Peak Advantage Vista (PPO) Medicare Advantage Plan H8947-001-1 • 2027 • Wood County, WV
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $7500.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Enhanced, $0.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Wood County, WV
- Local Enrollment
- 125 beneficiaries in Wood County
Peak Advantage Vista (PPO) Introduction
CMS Plan ID H8947-001-1 identifies Peak Advantage Vista, a Medicare Advantage PPO plan offered by Peak Health. The plan uses a Preferred Provider Organization (PPO) provider network and comes with prescription drug coverage. Its costs for the 2027 plan year include a $0.00 monthly premium, $0.00 medical deductible, and $7500.00 in-network maximum out-of-pocket. The 2027 Part D prescription drug deductible is $0.00.
This plan is available to eligible beneficiaries who live in Wood County, West Virginia. CMS reports local enrollment of 125 beneficiaries for this plan in Wood County. New members can contact the plan at (855)962-7325 (TTY 711) for help and additional plan information.
Compare Similar Plans in Wood County
Compare this plan with the two most-enrolled PPO plans available in Wood County, West Virginia. Enrollment is based on CMS local enrollment data.
| Plan Detail | Peak Advantage Vista | Humana Essentials Plus Giveback | Complete Blue PPO Distinct |
|---|---|---|---|
| CMS Plan ID | H8947-001-1 |
H7617-065-0 |
H5106-029-3 |
| Local Enrollment | 125 | 533 | 371 |
| Monthly Premium | $0.00 | $0.00 | $60.00 |
| Medical Deductible | $0.00 | $650 | $0.00 |
| Maximum Out-of-Pocket | $7,500.00 | $9,850.00 | $6,750.00 |
| Part B Giveback | Not offered | −$115.00 reduction | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $25 copay | $50 copay | $40 copay |
| Part D Deductible | $0.00 | $700.00 | $700.00 |
| CMS Star Rating | Not yet rated | Not yet rated | Not yet rated |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $0 copay | $0 copay |
| Hearing | $0 copay | $0 copay | $25 copay |
Plan Benefits
Peak Advantage Vista includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The tables below outline the most common in-network out-of-pocket costs associated with plan H8947-001-1.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H8947-001-1 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
Out-of-network: 35% coinsurance - Specialist
- In-network: $25 copay
Out-of-network: $35 copay
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
Out-of-network: 35% coinsurance - Telehealth benefit
- In-network: $0 copay
- Routine chiropractic
- In-network: $25 copay
Out-of-network: 35% coinsurance - Fitness benefits
- Coming soon
- Health education
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Counseling services
- Not covered
- Over-the-counter drug benefits
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $0-$225 copay
Out-of-network: 35% coinsurance - Lab services
- In-network: $0-$25 copay
Out-of-network: 35% coinsurance - Outpatient x-rays
- In-network: $0-$25 copay
Out-of-network: 35% coinsurance - Diagnostic tests and procedures
- In-network: $0-$25 copay
Out-of-network: 35% coinsurance
Emergency and Urgent Care Services
- Emergency room care
- $115 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $40 copay
- Inpatient hospital care
- In-network:
Tier 1
$800 Lifetime Reserve Days for days 1-60
$750 per stay
Out-of-network:
35% per stay - Skilled Nursing Facility
- In-network:
Tier 1
$0 per day for days 1-20
$218 per day for days 21-100
Out-of-network:
35% per stay - Ground ambulance
- In-network: $280 copay
Out-of-network: 35% coinsurance
Mental Health Services
- Outpatient individual therapy
- In-network: $40 copay
Out-of-network: 35% coinsurance - Outpatient group therapy
- In-network: $40 copay
Out-of-network: 35% coinsurance - Inpatient psychiatric hospital care
- In-network:
Tier 1
$800 Lifetime Reserve Days for days 1-60
$750 per stay
Out-of-network:
35% per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $20 copay
Out-of-network: 35% coinsurance - Occupational therapy
- In-network: $30 copay
Out-of-network: 35% coinsurance
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay
Out-of-network: 35% coinsurance - Durable medical equipment
- In-network: 20% coinsurance
Out-of-network: 35% coinsurance - Prosthetics
- In-network: 20% coinsurance
Out-of-network: 35% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
Out-of-network: 35% coinsurance - Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Out-of-network: 35% coinsurance
Dental Services
- Oral exam
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Dental x-rays
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Cleaning
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Periodontics
- In-network: 50% coinsurance
Out-of-network: 50% coinsurance - Endodontics
- In-network: 50% coinsurance
Out-of-network: 50% coinsurance - Restorative services
- In-network: 50% coinsurance
Out-of-network: 50% coinsurance - Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: 50% coinsurance
Out-of-network: 50% coinsurance
Vision Services
- Routine eye exam
- In-network: $0 copay
Out-of-network: 35% coinsurance - Contact lenses
- In-network: $0 copay
Out-of-network: 35% coinsurance - Eyeglass frames only
- In-network: $0 copay
Out-of-network: 35% coinsurance - Eyeglass lenses only
- In-network: $0 copay
Out-of-network: 35% coinsurance - Eyeglasses (frames & lenses)
- In-network: $0 copay
Out-of-network: 35% coinsurance - Upgrades
- In-network: $0 copay
Out-of-network: 35% coinsurance
Hearing Services
- Hearing exam
- In-network: $0 copay
Out-of-network: 35% coinsurance - Fitting/evaluation
- In-network: $0 copay
Out-of-network: 35% coinsurance - Prescription hearing aids
- In-network: $399-$899 copay
Out-of-network: 35% coinsurance - OTC hearing aids
- Not covered
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- Not covered
Certain preventive services are covered 100% by Peak Advantage Vista as a Part B benefit.
Prescription Drug Coverage
Peak Advantage Vista includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.
Prescription Drug Plan Premium
The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | $0.00 |
| Supplemental Part D Premium: | $$0.00 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $12.80 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $0.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Peak Health starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Peak Advantage Vista may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $4.00 copay | Coming soon |
| Preferred Brand | 25% coinsurance | Coming soon |
| Non-Preferred Drug | 25% coinsurance | Coming soon |
| Specialty Tier | 33% coinsurance | Coming soon |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H8947)
The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | Plan too new to be measured |
| Managing Chronic (Long Term) Conditions | Plan too new to be measured |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for Peak Health
- Website
- Peak Health Plan Page
- Providers
- Peak Health Providers Page
- Formulary
- Peak Health Formulary Page
- Pharmacy
- Peak Health Pharmacy Page
- New Member Health Plan Help
- (855)962-7325
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (855)847-1026
- New Member Part D TTY Users
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Peak Health (official source) | http://medicare.peakhealth.or | October 4, 2026 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
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