Benefits · Health Coverage

How to apply for MO HealthNet Spend Down

Missouri DSS Family Support Division (eligibility); MO HealthNet Division (pay-in)

Who it's for

Missourians who are 65 or older, blind, or disabled and over the MO HealthNet income limit can still get coverage through Spend Down — there is no income cap. Each month, income above the standard ($1,131 for one aged/disabled person, $1,533 for a couple) becomes a spend-down amount that can be met by submitting medical bills, by paying it to the state like an insurance premium, or both. Resources must be $6,220.50 or less for one person or $12,441 for a couple. Apply with the regular MO HealthNet application.

Spend Down requires meeting a monthly spend-down amount (income above the MO HealthNet standard) with medical bills or a monthly payment to the state before coverage applies each month — the Family Support Division sets the amount, so this shows as a may-qualify result.

What you'll need

  • MO HealthNet application (FSD assigns the monthly spend-down amount)
  • To meet with bills: incurred medical expenses not covered by a third party
  • To pay in: check to MO HealthNet Division, P.O. Box 808001, Kansas City, MO 64180, or automatic withdrawal

Where to apply

Apply online: official application

By phone: 1-855-373-9994

What to say when you call

“Hello, I'm calling to ask about MO HealthNet Spend Down. I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need mo healthnet application (fsd assigns the monthly spend-down amount), to meet with bills: incurred medical expenses not covered by a third party, to pay in: check to mo healthnet division, p.o. box 808001, kansas city, mo 64180, or automatic withdrawalis anything else required? What is the best next step?”

Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.

Renewals

annual

Official source →Last verified · August 24, 2026

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Not legal or financial advice. The agency makes the final eligibility decision.