# Peak Health > Helping You Reach New Heights > Generated by All in One SEO Pro v5.0.3, this is an llms.txt file, used by LLMs to index the site. ## Sitemaps - [XML Sitemap](https://peakhealth.org/sitemap.xml): Contains all public & indexable URLs for this website. ## Posts - [Peak Health Expands Medicare Advantage Coverage for 2026](https://peakhealth.org/peak-health-expands-medicare-advantage-coverage-for-2026/): Peak Health is expanding its Medicare Advantage plan for 2026, bringing better access to care for seniors across West Virginia and into Pennsylvania. - [Peak Advantage Medicare Earns 5-star CMS Rating](https://peakhealth.org/peak-advantage-medicare-earns-5-star-cms-rating/): Achievement shows Peak Health’s commitment to clinical excellence and exceptional member experience MORGANTOWN, W.Va. — Peak Health announced today that its Peak Advantage Medicare plan has earned a 5-Star Rating from the Centers for Medicare & Medicaid Services (CMS), the highest rating awarded through the Medicare Advantage Star Ratings program. CMS Star Ratings measure the - [Peak Health Opens New Member Service Center in Morgantown](https://peakhealth.org/peak-health-opens-new-member-service-center-in-morgantown-to-make-in-person-member-support-more-accessible/): Peak Health Opens New Member Service Center in Morgantown to Make In-Person Member Support More Accessible Peak Health is excited to announce the opening of its new Member Service Center, giving members a convenient and welcoming place to receive personalized, face-to-face assistance with their health insurance needs. The new center officially opened July 1 and - [Press Ganey 2025 Human Experience Pinnacle of Excellence Award](https://peakhealth.org/press-ganey-2025-human-experience-pinnacle-of-excellence-award/): Peak Health is proud to announce it has been recognized as a Press Ganey 2025 Human Experience Pinnacle of Excellence Award® winner, earning top honors for Highest Overall CAHPS Ratings – Local PPO and Highest Prescription Drug CAHPS Ratings – Local PPO. This prestigious recognition reflects Peak Health’s leadership in delivering an exceptional member experience. - [Peak Health Discusses Medicare and Access to Quality Care on CBS Talk Pittsburgh](https://peakhealth.org/peak-health-talk-medicare-talk-pittsburgh/): Peak Health’s Missy Bazzo joins CBS Talk Pittsburgh to discuss Medicare, Peak Advantage, and how local partnerships help connect members to quality care. - [Ribbon-cutting Ceremony Commemorates Peak Health, WVU Medicine Partnerships with Mylan Park Facilities](https://peakhealth.org/ribbon-cutting-ceremony-commemorates-peak-health-wvu-medicine-partnerships-with-mylan-park-facilities/): Peak Health held a ribbon-cutting ceremony Thursday (Oct. 17) to unveil new Peak Health, WVU Medicine, and WVU Medicine Children’s signage that was recently installed on the outside and inside of several buildings at Mylan Park in Morgantown. - [With Pennsylvania in its sights, WVU Medicine kickstarts health insurer](https://peakhealth.org/with-pennsylvania-in-its-sights-wvu-medicine-kickstarts-health-insurer-2/): Years ago, Highmark bolted a hospital network to its insurance operations and UPMC created a health insurer for its hospital system. In the process, the two Pittsburgh organizations became the vertically integrated powerhouses they are today, selling both health insurance and medical care. - [Peak Health, WVU Medicine partner with Mylan Park](https://peakhealth.org/peak-health-wvu-medicine-partner-with-mylan-park/): Peak Health and WVU Medicine are pleased to announce a groundbreaking new partnership with Mylan Park, West Virginia’s premier recreation, sport, health, and wellness complex. - [Peak Health opens new office in Bridgeport](https://peakhealth.org/peak-health-opens-new-office-in-bridgeport/): “Peak Health’s new office is a sign of our commitment to the state and is part of our efforts to build out our operations locally in West Virginia communities,” Ben Gerber, president of Peak Health, said. “This is Peak Health’s first community office location, and we have long-term plans to expand the community office concept in strategic locations across West Virginia.” - [Valley Health joins Peak Health](https://peakhealth.org/valley-health-joins-peak-health/): “We’re excited and honored to have Valley Health, an outstanding health system, join as an owner and participant in Peak Health,” Albert L. Wright, Jr., Peak Health’s board chair and president and CEO of the WVU Health System, said. “Through collaboration with its health system owners, Peak Health can change the health trajectory of West Virginia and the surrounding region.” - [Peak Health announces new option in Medicare Advantage coverage for West Virginia seniors](https://peakhealth.org/peak-health-announces-new-option-in-medicare-advantage-coverage-for-west-virginia-seniors/): This fall, Medicare-eligible residents will have the opportunity to enroll in a plan that was specifically created to meet the needs of seniors in West Virginia. The plan has been designed in partnership with two of the state’s leading health systems, WVU Medicine and Marshall Health. - [Marshall Health and Mountain Health Network join Peak Health](https://peakhealth.org/marshall-health-and-mountain-health-network-join-peak-health/): Marshall Health and Mountain Health Network have joined the West Virginia University Health System (WVU Medicine) as owners of Peak Health, a West Virginia-based health insurance company formed in 2021 with the mission of making healthcare more accessible, understandable, and collaborative. Peak Health’s goal is to build an inclusive, provider-led health plan to help West Virginians live healthier and fuller lives. - [WVU Medicine's Albert Wright hopes to make care more affordable, accessible through Peak Health](https://peakhealth.org/wvu-medicines-albert-wright-hopes-to-make-care-more-affordable-accessible-through-peak-health/): WVU Medicine’s Albert Wright hopes to make care more affordable, accessible through Peak Health by Charles Young SENIOR STAFF WRITER Albert Wright, president and CEO of WVU Medicine, wants Peak Health to become the iPhone of health insurance providers. Just like the iPhone replaced countless devices — the landline phone, the camera, the MP3 player, ## Pages - [Home](https://peakhealth.org/): Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. We are owned by three not-for-profit health care providers, WVU Health System, Marshall Health Network, and Valley Health. This allows us to have a completely collaborative approach to insurance that will connect the bridge between the provider and the payer. Our Vision is to be an inclusive, provider-led health plan that helps residents of West Virginia and beyond live healthier and fuller lives. - [ACA Resources](https://peakhealth.org/acaresources/): 2027 Resources Forms & Policies ACA Health Risk Assessment Certificate of Coverage Member Complaint and Appeal Notice of Privacy Practices Navitus Member Portal Pharmacy Directory Pharmacy Formulary Guide Plan Brochure Preventive Guide Privacy Notice Terms and Conditions Transparency of Coverage Women’s Health - [ACA Gold Plans](https://peakhealth.org/aca-gold/): 2027 Individual Plans Bronze Silver Gold Gold Approximate % of healthcare costs covered Gold Plan Options On Exchange Peak Gold 2500 Statement of Benefits Summary of Benefits & Coverage Off Exchange Peak Gold 2500 Statement of Benefits Summary of Benefits & Coverage Zero Cost Sharing Peak Gold 2500* Statement of - [ACA Silver Plans](https://peakhealth.org/aca-silver/): 2027 Individual Plans Bronze Silver Gold SILVER Approximate % of healthcare costs covered Silver Plan Options On Exchange Peak Silver 6400 Statement of Benefits Summary of Benefits & Coverage Zero Cost Sharing Peak Silver 6400* Statement of Benefits Summary of Benefits & Coverage Limited Cost Sharing Peak Silver 6400* Statement - [ACA Bronze Plans](https://peakhealth.org/aca-bronze/): 2027 Individual Plans Bronze Silver Gold Bronze Approximate % of healthcare costs covered Bronze Plan Options On Exchange Peak Bronze 7500 Statement of Benefits Summary of Benefits & Coverage Off Exchange Peak Bronze 7500 Statement of Benefits Summary of Benefits & Coverage Zero Cost Sharing Peak Bronze 7500* Statement of - [Transparency](https://peakhealth.org/transparency/): For Members Transparency in Coverage What is Transparency in Coverage? Coordination of Benefits The Coordination of Benefits (COB) provision applies when an individual has health care coverage under more than one plan. COB rules determine the order in which each plan is responsible for paying covered claims. The plan that pays first is considered the - [Find a Provider](https://peakhealth.org/find-a-provider/): PROVIDER DIRECTORY Find a Peak Provider or Facility The Peak Health Provider Directory is a fast and easy way for you to browse or search for the care you need. You will find practice information, including office location, hours of operation, parking availability and nearby public transit information. Peak Health Individual Plans Find in-network providers - [ACA](https://peakhealth.org/aca/): Individual Plans Affordable Care Act (ACA) plans backed by local care, trusted providers, and coverage designed for West Virginians. Enroll Now Resources Powered by West Virginia’s leading health systems Which Peak Health Individual Plan is right for you? Bronze Quality coverage with a lower monthly premium, giving you an affordable way to stay covered and - [2027 Enrollment](https://peakhealth.org/2027-enrollment/): Individual (ACA) Plans Open Enrollment Begins November 1 Starting November 1, you can enroll in a 2027 Peak Health Individual Plan. Check back then to get started. View Plans - [Understanding Marketplace Coverage](https://peakhealth.org/understanding-marketplace-coverage/): Individual (ACA) Plans Understanding Marketplace Coverage I need help with… Explore the topics below to learn how ACA coverage works, from eligibility and enrollment to costs and metal levels. Eligibility & Enrollment Who is eligible? Individual ACA coverage is designed for individuals and families who need to purchase health insurance on their own. It may - [ACA Profile](https://peakhealth.org/aca-profile/) - [ACA Facility Directory](https://peakhealth.org/aca-facility-directory/): [et_pb_section admin_label="section"] [et_pb_row admin_label="row"] [et_pb_column type="4_4"][/et_pb_column] [/et_pb_row] [/et_pb_section] - [ACA Provider Directory](https://peakhealth.org/aca-provider-directory/): [et_pb_section admin_label="section"] [et_pb_row admin_label="row"] [et_pb_column type="4_4"][/et_pb_column] [/et_pb_row] [/et_pb_section] - [Customized Client WVUM](https://peakhealth.org/customized-client-wvum/): WVU Medicine Employee Plan WVUH Local 814 AHS EMS (MEMS) - [Risk Adjustment/HCC Coding](https://peakhealth.org/risk-adjustment-hcc-coding/): Risk Adjustment/HCC Coding Risk adjustment and HCC coding play a pivotal role in reflecting the true clinical complexity of your patients—ensuring they receive the care coordination, resources, and support they need. Accurate documentation strengthens population health insights and enhances performance across value-based care models. To support you in this work, we invite you to - [Forms](https://peakhealth.org/forms/): Resources Peak Provider Provider Forms & Resources Clinical Practice Guidelines Clinical Practice Guidelines Audit Process Continuity of Care (Existing Members) Disabled Dependent Authorization Electronic Data Interchange (EDI) EFT Authorization Form Inpatient Authorization Medicare Advantage SNF/IRF Worksheet Navitus Provider Portal Outpatient Authorization Peak Advantage Provider - [Consolidated Appropriations Act](https://peakhealth.org/mypeak/consolidated-appropriations-act/): Guidelines MyPeak Guidelines & Disclosures Consolidated Appropriations Act No Surprises Act Intended to protect consumers from some unpredicted medical bills after receiving care from out-of-network providers. This allows negotiation for reimbursement through an independent dispute resolution process. Learn more: NSA Bulletin Federal Guideline ID Card Requirements Requires health plan IDs to include both in-network and - [Member Forms](https://peakhealth.org/member-forms/): Resources MyPeak Member Forms & Resources Authorization of Representative Continuity of Care (Existing Members) Coordination of Benefits (COB) Disabled Dependent Authorization HIPAA Personal Representative Designation Member Claim Form Member Complaint and Appeal On-Demand Virtual Urgent Care On-Demand Virtual Urgent Care Tip Sheet Prior Authorization Lists - [Contact Us](https://peakhealth.org/contact/): Need help? Contact Us Visit Us 1085 Van Voorhis Rd, Suite 300 Morgantown, WV 26505 Open Hours Monday–Friday: 8am–5pm Connect With Us Follow Us We’re here to help Peak Advantage Member Service 1-855-9-MAPEAK (+1-855-962-7325) Member Service 1-833-5-MYPEAK (+1-833-569-7325) Provider Service 1-833-9-MYPEAK (+1-833-969-7325) PeakProvider@peakhealth.org ASO Group Sales 1-833-545-PEAK (+1-833-545-7325) MyPeak@peakhealth.org Where can you find us? Main Building: - [FAQs](https://peakhealth.org/faqs/): FAQs MyPeak Frequently Asked Questions What is Peak Health? Peak Health is an insurance services company founded in 2021, located in Morgantown, WV, and built on the partnership of WVU Medicine, Marshall Health Network, and Valley Health. Peak’s innovative approach will provide a new option in healthcare in West Virginia and beyond. Our mission is - [MyPeak](https://peakhealth.org/mypeak/): Welcome to MyPeak What is MyPeak? MyPeak allows you to access important resources, including member forms, FAQs, and a direct link to your personalized online portal. Member Portal Simplify your insurance management through our Member Portal, where you can conveniently access your ID card, benefits, and additional information. Member Forms & Resources Easily access our - [Newsroom](https://peakhealth.org/newsroom-2/): Learn More Newsroom - [Customized Client First Health Network](https://peakhealth.org/first-health-network/customized-client/): First Health Network Please select your network: - [First Health Network](https://peakhealth.org/first-health-network/): First Health Network Peak Health has partnered with Aetna’s First Health Network* to complement the providers in our local service area and bring you a robust national network with access in all 50 states. Aetna’s First Health Complementary Network All Other Members Click Here Customized Client First Health WVU Medicine & Marshall Health Network Members Click Here - [About Us](https://peakhealth.org/about-us/): Learn More About Us Innovative Accessible Understandable Collaborative Committed Our Story Building a better choice in health care. Peak Health is a health insurer and health insurance services company headquartered in Morgantown, West Virginia. We are owned by three not-for-profit health care providers: WVU Health System, Marshall Health Network, and Valley Health. This allows us - [Peak Provider](https://peakhealth.org/peak-provider/): Welcome to Peak ProviderWhat is Peak Provider? This page is designed for healthcare providers to access essential resources, forms, and updates. It also offers direct access to our Provider Portal for managing accounts and staying informed. Provider Portal Conveniently access information on claims and benefits through our Provider Portal. Provider Manuals Explore more details and - [MyPark Pass](https://peakhealth.org/mypark-pass/): Peak Health Aquatic Center at Mylan Park Peak Health and WVU Medicine have partnered with Mylan Park, West Virginia’s premier recreation, sport, health, and wellness complex. Members and beneficiaries of Peak Health’s health insurance plans have free access to the Aquatic Center and other Mylan Park recreation and fitness facilities through the Mylan Park MyPARK Pass program. The Peak - [Provider Manuals](https://peakhealth.org/provider-manuals/): Provider Manuals Peak Provider Provider Manuals 2025 ASO Provider Manual 2026 ASO Provider Manual 2025 Medicare Advantage Provider Manual 2026 Medicare Advantage Provider Manual Provider Quality Playbook Manual Still Have Questions? Contact Provider Service! - [Clinical Practice Guidelines](https://peakhealth.org/clinical-practice-guidelines/): Clinical Practice Guidelines Asthma Global Strategy for Asthma Management and Prevention GINA (2025) | Global Institute for Asthma Strategy Report The Primary Care Management of Asthma (2025) | VA/DOD Clinical Practice Guideline Anxiety Screening for Anxiety Disorders in Adults (2024) | American Academy of Family Physicians (AAFP) Generalized Anxiety Disorder and Panic Disorder in - [Angela Matrozza](https://peakhealth.org/angela-matrozza/): Meet the Team Angela A. Matrozza Director, Claims Operations Angela A. Matrozza is our Director, Claims Operations and joins us with over 25 years’ worth of experience in the health insurance industry. Over her career Angela has managed teams both domestically and abroad, maximizing talent resulting in favorable fiscal outcomes. She has worked in a - [Customized Client Marshall](https://peakhealth.org/customized-client-marshall/): MHN Employee Health Plan CHH RN, Tech & Serv Bargaining plans MHN Out of Area plan - [Wellness](https://peakhealth.org/wellness/): Welcome to Peak Health and Wellness Download the Guide Powered by A first step in a bold new journey toward whole-person health. This is not the final product, but the foundation of something much greater. As one of a select group of early participants, you’re helping us shape the future of wellness for our entire - [Search](https://peakhealth.org/search/) - [Providers Manuals New](https://peakhealth.org/providers-manuals-new/): Provider Manuals 2024 ASO Provider Manual 2025 ASO Provider Manual 2024 Medicare Advantage Provider Manual 2025 Medicare Advantage Provider Manual 2024 Medicare Advantage Quality Playbook Still Have Questions? Contact Provider Service Call: +1-833-9-MYPEAKHours: Monday–Friday: 8am–5pm - [Member Forms New](https://peakhealth.org/member-forms-new/): Member Forms and Resources Need Help? Contact Our Local Team Authorization of Representative HIPAA Personal Representative Designation Prior Authorization Lists Continuity of Care (Existing Members) Member Claim Form Transition of Care (New Members) Disabled Dependent Authorization Member Complaint and Appeal Travel Reimbursement Claim Form Authorization of Representative Continuity of Care (Existing Members) Disabled Dependent Authorization - [Policies / Provider Manual](https://peakhealth.org/policies-provider-manual/): HEALTH INSURANCE SOLUTIONS Provider Manual / Policies Provider Manual Peak Health’s Provider Manual includes guidelines for our Providers to be referenced as a principal source of information about working with Peak Health. Click the button below to read or download our Provider Manual. Read Here Policies, Prior Authorizations, and Procedures DocTract is - [Update Request](https://peakhealth.org/contact/update-request/): Fill out my online form. - [Facility Directory](https://peakhealth.org/facility-directory/) - [Privacy Policy](https://peakhealth.org/privacy/): Notice of Privacy Practices THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. A copy of this notice can be found online: www.Peakhealth.org/privacy Peak Health Privacy Officer Contact Information: Peak Health Privacy Officer 1085 Van Voorhis - [Facility Print View](https://peakhealth.org/facility-directory/print-view/) - [Provider Directory](https://peakhealth.org/provider-directory/) - [Profile](https://peakhealth.org/profile/) - [MyPeak Resources](https://peakhealth.org/mypeak-resources/): HEALTH INSURANCE SOLUTIONS MyPeak Resources Member Resources Learn all about your Peak Health plan and how to get the most out of it. Explore our member resources including tools, forms, and assistance to get more information about Peak Health insurance. Guidelines Learn How New Federal Guidelines Help Healthcare Pricing Transparency The federal government is ## Categories - [Newsroom](https://peakhealth.org/category/newsroom/)