Impact is not insurance and members do not have deductibles but instead a Primary Responsibility Amount.
Since Impact Health Sharing is not insurance, terms like deductible are not used. The PRA - Primary Responsibility Amount works similarly.
Senior Members (65+) are responsible for their Primary Responsibility Amount (PRA) of $1000 before Impact members share the portion of your Eligible Medical Bills that Medicare allows but does not pay completely. Items like Co-pays, Deductibles, Hospitalization, Skilled Nursing Facility Care, and Out-of-country Urgent Care. With sharing secondary to Medicare, this program is an incredible option for seniors.
Prescriptions:
In order for Impact to share in prescription costs, you must have Medicare part D, too.
The sharable amount is limited to $1200 per member per membership year after your PRA has been met.
After your PRA has been met, the prescription amount may be shared as follows:
- 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 and submit receipts.
- Members must submit their Part D EOB (Explanation of Benefits) to Impact here. Medicare will mail your Part D EOB monthly.