Medicare

Medicare is a federal health insurance program that may be available to people 65 or older and people under 65 with certain disabilities. Most adults 65 years old or older are eligible for Medicare Part A (hospital coverage) if they have worked and paid taxes into Medicare long enough.

There are four parts to Medicare:

• Part A covers in patient services such as hospitals and skilled nursing facilities. Peak Vista only bills Part A if someone is seen at the hospital (ex: pregnant women) by our doctors.
• Part B covers outpatient services and is accepted at Peak Vista for office visits and preventive care.
• Part C, or Advantage plans, bundles Part A and B along with prescriptions, vision, hearing and dental into one plan. These plans must be purchased and a monthly premium is normally paid. Peak Vista typically bills through the selected insurance plan.
• Part D is for prescription drug coverage. This coverage must be purchased and has a monthly premium. At Peak Vista, our patients will be charged a sliding fee because Peak Vista does not bill under Medicare Part D. The patient will need to go to a local pharmacy that accepts Part D to get medications covered by Medicare.

Please call Enrollment Services at (719) 344-6889 to see if you are eligible for secondary coverage to offset our out-of-pocket expenses not covered by Medicare. 

Medicare Frequently Asked Questions

Your initial enrollment period will begin three months prior to your 65th birthday and will end three months after your 65th birthday.

What happens if I do not sign up for Medicare Part B or a prescription drug plan during my initial enrollment period?
You may be penalized and may have to pay a higher monthly premium for coverage. Your premium will go up 10 percent for each 12-month period you were eligible but did not sign up.

When is open enrollment each year?
Open enrollment is October 15 – December 7th of every year. During open enrollment, you can join a plan, make changes and join an Advantage Plan or prescription drug plan. 

Contact our Enrollment Services department at (719) 344-6889 and provide us with your new Medicare number.

Peak Vista accepts Medicare Part B (outpatient services) and Medicare Part C (Medicare Advantage Plans) ** Please make sure to check with our Enrollment Services department at (719) 344-6889 to make sure your specific plan is covered

Medicare may only pay for a portion of your visit. Please contact Enrollment Services at (719) 344-6889 to see if you qualify for secondary coverage to help offset your out of pocket balance.

Peak Vista is not able to bill for prescription services through Medicare. Please contact Enrollment Services at (719) 344-6889 to see if you are eligible for secondary coverage that may be used at our pharmacy.

As a new Medicare recipient, we encourage you to schedule your Annual Wellness Exam visit with your provider.  We also encourage you to schedule an Annual Wellness Exam each year thereafter. Please call (719) 632-5700 to schedule your appointment(s).

Yes, The Pikes Peak Area of Council of Governments (PPACG) is a local nonprofit organization that can assist you with all your Medicare questions and programs available to Medicare recipients. Their contact information is (719) 471-2096 or www.ppacg.org.

Individuals may go online to www.ssa.gov or www.medicare.gov

Yes, our Enrollment Services staff is available to assist with any questions you may have. Please contact them at (719) 344-6889.