any custodial or attendant care services you need (even if the caregiver is a relative), as well as housekeeping services you pay for.any medical services from doctors, clinics, hospitals, laboratories or other facilities that are not reimbursed by a third party.co-pays or premiums for Medicare, Medicare Part D, Medex or other health insurance, and your deductible for Medicare Part D.(The DTA worker should also ask Esther if she has any other out of pocket medical expenses that she could self-declare to boost her SNAP.) Scope of allowable health care expenses The DTA worker should average her bill out over 10 months in order to give her the $155 standard medical expense deduction, which maximizes her SNAP. $350 over 11 months does not exceed $35 (is only $31). Her SNAP increases to $261.Įxample 2: Esther’s one-time unpaid dental bill is actually $350. Averaging the $500 by 11 months ($45/mo), Esther gets the standard medical expense deduction. DTA should average her bill out over the next 11 months (the rest of her certification period). A month later, she reports a one-time unpaid dental bill of $500. She receives Social Security for a total of $1,300/month unearned income and is certified for SNAP for 12 months. DTA should look for the most advantageous option for averaging the one-time bill.Įxample 1: Esther is 70 and applies for SNAP. If you have a large, one-time medical expense during your certification period, you have the option of claiming the expense as a one-time deduction or having it averaged over a number of months. If Esther has more than $190/month in out-of-pocket expenses, and if verifying them would boost her monthly SNAP, she should claim and verify her actual expenses. Her SNAP benefits will be calculated using a $155 medical expense deduction. She has MassHealth coverage, but the combination of small pharmacy co-pays plus her over-the-counter pain relief and skin treatments adds up to over $35 per month. Actual medical expenses: If you incur and verify more than $190 per month in medical expenses (the $35 threshold plus the $155 standard deduction), you can claim the actual expenses (minus the $35 threshold) to boost your SNAP benefits.Įxample: Esther is 78 years old.Standard medical deduction of $155: If your out-of-pocket medical expenses are at least $35 a month, you will receive a standard medical deduction of $155 off of your monthly income. You can self-declare your health care expenses that exceed $35/month and get the standard $155 deduction.There are two ways SNAP handles un-reimbursed medical expenses can be claimed. The lower your countable income, the higher the SNAP benefits your household will receive – up to the maximum SNAP amount for your household. The more expenses you claim, the lower your net countable income. This applies to disabled children as well as adults. And as of June 2022 under a special USDA approved waiver, medical expenses to qualify for the standard medical expenses can be self-declared. Any member of your household who is elder (age 60+) or disabled is allowed to claim un-reimbursed medical and health-related expenses as an income deduction.
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