eligible households of the range of deductible expenses so they can fully leverage the deduction. Federal SNAP rules require verification of medical expenses, and states have flexibility in how to meet this requirement. Households can self-declare expenses under $190 per month over the phone or in writing. For expenses over $190 per month, additional steps are required.
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$8.64

Medical supplies
The Supplemental Nutrition Assistance Program (SNAP) allows households to deduct unreimbursed medical expenses over $35 per month from their income in calculating their net income for SNAP purposes. This includes expenses such as transportation costs to a doctor or pharmacy, over-the-counter drugs, and medical supplies. Medical supplies can include a wide range of items, from general first-aid supplies and basic resuscitation equipment to more advanced equipment like intravenous (IV) supplies, airway management equipment, medications, and cardiac monitors. These supplies are typically used to diagnose, prevent, treat, or rehabilitate illnesses or injuries.
Some specific examples of medical supplies include stethoscopes, thermometers, and blood pressure monitors, which are used to assess a patient's vital signs. Other general procedure supplies include gauze, gloves, cotton balls, compartment trays, and tools like scissors and forceps. Intravenous (IV) supplies are also standard in medical facilities, helping to provide medications and fluids directly into the bloodstream. An IV setup typically includes a long, flexible tube, an IV bag, and a needle securement device, with the exact contents of the IV depending on the specific treatment.
In addition to the supplies mentioned above, other medical supplies can include oral rehydration fluids, ice for heat casualties and sprains, heating supplies for cold-weather events, and basic cardiopulmonary resuscitation gear. In the case of pediatric patients, it is important to have appropriately sized supplies, and for heat casualties, a means of cooling, such as an ice-water bath, may be necessary. Aid stations should also be equipped with sharps and biohazard containers, along with clear instructions for their proper disposal.
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Frequently asked questions
SNAP stands for the Supplemental Nutrition Assistance Program, which provides benefits that can be used to purchase food for struggling individuals and low-income households.
To claim medical expenses for SNAP benefits, the household member must be elderly or disabled and have at least $35 per month in unreimbursed medical costs. Only medical expenses that are not paid by insurance or a third party can be deducted.
Allowable medical expenses for SNAP benefits include transportation costs to a doctor or pharmacy, over-the-counter medications, prescription drugs, medical supplies, and home renovations to increase accessibility.











































