A guide to qualifying medical costs for older or disabled household members.
Who can use it
The medical deduction generally applies to eligible household members who are age 60 or older or who meet SNAP’s disability definition. A regular health expense for a younger household member does not automatically qualify.
The $35 threshold
Qualifying unreimbursed medical expenses above $35 in a month can reduce countable income. Prescription medicines, insurance premiums, copays, certain dental work and transportation to medical care may be considered. Payments covered by insurance cannot be counted again.
Evidence to collect
Bring bills, receipts, premium notices and a record of recurring costs. If costs vary month to month, ask your state agency how it averages or anticipates expenses. Do not leave out an eligible expense because you assume a small copay cannot matter.
Impact on shelter
The presence of an older or disabled member can also affect the shelter deduction cap. Ask the agency to explain both calculations when you review an approval notice.
Sources and next step
Federal baseline information: USDA eligibility rules and FY 2026 tables. Details vary by state and household. Find your state SNAP agency to apply or verify your case.