Eligible medical bills for members 65 or older are eligible for sharing with no co-share amount. Simply pay your Primary Responsibility Amount (PRA) of $1000 and Impact members will share the portion of your Eligible Medical Bills that Medicare allows but does not pay completely.

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, Impact for Seniors will share the remaining costs.

Submitting Your Expenses:

Simply submit your prescription expenses online. We’ll then process these costs toward 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 who are not enrolled in Medicare.

For more information on How Impact for Seniors works, watch this video:

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.