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. 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.
Seniors enrolled in Medicare Part D have the additional opportunity to engage in our prescription sharing program.
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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 towards your Personal Responsibility Amount (PRA) or reimburse you, making it hassle-free.