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Welcome!

Seniors with Medicare. 

GETTING STARTED CHECKLIST

Welcome to Impact Health Sharing. We are glad you are here. As a new member, we want to make sure you know ALL about Impact Health Sharing. Now, let's ignite the excitement by delving into a few essential aspects. Get ready to unlock the full potential of Impact!

1
Schedule Welcome Aboard Call

Schedule a Welcome Aboard Call, where our Member Services Reps will guide you through navigating your new membership.  

During this call, you'll learn more about the benefits of your membership, how to use our online Member Center, and what your next steps should be.

BOOK NOW

2
Log In to the Member Center

The Member Center is your hub for all of your sharing details and the key place to manage your membership.

  • See who shared your bills.
  • Send a note of encouragement
  • Change your address
  • Print your Member Card
  • and More!
3
print your member card

Print your member cards today from the Member CenterYou'll get a printed copy, but you can always access your digital card online.

Cards will be mailed within 2 weeks of your start date. Please allow sufficient processing time to receive your cards. For any issues, errors, or additional cards, click here to request a new card.

WHAT TO DO WHEN YOU NEED CARE

THE SIX P'S OF YOUR IMPACT MEMBERSHIP

  • PRA
  • Prescriptions
  • Pre-Eligibility
  • Preventive Care
  • Provider Fees
  • Pre-X

Understanding your Primary Responsibility Amount

Do I Pay my PRA upfront?

Yes and No...The PRA is the annual amount you are responsible for before medical bills will be approved for sharing. So yes, the PRA has to be paid in advance of sharing but depending on the bills incurred, you may not owe it all at one time. Read More.

 What about my co-share?

Seniors do not have a co-share amount. They are simply responsible for the $1000 PRA with sharing secondary to Medicare.

Understanding Prescriptions

After your PRA (Primary Responsibility Amount) of $1,000 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.

Understanding when you need to request a pre-eligibility review

Not required for Impact for Seniors members.

Understanding Preventive vs Wellness Care

Preventive Screening

Preventive screening as outlined below is subject to PRA and before bills will be shared for the following:

  • Women: Pap test
  • Mammogram
  • Men: PSA test
  • All: Colonoscopy

Impact follows the American Cancer Society's recommendations when it comes to sharing in Preventive Care. 

Read more

Wellness Visits
 

Wellness Visits Are NOT subject to the PRA. These will be shared at 100%.

One wellness visit is eligible for sharing for members 6 years and older per membership year. This includes a $150 allowance for some routine labs as ordered by the provider during that visit. 

See the full list of labs.

Understanding Provider Fees

Impact for Seniors simplifies the healthcare experience.

  • No Provider fees.
  • No Co-share.
  • No Pre-existing limitations.

 

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. With sharing secondary to Medicare, this program is an incredible options for seniors. 

 

Understanding Pre-existing Conditions

Impact for Seniors revolutionizes the healthcare journey.

No limits on pre-existing conditions.

 

 

Pay $1000 for your Primary Responsibility Amount (PRA) and Impact members will share your Eligible Medical Bills not covered by Medicare, such as Co-pays, Deductibles, Hospitalization, Skilled Nursing Facility Care, and Out-of-country Urgent Care. This program is an incredible option for seniors, with sharing secondary to Medicare.

 

THE IMPACT BLOG

We've got invaluable health tips, expert advice, and articles specific to healthcare sharing that will educate and inspire you on your journey.

A FEW REMINDERS

This Welcome Guide is intended to be an easy-to-read introduction to Impact and in no way replaces, supplements, or overrides the Impact Health Sharing Guidelines. The current guidelines govern, not the guidelines in effect when you joined.

Download Guidelines

 

Impact Health Sharing is Secondary to Other Sources

Impact for Senior members must submit their bills and prescriptions to Medicare first, or if you have other health or welfare benefits, such as an employment-related health or welfare plan, workers’ compensation insurance, homeowner’s insurance, or fraternal benefits, the member is expected to take all reasonable steps in order to qualify for such payments and to exhaust the benefits available under those resources before submitting a request for sharing.

Sharing During the First 60 Days of Membership

During the first 60 days of membership, sharing of eligible medical bills is limited to $50,000 (excluding pre-existing conditions). Discounts for prescriptions and no-cost Telehealth doctor visits start the first month of membership.

 
 

Motorized Vehicle Accidents

Treatment related to injuries received while in motor vehicles is eligible for sharing, provided all legally required and industry-recommended safety equipment was in use. Treatment related to motorcycle accidents is limited to $100,000 per incident. Sharing will be secondary to automobile insurance. Treatment resulting from the abuse of alcohol, legal drugs or federally- classified illegal drugs, is not considered medically eligible and will not be shared.

 
 

MORE QUESTIONS?

We're here to help! 
 

(855) 378-6777