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1085 Chapter 7:Worker guides • Section 2: SNAP worker guides (07/2026) Bob’s gross monthly medical deduction for April through August (the month in which his allergy treatment will be paid off) is: ($200 ÷ 9) = $22.22 + $20 + $88.50 + 22.50 = $153.22 Bob’s gross monthly medical deduction for September through December is: ($200 ÷ 9) = $22.22 + $88.50 + 22.50 = $133.22 Paid SNAP medical expenses that were not anticipated Facts: Jane is eligible for SNAP from January through December. Jane is 58 and is disabled (GP-A.24). She receives $750 per month in Social Security disability benefits. Her Medicare premium payment is $88.50 per month. Her Medicare Part D premium is $21.70 a month. Other than her Medicare premium, Jane anticipates no medical expenses for the certification period. She does not want to apply for QMB. Her medical deduction at certification would be $110.20 = ($88.50 + $21.70) Situation: In July, Jane shows her worker that she paid a medical bill of $350. Jane had not anticipated this medical expense. Her July benefits cannot be supplemented to reflect the extra medical expense. The $350 expense is averaged from August through December and added to Jane’s medical deduction for August through December. (Jane could also choose to apply all $350 as a deduction in August.) Jane’s gross monthly medical deduction for August through December is: ($350 ÷ 5) = $70.00 + $88.50 + 21.70 = $180.20 Jane pays for some prescription drugs in August (another expense she had not anticipated). She sends a copy of the charges to her worker on August 12. The total amount is $154. She tells her worker to average the amount over the remaining months of her certification period. Her August benefits cannot be supplemented to reflect the extra medical expense. The $154 expense is averaged from September through December and added to Jane’s medical deduction for those months. Jane’s gross monthly medical deduction for September through December is: ($154 ÷ 4) = $38.50 + $180.20 = $218.70 Jane is billed for and pays for a pair of eyeglasses on December 2. The eyeglasses cost $65. Jane sends a copy of the eyeglasses bill to her worker on December 6. No additional medical deduction is allowed for the eyeglasses because Jane paid the cost and reported it in the last month of her certification period, after December 1. Jane’s SNAP benefits for December cannot be supplemented because no errors were made in calculating her benefit amount. Jane simply reported the eyeglass expense too late to be used in calculating her December benefits. Therefore, Jane’s gross medical deduction for December is $218.70. Because the bill was paid in December, she is not eligible for a deduction for the glasses in the next certification period starting in January. Unpaid SNAP medical expenses that were not anticipated