It’s a common question: can you get help with groceries but not with doctor visits and medicine? The answer isn’t always a simple yes or no. Eligibility for programs like Food Stamps (also known as SNAP, or Supplemental Nutrition Assistance Program) and Medicaid (government health insurance) depends on a lot of different things. These programs have different rules, so you might qualify for one but not the other. Let’s dive in and see how this works.
Income and Resource Limits: The Big Difference
The main reason why you might be approved for food stamps and not Medicaid has to do with the requirements each program has. Both programs use your income to determine eligibility, but they can use different numbers, and also, they check different things.

Yes, it is possible to be approved for Food Stamps (SNAP) while not being approved for Medicaid because the income and resource requirements can differ significantly. Food Stamps often have higher income thresholds, and they focus more on your monthly income. Medicaid, on the other hand, might look at your assets, like savings or property, more closely, and they often have lower income cutoffs.
Asset Tests and What They Mean
Food Stamps usually doesn’t have a strict asset test. This means they are not as concerned about what you own. They mainly want to know how much money you bring in each month. If your income is low enough, you’re likely to be approved, even if you have some savings. Medicaid, on the other hand, often has an asset test. This checks how much stuff you own, like money in the bank or other valuable things. They have limits on the total value of your assets.
Here’s an example to show the differences: Let’s say both a Food Stamps program and a Medicaid program exist. Here are some of the assets they look at:
- Cash
- Checking and savings accounts
- Stocks and bonds
- Real property
Medicaid looks at how much of each category you have and often will make a determination based on these factors.
Food Stamps might just ask about your monthly income, even if you have savings. This is why you could be approved for one and not the other. If your assets are too high, you might not get Medicaid, even if your income is low.
Age and Family Size Impacts
Family Size’s Role
Your family size is a big deal for both programs. The bigger your family, the more help you might be eligible for. The income limits for both Food Stamps and Medicaid go up as your family gets bigger. A single person has a lower income limit than a family of four. This is because a larger family needs more food and healthcare.
Let’s say there is a hypothetical Food Stamps income limit for a family of two is $3,000 a month, but for a family of three it’s $4,000. Similarly, Medicaid has income limits that change with family size. If you’re applying for either program, make sure to include all the people in your household who you support and who depend on you. If some family members are not eligible, this can affect your eligibility.
- You must report everyone who lives with you, regardless of age.
- You may need to provide documentation to show your family size.
So, a bigger family can mean a higher income limit for both programs, increasing your chances of getting approved. If you have a large family, you might be eligible for Food Stamps but not Medicaid if your income is slightly above the Medicaid limit for your family size, but still low enough for Food Stamps.
Age’s Influence
Age can also play a role, especially with Medicaid. Children often have different income rules than adults. States might have different Medicaid rules for children under a certain age. Some states offer Medicaid coverage for children even if their parents’ income is above the usual Medicaid limit. For older adults, age and eligibility can also affect things. Medicare, which helps pay for healthcare for people 65 and older, is sometimes linked to Medicaid, so how you’re getting your healthcare coverage can impact eligibility.
For example, different states have different age requirements for being eligible for Medicaid. Here are some situations that might affect Medicaid eligibility:
- If you are under 19, you might be eligible.
- If you are over 65, you might be eligible for Medicare.
- If you are an adult between 19 and 64, you might be eligible.
The specific rules vary depending on your state and the specific age. So, a younger adult might be eligible for Food Stamps but not Medicaid because they don’t meet the age requirements for Medicaid. A child might be eligible for Medicaid even if their parents don’t qualify for Medicaid.
State-Specific Rules and Variations
The rules for both Food Stamps and Medicaid can be different in each state. This is because the federal government sets some guidelines, but states get to decide how they implement the programs. This is why it’s super important to know the rules in your own state. Some states might have more generous income limits for Food Stamps than others. Some might have stricter asset tests for Medicaid.
You can look up the specific rules on your state’s official website. You can also contact your local social services office or the state department that handles these programs. They can give you accurate information about the eligibility requirements in your area. They can explain which documents you need, and what income limits are.
Also, these programs may have a different name depending on your state:
Program | Other Names |
---|---|
Food Stamps | SNAP, EBT, CalFresh, etc. |
Medicaid | Medi-Cal, BadgerCare, etc. |
So, remember, rules in one state might not be the same as the rules in another. Do your research to know your rights.
Medical Expenses and Deductions
Medical expenses can change whether you qualify. If you have a lot of medical bills, this could affect your Medicaid eligibility. For Medicaid, you might be able to deduct some of your medical expenses from your income. This could lower your income enough to make you eligible. Food Stamps doesn’t usually let you deduct medical expenses, so that’s another place where the rules differ. This means you might qualify for Food Stamps even if you have high medical bills, but you don’t qualify for Medicaid because your income is too high after deducting the expenses.
For Medicaid, deductions are often a factor. Here are some expenses that can be deducted:
- Premiums you pay for health insurance
- Doctor’s visits, hospital stays, and prescription drugs
- Dental and vision care
You have to provide proof of these medical expenses. Documentation, like receipts or bills, can help. Food Stamps, however, doesn’t offer those medical deductions.
So, if you have high medical bills, you might have a better chance of getting Medicaid, but the higher costs of medical care won’t affect your Food Stamps eligibility. If you are approved for Food Stamps but not Medicaid, you can consider seeking advice from a caseworker about what help is available to pay for medical care.
Changes in Circumstances and How They Impact Eligibility
Your eligibility for both Food Stamps and Medicaid can change over time. Your income, family size, and medical expenses might change. It’s important to report any changes to the programs as soon as possible. For example, if you start earning more money, you might no longer qualify for Food Stamps or Medicaid. If your medical expenses go up, this might affect your Medicaid eligibility. Also, if your family size changes, this can affect eligibility.
For instance, a change in income might affect Food Stamps but not Medicaid. If your income increases, you might no longer qualify for food assistance. However, if you still have low income, then you could still be eligible for Medicaid, because that program factors in medical expenses.
- A change in income.
- A change in family size.
- A change in medical expenses.
If you fail to report any changes, this may result in penalties. To avoid problems, make sure you keep the programs informed.
So, it’s completely possible to be approved for Food Stamps but not Medicaid. It all comes down to the different rules each program has, especially when it comes to income, assets, and medical expenses. It’s important to know your state’s specific rules and to understand the differences to get the help you need.