Insurance Information

Medicare

Medicare is available to people 65 or older and people under 65 with certain disabilities.
There are two parts to Medicare: Part A and Part B.
Medicare Part A helps cover your inpatient care in hospitals, critical access hospitals and skilled nursing facilities. It also covers hospice care and some home health care.
Medicare Part B helps cover your doctors’ services, outpatient hospital care, and some other medical services that Medicare Part A doesn’t cover, such as some of the services of physical and occupational therapists, and some home health care. Medicare Part B helps pay for these covered services and supplies when they are medically necessary.
Peak Vista also accepts all Medicare supplements.

Medicaid is available only to certain low-income individuals and families who fit into an eligibility group that is recognized by federal and state law. Medicaid does not pay money to you; instead, it sends payments directly to your health care providers.
Many groups of people are covered by Medicaid.
Eligibility groups include, but are not limited to: limited income families with children, Supplemental Security Income recipients, infants born to Medicaid-eligible pregnant women, children under age 6 and pregnant women whose family income is at or below 133% of the Federal poverty level, recipients of adoption assistance and foster care under Title IV-E of the Social Security Act and certain people with Medicare.
Even within these groups though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant.

This is low-cost health insurance for Colorado's uninsured children and pregnant women.
CHP+ is public health insurance for children and pregnant women who earn too much to qualify for Medicaid, but cannot afford private health insurance.

Uninsured applicants will be assigned a "rating" based on their total income and resources. The rating determines the copayment amount that will be charged to the applicant for medical services for a 12-month calendar year.
To be eligible you must:
- Be a Colorado resident or migrant farm worker and a U.S. citizen or legal immigrant;
- Have income and resources combined at or below 250% of the Federal Poverty Level (FPL); and
- Cannot be eligible for the Medicaid Program or CHP+

We currently accept the following private insurance plans:

Advantra Freedom (Medicare Advantage) - Accepted at ALL centers.
Aetna (HMO & PPO) - Only accepted at the Family Health Center at Divide & Family Health Center at Fountain.
Anthem Blue Cross/Blue Shield (HMO, PPO, POS) - Accepted at ALL centers.
CHAMPVA (Disabled Veterans & dependents) - Accepted at ALL centers.
CIGNA (HMO) - Only accepted at the Family Health Center at Divide.
Cofinity (PPO) - Only accepted at the Family Health Center at Divide & Family Health Center at Fountain.
Evercare (Medicare Plus Medicaid, Medicare Advantage) - Accepted at ALL centers.
Humana ChoiceCare (Medicare PPO/HMO/POS) - Accepted at ALL centers.
Pacificare (HMO & PPO) - Accepted at ALL centers.
Pyramid (Medicare Advantage) - Accepted at ALL centers.
Rocky Mountain Health Plans (HMO) - Accepted at ALL centers.
Secure Horizons Direct (Medicare Advantage) - Accepted at ALL centers.
Secure Horizons/Pacificare (Medicare HMO) - Accepted at ALL centers.
Sterling Life Medicare Advantage (Medicare Advantage PPO & PFFs) - Accepted at ALL centers.
Tricare for Life, Standard & Reserve - Accepted at ALL centers.
United Healthcare (HMO & PPO) - Accepted at ALL centers.
WellCare Health Plans (Medicare Advantage) - Accepted at ALL centers.

Please call us at (719) 632-5700 if you have any insurance-related questions.