Older adults receiving food assistance may have varying health care needs and resource levels; however very little is known about their health care utilization patterns. This study examined the relationship of food assistance program participation with health care utilization in homebound older Medicare beneficiaries in Georgia in need of Supplemental Nutrition Assistance Program (SNAP) and home delivered meals program (HDM) using the self‐administered survey and Medicare claims data (n=1,270, mean age 79.4, 69.9% female, 34.4 %black). Health care utilization during 2009 (i.e., inpatient, outpatient, physician, and home health visits) was compared across four levels of food assistance program participation (i.e., both SNAP and HDM, SNAP only, HDM only, and nonparticipation) in the study sample using negative binomial regression while controlling for potential confounders. About 22% received both SNAP and HDM, and 24.4% and 17.6% received either SNAP or HDM, respectively. Those receiving any food assistance were more likely to be younger, black, less educated, Medicare dual eligible, living in rural areas and alone, and food insecure. Those receiving both programs showed poorest socioeconomic and health characteristics and used higher outpatient and physician services than nonparticipants. These findings suggest higher burden of both healthcare and food insecurity experienced by vulnerable homebound older adults.