Guidelines - 3.3 REDEEM SeniorSaver Sharing of Expenses
2026-07-01
REDEEM SeniorSaver is a program for you if you are 65 years of age
or older.
• You are not required to join REDEEM SeniorSaver when you turn
65. Participation in REDEEM Essential or REDEEM Enhanced is
available to you for as long as you like.
• Under REDEEM SeniorSaver only services covered by Medicare
Part A, Part B, and, if applicable, Medicare Advantage plans are
eligible for sharing. This applies even if a Need would otherwise
be eligible for sharing under REDEEM Essential or REDEEM
Enhanced.
REDEEM SeniorSaver members use the same guidelines as
individuals and households with the following exceptions:
3.3.1. Medicare must first apply its coverage, and you must meet your
AUA before you share items covered by Medicare Parts A and B.
3.3.2. (Prescriptions) Medicare must first apply its coverage, and you
must have Medicare Part D, and you must have met your AUA.
3.3.3. If you require a blood transfusion, a provider must purchase blood
products for you.
3.3.4. Inpatient acute care hospitalization for you:
• Days 1-60: Medicare covers these costs.
• Days 61-150: Medicare covers a significant portion of costs; the
balance is shareable.
• Days 151-beyond: Not eligible for sharing.
3.3.5. Participation is available for individual memberships only. Couples
participating in REDEEM SeniorSaver requires two individual
memberships. If you want to have a couple or family membership,
you will need to participate in REDEEM Essential or REDEEM
Enhanced.
3.3.6. The waiting periods and pre-existing conditions limitations in
section 3.7 Sharing Limits and section 3.8 Pre-existing Conditions
do not apply.
3.3.7. Care outside of the United States is not eligible for sharing in
REDEEM SeniorSaver.