Do you have an option for senior adults 65 and older?

Yes. Adults over the age of 65 with Medicare Parts A and B can be members of Impact Health Sharing.

Adults over the age of 65 with Medicare Parts A and B. Eligible medical bills for members 65 or older are eligible for sharing with no co-share amount. Sharing is secondary to Medicare and is based on the difference between the Medicare allowable charges and the actual amounts paid by Medicare. The member must submit a copy of
the Medicare Explanation of Benefits, in order for Impact to process bills.

The Pre-Existing Medical Condition limitations do not apply to members 65 years old and older. 

Members 65 and older must have Medicare Part D for prescription costs to be eligible for sharing. All sharing will be secondary to Medicare.

Seniors enrolled in Medicare Part D have the additional  opportunity to engage in our prescription sharing program.

Medicare Part D Coverage:

To be eligible for sharing prescription costs, you need to have Medicare Part D. 


Purchasing Your Medications:

Your prescriptions must be processed through Medicare Part D first. After that, Im

pact for Seniors will share the remaining costs.

 
Submitting Your Expenses:

Simply submit your prescription expenses online.

We’ll then process these costs towards your Personal Responsibility Amount (PRA) or reimburse you, making it hassle-free.


Not eligible for sharing:
• Treatment for members age 65 or older that is not Medicare-eligible.
• Treatment for members age 65 or older that are not enrolled in Medicare.

The PRA for senior adults is $1,000 with no Provider Fee, no Co-Share, and no Pre-existing limitation.

The tobacco assessment does not apply to Seniors, but BMI assessment does.