How Does Impact Health Sharing Work for Adults Over 65 With Medicare?

Choosing how to manage your healthcare costs after 65 is an important decision. You want to understand what you'll spend each month, what happens when you need care, and how your healthcare option works with Medicare.

Impact for Seniors may be worth considering if you're 65 or older, have Medicare Parts A and B, and are looking for a more affordable, straightforward way to manage eligible medical expenses.

Here's what makes the program different:

• A $1,000 Annual Primary Responsibility Amount (PRA), per person
• No additional provider fees or co-share
• No pre-existing medical condition limitations
• Flexibility to see any Medicare-approved provider
• A nonprofit community built around people helping people
  
  

Impact for Seniors is not insurance, a Medicare Supplement, or a Medicare Advantage plan. Sharing is secondary to Medicare and follows Impact's Membership Guidelines.

How Does It Work?

Let's look at an example.

Carl experiences severe abdominal pain and is admitted to the hospital, where he undergoes surgery.

Medicare processes his eligible medical bills first and pays its portion. Carl then receives documentation showing what Medicare paid and the remaining amount he may owe.

Once Carl meets his $1,000 annual PRA, the Impact community can share the remaining eligible portion of his Medicare-approved medical expenses according to the Membership Guidelines.

What Do You Need to Submit?

Because Impact is a healthcare sharing community, members take an active role in submitting their medical expenses.

After Medicare processes your bills, you'll need to submit your Medicare Summary Notice (MSN) or applicable Explanation of Benefits (EOB), along with the supporting medical bill, through Impact's Member Center.

Your provider can supply a CMS-1500/HCFA or UB-04 billing form containing the details needed for processing.

You can access Medicare information through your online account at Medicare.gov.

Electronic MSNs are available monthly when Medicare has processed medical bills, helping you submit your information without waiting for a mailed notice.

Submitting complete documentation helps Impact review your eligible medical expenses without unnecessary delays.

What About Prescriptions?

If you have Medicare Part D, your eligible prescription expenses may also qualify for sharing after Medicare processes them, according to Impact's Guidelines.

Healthcare Built Around People

Impact for Seniors brings together people who believe healthcare should be more affordable, transparent, and easier to navigate.

It's a different approach to managing healthcare costs, built on shared responsibility and a community that cares for one another.

Because healthcare is only part of life. Living well is the goal.