How do prescriptions work for Seniors 65+ with Medicare?

After your PRA has been met, the prescription amount may be shared as follows...

After your PRA (Primary Responsibility Amount) of $1000 is met prescriptions may be shared as follows: 

  • For prescription costs to be eligible for Sharing, members must also have Medicare Part D as well.
  • After the first $25 on generic drug prescription.
  • After the first $50 on brand name prescription when a generic is unavailable.
  • Prescription medications must be purchased using the member ID card.
  • Members pay 100% of the (discounted) prescription amount at the pharmacy.
  • Members must submit their Part D EOB (Explanation of Benefits) to Impact here. Medicare will mail your Part D EOB monthly.