Keeping up with doctor’s appointments is essential to managing health and staying informed, but it can often feel overwhelming. From scheduling and transportation to understanding medical advice and ensuring proper follow-up, there are many details to manage. This is where Understood Care can help. Our advocates serve as trusted guides, working alongside you or your loved one to make the process easier, more organized, and more comfortable.
Personalized Support Before and After Every Appointment
Understood Care advocates provide hands-on help with all aspects of medical visits. We help you schedule appointments, confirm provider information, and prepare for the visit itself. This might include reviewing your questions ahead of time, making sure prescriptions are current, or gathering any medical records needed. After the appointment, we help you understand the doctor’s recommendations and take the right steps to follow through on care instructions, referrals, or additional tests.
A Partner to Help You Understand Your Care
Medical visits can involve unfamiliar language, new diagnoses, or complex treatment plans. Your advocate is there to help translate this information into clear, understandable terms. We make sure you feel confident about what was discussed during the visit and that you know what actions to take next. If something is unclear or left unanswered, your advocate can follow up with your provider to get the information you need.
Coordination Across Your Care Team
Many people receive care from more than one doctor. Your advocate helps ensure that your care is well coordinated across primary care providers, specialists, and other professionals. We help share information between offices, keep records consistent, and make sure appointments align with your overall care goals. This reduces confusion and helps prevent important details from being overlooked.
Support for Getting to and From the Appointment
Transportation should never be the reason you miss a doctor’s visit. Your advocate helps you arrange reliable ways to get to and from appointments. Whether that means booking a ride service, coordinating with a caregiver, or finding community transportation resources, we make sure you have safe and timely access to care. We also consider mobility needs, language assistance, and other accessibility factors to support your comfort and safety.
Emotional and Practical Support Throughout
Doctor’s visits can bring up feelings of stress, uncertainty, or fatigue, especially when managing long-term conditions or complex health needs. Understood Care advocates are here to offer steady support throughout the experience. We are here to listen, provide encouragement, and help you make informed decisions without feeling overwhelmed.
Confidence in Every Step of the Journey
With Understood Care, you are never alone in managing your medical appointments. From the moment you schedule your visit to the follow-up that comes afterward, your advocate is there to help you stay organized, prepared, and empowered. We make it easier to stay connected to the care you need and to move forward with confidence.
Introduction
If you are managing a food benefit, grocery delivery can feel like a lifeline. It can also get confusing fast when the checkout screen adds delivery charges, service fees, and a tip prompt.
Whether you can use your food benefit for those extra charges depends on the type of benefit you have and the rules of your specific program or health plan.
In most cases, food benefits are meant to pay for eligible food items, not added fees or tips. Some plans and programs arrange delivery as part of the benefit, so you never see a separate delivery charge. Tips are usually treated as a personal expense.
This guide explains what is usually allowed for the two most common food benefits people ask about: SNAP (EBT) and Medicare Advantage supplemental food benefits.
Start by identifying which food benefit you have
“Food benefit” can mean several different things. Before you try to pay delivery fees or tips, look at the card, app, or paperwork and identify the program.
Common examples include:
- SNAP benefits on an EBT card
- A Medicare Advantage plan “food and produce” benefit, grocery allowance, or healthy food card
- A Medicare Advantage meal benefit (often home delivered meals for a limited time after a hospitalization, or for certain qualifying health needs)
If you are not sure which benefit you have, an advocate can help you sort the paperwork and call the right number with you. You can see how Understood Care supports care coordination here: https://understoodcare.com/healthcare-info/how-our-care-team-assists-you

SNAP (EBT): what is usually allowed for grocery delivery and tips
SNAP benefits can be used for eligible food items, including when you shop online with approved retailers. But SNAP rules treat delivery and other checkout fees differently than food.
SNAP generally does not pay for delivery, service, or convenience fees
When you use SNAP online, you typically must pay any fees with a second payment method (like a debit card, credit card, or cash).
Fees can include:
- Delivery fees
- Service or convenience fees
- Processing fees
- Bag or container fees that a retailer charges
Even if your groceries are SNAP eligible, the fees usually are not.
SNAP generally does not pay for driver tips
If the delivery platform asks for a tip, plan for the tip to come from your own funds. Tips and other similar add-ons are generally not treated as eligible SNAP purchases.
Practical tips if you rely on SNAP for online groceries
If delivery fees or tips are a barrier, these steps often help:
- Look for store pickup options, which may avoid delivery charges.
- Compare delivery windows and minimum order amounts, since fees can change.
- Use split payments at checkout when available so SNAP covers eligible food and another method covers fees.
- Keep a small amount of cash available if you prefer tipping in cash.
If you need help finding local community resources, Understood Care advocates can help you connect to support options in your area: https://understoodcare.com/care-types/social-support
Medicare Advantage: what is usually allowed for grocery delivery fees and tips
Medicare Advantage plans can offer supplemental benefits beyond Original Medicare. Some of these benefits are nutrition-related, including food and produce benefits for certain members.
These benefits are optional for plans and can be structured in different ways. That is why the rules you see at checkout can vary a lot.
Plans that are more likely to include a food benefit
Food benefits are often seen in Medicare Advantage Special Needs Plans (SNPs). SNPs are designed for people with specific severe or disabling chronic conditions, people who also have Medicaid (dual eligible), or people who need an institutional level of care.
In day-to-day terms, food benefits are most often discussed in these situations:
- Dual Eligible SNPs (often called D-SNPs) when you have both Medicare and Medicaid
- Chronic Condition SNPs (often called C-SNPs) for certain qualifying chronic conditions
- Plans offering Special Supplemental Benefits for the Chronically Ill (SSBCI) when you meet the plan’s criteria
Why Medicare Advantage rules can feel inconsistent
Two people can both say “I have a food benefit” and still have different rules. For example:
- One plan may load a set dollar amount onto a card that can only be used for approved foods at approved stores.
- Another plan may provide home delivered meals through a contracted vendor, where delivery is built into the benefit and you do not pay a separate delivery charge.
Because the benefit design can differ, it is safest to treat delivery fees and tips as “not covered unless your plan explicitly says they are.”
Can the food benefit pay for grocery delivery fees?
Many Medicare Advantage food allowance programs are intended for eligible food and produce items. Delivery fees are not food, so they are often not treated as an eligible purchase on the benefit card.
Some plans may still support delivery, but usually in one of these ways:
- Delivery is included because the plan provides meals through a contracted vendor
- Delivery is included because the plan has an arrangement with a specific vendor or service
A practical way to think about it:
- If you see a separate delivery charge at checkout, expect to pay it out of pocket unless your plan documents say the fee is covered.
- If the plan provides delivery through a contracted service, you may not see a fee because the plan is paying the vendor directly.
Can the food benefit pay for tips?
Tips and gratuities are usually considered personal expenses. Even when a plan helps pay for food, it is uncommon for plans to treat tips as an eligible benefit expense.
If you want to tip, plan to do it with your own funds unless your plan’s written materials clearly say otherwise.

What to ask so you get a clear answer from your plan
If you call your plan or the benefit administrator, you can save time by asking very specific questions.
Here is a checklist you can read word for word:
- “Is my food benefit a grocery allowance card, a meal delivery benefit, or both?”
- “Can the benefit be used online, or only in store?”
- “Are delivery fees an eligible charge on the benefit, or do I need a second payment method?”
- “Are tips or gratuities allowed on the benefit card?”
- “Which retailers or delivery services are approved for this benefit?”
- “Can you send me the eligible items and eligible charges list in writing?”
If you are comparing plans or trying to understand what you qualify for, Understood Care can help you organize documents and apply to programs that may reduce costs: https://understoodcare.com/care-types/application-help
You can also explore broader options for financial support here: https://understoodcare.com/healthcare-info/financial-help
Common checkout scenarios and what they usually mean
You see SNAP covering food items but a balance remains
This often means the remaining amount is delivery fees, service fees, tips, taxes on non-eligible items, or ineligible items. You typically need another payment method for the balance.
Your food allowance card is declined for the delivery charge
This often suggests the benefit card is restricted to eligible food items and approved merchants. It can also happen if the merchant is not approved for the program.
A meal delivery service says “no payment required”
This can happen when the benefit is delivered as a service through a contracted vendor. In these cases, delivery is typically part of what the plan is paying for.
If fees are a barrier, consider these safer workarounds
If delivery fees or tips are making it hard to use your benefit, these approaches can help without risking a denied purchase:
- Use pickup when possible
- Ask your plan if you have a meal benefit or a contracted delivery option you can use instead of paying delivery fees yourself
- Explore community food resources and delivery programs for older adults
- Ask a trusted caregiver or family member for help placing the order when you are using split payments
If you are dealing with unexpected charges or unclear benefit rules, an advocate can help you review what happened and what to do next: https://understoodcare.com/care-types/analyze-bills
Related Reading
- Food Assistance - Learn More
- Food and produce benefit rules: what counts as ‘produce, frozen foods, canned goods’ and what is excluded
- Which Medicare Advantage plans added a grocery allowance for 2026, and which dropped it?
- Transportation for grocery shopping: how the non-medical ride benefit works under SSBCI

Frequently asked questions
- Can SNAP benefits pay for grocery delivery fees online? No. SNAP is generally limited to eligible food items, not delivery or service fees. You usually need another payment method for fees.
- Can SNAP benefits be used to tip grocery delivery drivers? No. Tips are generally not eligible SNAP purchases and are typically paid with cash, debit, or credit.
- Do Medicare Advantage plans cover grocery delivery? Some do, but it varies by plan. Delivery is more common when the plan provides meals or uses a contracted vendor.
- Can a Medicare Advantage healthy food card pay for delivery fees? Often no, because delivery fees are not food items. Some plans may include delivery through a vendor arrangement, so you may not see a separate fee.
- Can a Medicare Advantage food benefit be used to pay tips? Usually not. Tips are typically treated as personal expenses unless your plan’s written rules explicitly allow them.
- What Medicare plans usually offer a grocery allowance or food and produce benefit? Food benefits are more often offered as supplemental benefits in some Medicare Advantage plans, especially certain Special Needs Plans.
- How do I find out what my food benefit covers? Check your plan’s Summary of Benefits or Evidence of Coverage, and call the number on your card to ask about eligible charges, delivery fees, and tips.
- Why was my food benefit card declined online? Common reasons include fees being ineligible, the retailer not being approved, or the card being limited to in-store use. Your plan or benefit administrator can tell you the exact reason.
- What is the difference between a grocery allowance and a meal delivery benefit? A grocery allowance is usually a set dollar amount for approved groceries. A meal delivery benefit is typically a service where meals (and delivery) may be arranged by the plan.
References
Links verified accessible on December 22, 2025.
- USDA Food and Nutrition Service. Stores Accepting SNAP Online. https://www.fns.usda.gov/snap/online
- USDA Food and Nutrition Service. SNAP Retailer Notice: Sales Tax, Fees, and Refunds (Proper Processing of SNAP Transactions). https://www.fns.usda.gov/snap/retailer/training/notice/processing-transactions
- Commonwealth of Pennsylvania, Department of Human Services. SNAP Online Purchasing. https://www.pa.gov/agencies/dhs/resources/snap/snap-online-purchasing
- Centers for Medicare & Medicaid Services. Implementing Supplemental Benefits for Chronically Ill Enrollees (HPMS memo, April 24, 2019). https://www.cms.gov/medicare/health-plans/healthplansgeninfo/downloads/supplemental_benefits_chronically_ill_hpms_042419.pdf
- Centers for Medicare & Medicaid Services. Updated Guidance for Medicare Advantage Organizations (May 13, 2020). https://www.cms.gov/files/document/updated-guidance-medicare-advantage-organizations-5132020.pdf
- Medicare.gov. Special Needs Plans (SNP). https://www.medicare.gov/health-drug-plans/health-plans/your-health-plan-options/SNP
- Centers for Medicare & Medicaid Services. Special Needs Plans. https://www.cms.gov/medicare/enrollment-renewal/special-needs-plans
- eCFR. 42 CFR 422.102 Supplemental benefits. https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-422/subpart-C/section-422.102
- HHS Office of Disease Prevention and Health Promotion. Food Is Medicine Federal Resource Hub: Medicare Advantage Health Plans. https://odphp.health.gov/foodismedicine/federal-resource-hub/medicare-advantage-health-plans
- USDA Food and Nutrition Service. SNAP: Medicare Advantage Supplemental Benefits Excluded from Income (memo). https://fns-prod.azureedge.us/sites/default/files/resource-files/SNAP-Medicare-Advantage-Supplemental-Benefits-Memo.pdf
This information is for general education and does not replace medical advice from your own clinicians or care team. If you are considering PACE or have questions about PACE program food benefits, talk directly with your local PACE organization or a trusted advocate.
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