For All Seniors (age 60 or over) and Persons with Disabilities
If you have out-of-pocket medical expenses, your SNAP benefits may increase! DTA allows a $90 deduction from income if you have medical expenses over $35 per month. This deduction can increase your benefits. If you pay more than $125/month in expenses, you might get even more SNAP.
What kinds of medical related expenses can I claim?
Basic Care costs… |
If you pay directly for any medical, dental care, mental health, physical therapy, hospital based care, home health and nursing care. .. or if you pay any insurance premiums, co-payments or deductibles. |
Alternative Care… |
If you pay for acupuncture, chiropractic, homeopathy or herbal treatments prescribed by a licensed practitioner. |
Health Care Supplies and Equipment… |
If you buy special creams, ointments, pain magnets, incontinence supplies, commodes or other supplies and/or equipment recommended by your licensed health practitioner. |
Over-the-counter drugs… |
If you buy pain relievers, insulin, antacids, vitamins, allergy pills other remedies recommended by your health practitioner. |
Mileage at 55.5 cents/mile or the cost of public transport… |
If you drive your car to appointments or to pick up drugs or medical supplies at the pharmacy, you can claim 55.5 cents per mile driven -- or what you pay for a taxi, bus, subway or train. |
Housekeeper and caregiver expenses… |
If you need a housekeeper or care attendant to care for you because of your age or disability. |
Vision or hearing care communication devices, other one-time expenses… |
If you buy eyeglasses, contacts, hearing aides, speech or communication equipment, or have monthly usage fees, OR you pay emergency medical care not covered by insurance. |
Is there a limit or cap on the expenses I can claim?
- If you have proof of medical expenses over $35/month, DTA will automatically allow a standard $90 deduction. You need to show proofs of at least $35.01 /month to get this $90 deduction.
- If you have more than $125/month in unreimbursed medical expenses, DTA will deduct the actual amount of these expenses in calculating your income, after the first $35. There is no cap on what you can claim if you can have proof of your unreimbursed health-care expenses.
Example
Jane Smith is 78 and lives in public housing. She receives $800 in Social Security, plus MassHealth. She gets only $16/month in SNAP. Mrs. Smith drives 20 miles/week to the doctor and pharmacy.Because she has over $35/month in medical related transportation (86 miles x 55.5 cents = $47.73) her SNAP benefits will increase to $29/month.
How do I claim medical expenses?
You can claim medical expenses on your application, or contact your DTA worker. Keep copies of bills you pay and appointment letters. Appointment letters show the dates you travel. You can use the Medical Expenses Checklist to keep track of what you spend.
Produced by Massachusetts Law Reform Institute Last updated August 2011
