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Insurance and Medicaid: What You Need to Know

We welcome Medicaid, Medicare, and Uninsured Patients.

Peak Vista welcomes new patients who have Medicaid, Medicare, or no insurance. New patient access for people with commercial insurance is limited at most Colorado Springs and Fountain locations.

Patient holding documents while speaking with staff at a Peak Vista health center

Important Information for New Patients

Effective July 1, 2026, most Peak Vista health centers in Colorado Springs and Fountain are not accepting new patients whose primary coverage is commercial insurance, including TRICARE.

This change does not affect established Peak Vista patients. Existing patients may continue receiving care regardless of their insurance status. Peak Vista continues to welcome new patients who have Medicaid, Medicare, or no insurance.

For more information or help determining the best path to care at Peak Vista, contact Enrollment Services at (719) 344-6889.

Understanding Costs and Coverage

We Accept Medicaid and Medicare

Peak Vista accepts Medicaid, Medicare, and many other health coverage programs.

Help Understanding Your Coverage

Our team can help answer questions about insurance, enrollment, and payment options.

Care Without Insurance Coverage

Patients may still receive care even if they do not have insurance coverage.

Using Your Insurance at Peak Vista

What We Accept & How It Works

Peak Vista works with Medicaid, Medicare and many commercial insurance plans. Insurance participation may vary depending on your specific plan, service, provider, or health center.

Having an insurance plan that Peak Vista works with does not necessarily mean you are eligible to establish care as a new patient.

Before receiving care, contact your insurance company to confirm:
  • Whether Peak Vista is in your plan's network.
  • Whether the service you need is covered.
  • Whether you may owe a copay, deductible, or coinsurance.
  • Whether authorization or a referral is required.
You may also contact Peak Vista if you have questions about new patient eligibility or scheduling.

Why This Matters: Confirming both insurance participation and new patient eligibility can help prevent scheduling or billing confusion.

Your insurance may affect whether you can establish care as a new Peak Vista patient.

Effective July 1, 2026, most Peak Vista health centers in Colorado Springs and Fountain are not accepting new patients whose primary coverage is commercial insurance, including TRICARE.

Peak Vista continues to welcome:
  • New patients with Medicaid.
  • New patients with Medicare.
  • New patients without insurance.
  • Existing Peak Vista patients, regardless of insurance coverage.
Patients who have not received care from Peak Vista within the past three years are considered new patients under this policy.

Why This Matters: Peak Vista has limited appointment availability and prioritizes access for people who face the greatest barriers to health care.

Some commercially insured patients may still be able to establish care through the following approved exceptions:
  • New patients seeking care at Peak Vista locations in Divide, Limon, or Strasburg.
  • New patients seeking care through the Collaborative Care Clinic/Ryan White program.
Appointment availability may still depend on the health center, service, and provider capacity.

Why This Matters: Access requirements may be different for certain locations, programs, and approved patient groups.

Peak Vista accepts Medicaid and Medicare for many services. If you use Medicaid or Medicare, please bring your insurance card to your visit.

Here are a few helpful things to know:
  • Bring your current insurance card.
  • Let us know if you are unsure about your coverage.
  • Ask questions if you are unsure about your coverage.
  • Coverage may be different depending on your plan or services.
Our team can help explain your options if you have questions.

Why This Matters: Understanding basic insurance information can help visits go more smoothly.

Please bring your insurance information to your visit if you have coverage. This helps us bill insurance correctly and keep your records up to date.

You may be asked to bring:
  • Your insurance card.
  • Medicaid or Medicare information.
  • Updated insurance information if your plan changed.
  • A photo ID if available.
Please let us know if your insurance changes before your visit.

Why This Matters: Correct insurance information can help prevent delays or billing problems later.

Understanding Your Coverage Options

Getting Help With Insurance & Enrollment

Peak Vista can help patients apply for Medicaid and other coverage programs. Enrollment Services can help answer questions and guide patients through the process.

Enrollment support may include:
  • Help applying for Medicaid.
  • Help understanding coverage programs.
  • Help updating insurance information.
  • Support with forms or paperwork.
You can ask questions even if you are not sure where to start.

Why This Matters: Enrollment support can help patients connect with coverage and care more easily.

Insurance and support programs can feel confusing. Our team can help explain available options and connect you with helpful resources.

You may be able to get help with:
  • Insurance questions.
  • Enrollment support.
  • Lower-cost care programs.
  • Payment support options.
You do not need to figure everything out before asking for help.

Why This Matters: Getting support early can help patients feel less stressed about care costs and coverage.

You can still receive care at Peak Vista even if you do not have insurance.

Support options may include:
  • Sliding Fee Scale Discount Program.
  • Enrollment Services support.
  • Help understanding care cost.
  • Help applying for coverage programs.
Care is available whether you have insurance or not.

Why This Matters: Patients should feel comfortable asking for care even without insurance coverage.

Understanding Your Coverage

What Insurance Means For Your Care

Insurance plans may help pay for many health care services, but coverage is not always the same for every visit or treatment. What is covered can depend on your insurance plan and the care you receive

Coverage may be different for:
  • Medical visits.
  • Dental care.
  • Behavioral health services.
  • Lab work or tests.
  • Medicines or prescriptions.
Coverage may be different depending on your plan or services.

Why This Matters: Understanding that coverage can vary may help prevent confusion later.

Some visits or services may still have costs even if you have insurance. These costs can depend on your plan and the type of care you receive.

You may have costs such as:
  • Copays.
  • Deductibles.
  • Costs for services not covered by your plan.
  • Costs before insurance finishes processing claims.
Some patients may also receive Good Faith Estimates before scheduled services. A Good Faith Estimate is a simple estimate of expected health care costs before your visit or service. This can help patients better understand possible costs ahead of time.

Note: Our team can help answer questions about possible costs or billing concerns.Why This Matters: Understanding possible costs ahead of time can help patients feel more prepared for care.

If you have questions about insurance or coverage, support is available. Our team can help guide you to the right place for answers.

You may be able to get help with:
  • Insurance questions.
  • Enrollment support.
  • Billing concerns.
  • Coverage updates or changes.
You can still ask questions even if you are unsure about your coverage.

Why This Matters: Having support available can make insurance and coverage feel less confusing.

Frequently Asked Questions

Common Questions About Insurance & Coverage

Yes. Peak Vista accepts Medicaid, Medicare, and many other insurance plans.

Why This Matters: Knowing your insurance may be accepted can help you feel more comfortable scheduling care.

You may still receive care at Peak Vista even if you do not have insurance.

Why This Matters: Patients should still feel comfortable asking for care even without insurance.

Enrollment Services can help patients apply for Medicaid and other coverage programs.

Why This Matters: Support with applications can help make the process easier to understand.

The July 1 change does not affect established Peak Vista patients. Existing patients may continue receiving care regardless of whether they have Medicaid, Medicare, commercial insurance, or no insurance.

Please tell Peak Vista if your insurance changes so we can update your information and bill your plan correctly.

Why This Matters: The new patient access restriction does not change care for established patients.

Most Peak Vista health centers in Colorado Springs and Fountain are not currently accepting new patients whose primary coverage is commercial insurance, including TRICARE.

Approved exceptions may apply at Divide, Limon, and Strasburg locations and through the Collaborative Care Clinic/Ryan White program.

Contact your insurance company for help finding another provider in your area who participates with your plan and is accepting new patients.

Why This Matters: Knowing the current access requirements can help you find the right care more quickly.

Commercial insurance generally includes health coverage provided through an employer or purchased from a private insurance company. For Peak Vista’s new patient access policy, TRICARE is also included in this category.

Contact Peak Vista if you are unsure how your coverage affects your ability to establish care.

Why This Matters: Understanding your coverage type can help you determine which new patient requirements apply to you.

Some visits may still include costs depending on your insurance plan and services received.

Why This Matters: Understanding possible costs ahead of time can help avoid surprises later.

Our team can help answer questions about insurance, billing, and enrollment support.

Why This Matters: Patients should feel comfortable asking questions and getting support when needed.