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Peak Health

Rehabs That Take Peak Health

Peak Health is a health plan name listed by drug and alcohol treatment centers in Pennsylvania. Plans may cover substance use care, with benefits varying by plan, network and level of care.Pennsylvania facilities on this page name Peak Health on their own websites. Before starting detox, residential or outpatient treatment, contact the center and the plan to ask whether the facility is in network for your specific plan, whether prior authorization or a referral is required, and what deductible, copay or coinsurance amounts may apply. Written details from the plan can help if questions come up about the bill later.

Rehab Centers Near You

Drug and Alcohol Rehab Centers That Accept Peak Health

Wise Path Recovery Centers – Morgantown (900 Fairmont Road)

900 Fairmont Road, Morgantown, WV 26501

4.4★★★★☆76

Joint Commission

DetoxInpatientResidential+4

Accepts InsuranceAccepts MedicaidAccepts State Insurance+1

Co-occurring DisordersMATTrauma-informed+8

Wise Path Recovery Centers operates from 900 Fairmont Road in Morgantown. The site sits in Monongalia County, which shapes which public funding routes apply. Nearby communities include Booth, Brookhaven and Cassville. West Virginia draws people across long distances for treatment, so travel time is worth weighing against waiting time. Hospital inpatient care, residential treatment, intensive outpatient and outpatient care are delivered here, alongside medication-assisted treatment, telehealth appointments and care for co-occurring mental health conditions. Which…

8.9 miCheat River3.6 miMorgantown Municipal Airport Walter L. (Bill) Hart FieldServes25 towns

Substances treated

Adderall Rehab · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · Codeine Rehab · Concerta Rehab · +37 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Anxiety Retreat · Clonidine and Lofexidine Detox · +29 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · +8 more

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Depression and PTSD · Depression and Trauma · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychiatric Medication Management · Psychosocial Rehabilitation · Psychosocial Rehab Services · +5 more

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Adult Rehab · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · +67 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Hepatitis C Treatment · HIV Treatment · Housing and Employment Support · Housing Assistance · +12 more

Insurance accepted

Aetna · Cigna Healthcare · Highmark Health · Medicaid · Optum · Peak Health · TRICARE · Unicare · UnitedHealthcare (UHC)

Wise Path Recovery Centers – Morgantown (2195 Cheat Road)

2195 Cheat Road, Morgantown, WV 26508

5.0★★★★★1

Joint Commission

DetoxIOPOutpatient+2

Accepts InsuranceAccepts MedicaidAccepts State Insurance+1

Co-occurring DisordersMATTrauma-informed+9

Wise Path Recovery Centers operates from 2195 Cheat Road in Morgantown. The site sits in Monongalia County, which shapes which public funding routes apply. Nearby communities include Brookhaven, Grafton and Kingwood. West Virginia draws people across long distances for treatment, so travel time is worth weighing against waiting time. Intensive outpatient and outpatient care are delivered here, alongside medication-assisted treatment, telehealth appointments and care for co-occurring mental health conditions. Which level fits depends on the…

5.4 miCheat River4.0 miMorgantown Municipal Airport Walter L. (Bill) Hart FieldServes25 towns

Substances treated

Levels of care

Aftercare and Continuing Care · Clonidine and Lofexidine Detox · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · Evening Treatment · Intensive Outpatient Program (IOP) · Online Rehab and Telehealth · Outpatient MAT Clinic · +5 more

Therapies

12 Step Rehab · Activity Therapy · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · Dialectical Behavior Therapy (DBT) · +9 more

Mental health

Groups served

Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Adult Rehab · Couples Rehab · Court Ordered Dual Diagnosis Rehab · +59 more

Support services

Insurance accepted

Aetna · Cigna Healthcare · Highmark Health · Medicaid · Optum · Peak Health · TRICARE · Unicare · UnitedHealthcare (UHC)

Bridging the Gaps Inc – Winchester

31 South Braddock Street, Suite 1, Winchester, Virginia, 22601

4.5★★★★★17

CARF accredited

DetoxResidentialPHP+5

Accepts InsuranceAccepts TRICARESelf-Pay

Co-occurring DisordersMATTrauma-informed+7

Deaf and HoH

Bridging the Gaps Inc – Winchester is located at 31 South Braddock Street, Suite 1 in Winchester, Winchester City County, Virginia and delivers addiction detox, intensive outpatient program (IOP), medication-assisted treatment (MAT), outpatient services (OP), partial hospitalization program (PHP) and residential inpatient. Care is delivered on site, so people stay for the duration of the program. Those looking in the Winchester area should confirm current openings when they call. Details here draw on the Substance…

12 miCacapon State Park Lake42 miWashington Dulles International AirportServes6 towns

Substances treated

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Anxiety Retreat · Buprenorphine-Assisted Detox · +54 more

Therapies

12 Step Rehab · Activity Therapy · Acupuncture · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Contingency Management · Counseling and Therapy · Couples Counseling · +9 more

Mental health

Groups served

Adult Rehab · Couples Rehab · Hepatitis Support Services · HIV and Hepatitis Care · HIV Support Services · Men's Dual Diagnosis Rehab · Men's Outpatient Rehab · Men's PTSD Rehab · Men's Rehab · Men's Residential Rehab · +26 more

Support services

Languages

CARF Accredited Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab · Deaf and Hard of Hearing Residential Rehab

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · Cigna Healthcare · Humana · Peak Health · TRICARE · UnitedHealthcare (UHC)

Wise Path Recovery Centers – Williamson

859 Alderson Street, Williamson, WV 25661

3.5★★★★☆33

Joint Commission

DetoxHospital detoxInpatient+4

Accepts InsuranceAccepts MedicaidSelf-Pay

Co-occurring DisordersMATTrauma-informed+8

Wise Path Recovery Centers operates from 859 Alderson Street in Williamson. The site sits in Mingo County, which shapes which public funding routes apply. Nearby communities include Chattaroy and Delbarton. West Virginia draws people across long distances for treatment, so travel time is worth weighing against waiting time. Hospital inpatient care, detox, residential treatment and outpatient care are delivered here, alongside medication-assisted treatment, telehealth appointments and care for co-occurring mental health conditions. Which level fits…

17 miRiver Branch50 miTri-State Airport / Milton J. Ferguson FieldServes21 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Ativan (Lorazepam) Rehab · Beer Addiction Treatment · Benzodiazepine Rehab · Binge Drinking Treatment · Carfentanil Rehab · +52 more

Levels of care

14-Day Rehab · 21-Day Rehab · 30-Day Rehab · 45-Day Rehab · 60-Day Rehab · 90-Day Rehab · Addiction Retreat · Aftercare and Continuing Care · Alcohol Detox Program · Anxiety Retreat · +63 more

Therapies

Mental health

Groups served

Active Duty Military Detox · Active Duty Military Dual Diagnosis Rehab · Active Duty Military Outpatient Rehab · Active Duty Military PTSD Rehab · Active Duty Military Rehab · Active Duty Military Suboxone · Active Duty Military Telehealth · Active Duty Military Trauma Rehab · Adult Rehab · Court Ordered Detox · +70 more

Support services

Case Management · Community Outreach · Education and Job Training · Employment Support · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Intervention Services · Nutrition and Fitness Counseling · +10 more

Insurance accepted

Aetna · Cigna Healthcare · Highmark Health · Medicaid · Optum · Peak Health · TRICARE · Unicare · UnitedHealthcare (UHC)

Westbrook Health Services – Parkersburg (2121 1/2 7th Street)

2121 1/2 7th Street, Parkersburg, WV 26101

2.9★★★☆☆65

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+6

VeteransSeniorsYoung adults+2

Westbrook Health Services operates from 2121 1/2 7th Street in Parkersburg. The site sits in Wood County, which shapes which public funding routes apply. Nearby communities include Blennerhassett, Harrisville and Kanawha. West Virginia draws people across long distances for treatment, so travel time is worth weighing against waiting time. Outpatient care is delivered here, alongside telehealth appointments. Which level fits depends on the assessment rather than on what is available, so the useful first question…

2.6 miLittle Kanawha River6.8 miMid Ohio Valley Regional AirportServes13 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Stimulant Rehab · Vaping Cessation · Vyvanse Rehab

Levels of care

Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Counseling and Therapy · Evidence-Based Therapy · Group Therapy · Integrated Dual Disorder Treatment

Mental health

Co-Occurring Mental Health Conditions · Crisis Intervention · Depression and Anxiety · Mental Health Conditions · Mental Health Crisis Services · Mental Health Treatment

Groups served

Adult Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Veterans and Military Rehab · Veterans Dual Diagnosis Rehab · Veterans Medicare Rehab · Veterans Outpatient Rehab · Veterans Rehab · Veterans Telehealth · +2 more

Support services

Case Management · Health and Wellness Support · Nutrition and Fitness Counseling · Peer Support · Recovery Support Services · Suicide Prevention Services

Insurance accepted

Aetna · Cigna Healthcare · ComPsych · Health Net (Centene) · HealthSmart · Highmark Health · Humana · Magellan Health · MedBen · Medicaid · +9 more

Valley Health Shenandoah Memorial Hosp – Woodstock

759 South Main Street, Suite 102, Woodstock, Virginia, 22664

2.9★★★☆☆~~127~~

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+5

VeteransSeniorsYoung adults+2

Treatment at Valley Health Shenandoah Memorial Hosp – Woodstock runs from 759 South Main Street, Suite 102 in Woodstock, Shenandoah County, Virginia, covering outpatient services (OP). Care is provided on an outpatient basis, so people continue living at home. People weighing options in Woodstock can compare this against nearby providers before making contact. The Substance Abuse and Mental Health Services Administration lists this location in its federal treatment locator. Program availability moves, so we work…

8.6 miGoods Falls47 miShenandoah Valley Regional AirportServes3 towns

Substances treated

Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Smoking Cessation Counseling · Vaping Cessation

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Activity Therapy · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment · Specialized Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation

Groups served

Adult Rehab · Couples Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Veterans and Military Rehab · Young Adult Rehab

Support services

Education and Job Training · Housing and Employment Support · Suicide Prevention Services

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · CareSource · Cigna Healthcare · Clear Spring Health · First Health · HealthSmart · Highmark Health · Humana · +9 more

Fayette Cnty Drug/Alc Commission Inc – Uniontown

142 West Main Street, Uniontown, PA, 15401

2.7★★★☆☆11

State licensed

DetoxOutpatientTelehealth+1

Accepts InsuranceAccepts MedicaidAccepts TRICARE+3

Co-occurring DisordersMATTeens+7

Deaf and HoH

The site sits at 142 West Main Street in Uniontown, Pennsylvania. The facility is listed for detox, intensive outpatient and outpatient care. Medication-assisted treatment forms part of the provision listed here. Treatment runs on an outpatient footing, with people returning home between appointments. Remote appointments appear on the record, useful where travel is difficult. Veterans and military families are recorded as a served group. Both federal registration through SAMHSA and Pennsylvania Department of Drug and…

12 miCucumber Falls20 miMorgantown Municipal Airport Walter L. (Bill) Hart FieldServes24 towns

Substances treated

Adderall Rehab · Alcohol Detox · Alcohol MAT Friendly · Alcohol Medication Treatment · Alcohol Only Rehab · Alcohol Rehab · Beer Addiction Treatment · Binge Drinking Treatment · Carfentanil Rehab · Chronic Pain and Substance Use · +39 more

Levels of care

Aftercare and Continuing Care · Alcohol Detox Program · Buprenorphine-Assisted Detox · Carfentanil Detox Program · Clonidine and Lofexidine Detox · Codeine Detox Program · Continuing Care · Detox by Substance · Detox Centers · Discharge Planning · +27 more

Therapies

12 Step Rehab · Addiction Counseling · Anger Management · Brief Intervention · Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Couples Counseling · Evidence-Based Therapy · Family Therapy · Group Therapy · +3 more

Mental health

Mental Health Treatment · Psychiatric Medication Management

Groups served

Adult Rehab · Couples Rehab · Court Ordered Detox · Court Ordered Dual Diagnosis Rehab · Court Ordered MAT · Court Ordered Outpatient Rehab · Court Ordered Rehab · Court Referral Accepted · DUI and DWI Programs · Hepatitis Support Services · +30 more

Support services

Case Management · Community Outreach · Health and Wellness Support · Health Education · Housing and Employment Support · Housing Assistance · Peer Support · Practical Support · Recovery Support Services · Self Help Groups · +1 more

Languages

Deaf and Hard of Hearing Detox · Deaf and Hard of Hearing Dual Diagnosis Rehab · Deaf and Hard of Hearing MAT · Deaf and Hard of Hearing Rehab

Insurance accepted

Aetna · Carelon Behavioral Health · Cigna Healthcare · Community Care Plan · Highmark Health · Magellan Health · Peak Health · Perform Care · TRICARE · UMR · +2 more

New Directions Mental Health – Greensburg

420 Pellus Road, Greensburg, PA, 15601

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+2

TeensSeniorsYoung adults+2

Records place New Directions Mental Health at 420 Pellus Road, Greensburg, Pennsylvania. Provision here is recorded as intensive outpatient and outpatient care. The record shows mental health treatment only. This is outpatient provision, so daily life continues around the appointments. Telehealth appointments are recorded as available, which widens what is reachable for anyone without transport. Both federal registration through SAMHSA and Pennsylvania Department of Drug and Alcohol Programs licensing are on record.

14 miConemaugh River7.3 miArnold Palmer Regional AirportServes19 towns

Substances treated

Nicotine and Tobacco Treatment

Levels of care

Evening Treatment · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · Evidence-Based Therapy · Family Therapy · Individual Therapy

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Mental Health Treatment

Groups served

Adult Rehab · Couples Rehab · Senior Outpatient Rehab · Senior Rehab · Senior Telehealth · Teen Outpatient Rehab · Teen Rehab · Teen Telehealth · Young Adult Rehab

Insurance accepted

Aetna · Carelon Behavioral Health · Cigna Healthcare · Community Care Plan · Highmark Health · InterGroup Services · Medicare · Optum · Peak Health · TRICARE · +2 more

Valley Health Winchester Medical Ctr – Winchester (Westside Station Drive)

337 Westside Station Drive, Winchester, Virginia, 22601

SAMHSA listed

OutpatientTelehealth

Accepts InsuranceAccepts MedicaidAccepts Medicare+4

VeteransTeensCouples+3

Treatment at Valley Health Winchester Medical Ctr – Winchester (Westside Station Drive) runs from 337 Westside Station Drive in Winchester, Winchester City County, Virginia, covering dual diagnosis treatment and outpatient services (OP). Care is provided on an outpatient basis, so people continue living at home. Families researching Winchester providers often start by asking what a first appointment involves. Details here draw on the Substance Abuse and Mental Health Services Administration treatment locator, the federal register…

11 miCacapon State Park Lake43 miWashington Dulles International AirportServes6 towns

Substances treated

Adderall Rehab · Concerta Rehab · Dexedrine Rehab · Nicotine and Tobacco Treatment · Nicotine Replacement Therapy · Prescription Stimulant Rehab · Ritalin Rehab · Smoking Cessation Counseling · Stimulant Rehab · Vaping Cessation · +1 more

Levels of care

Evening Treatment · Non-12-Step Rehab · Online Rehab and Telehealth · Outpatient Rehab · Weekend Rehab

Therapies

Cognitive Behavioral Therapy (CBT) · Counseling and Therapy · Dialectical Behavior Therapy (DBT) · EMDR Therapy · Evidence-Based Therapy · Family Therapy · Group Therapy · Individual Therapy · Integrated Dual Disorder Treatment

Mental health

Co-Occurring Mental Health Conditions · Depression and Anxiety · Family Education Programs · Mental Health Conditions · Mental Health Treatment · Psychosocial Rehabilitation

Groups served

Couples Rehab · Court Ordered Rehab · Teen Dual Diagnosis Rehab · Teen Outpatient Rehab · Teen Rehab · Teen Telehealth · Teen TRICARE Rehab · Veterans and Military Rehab

Support services

Case Management · Peer Support · Recovery Support Services · Suicide Prevention Services

Insurance accepted

Aetna · Anthem / Elevance Health · BCBS (Blue Cross Blue Shield) · CareSource · Cigna Healthcare · Clear Spring Health · First Health · HealthSmart · Highmark Health · Humana · +9 more

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Common questions

Answered from what is listed here.

What is Peak Health?

Peak Health is a provider-owned health insurer and third-party administrator based in Morgantown, West Virginia. Peak Health Insurance Corporation is licensed in West Virginia and sells Peak Advantage Medicare Advantage PPO plans, while Peak Health, LLC is a licensed third-party administrator in West Virginia, Pennsylvania and Kentucky that runs employer health plans.

It launched on January 1, 2023, starting with roughly 30,000 WVU Medicine employees and family members, and now also offers the Peak Plus dual-eligible plan.

Private Insurance Acceptedhttps://rehabseekers.com/insurance-accepted/private-insurance-accepted/

Who owns Peak Health?

Peak Health is owned by three not-for-profit health systems: WVU Health System (WVU Medicine), Marshall Health Network and Valley Health. WVU Medicine announced the plan in September 2021 and launched it in January 2023, Marshall joined as a minority owner in February 2022, and Valley Health became an owner in January 2023.

Ben Gerber is president and chief executive. The licensed insurance entity is Peak Health Insurance Corporation, NAIC 17441, which holds Medicare contract H8947.

Private Insurance Acceptedhttps://rehabseekers.com/insurance-accepted/private-insurance-accepted/

Is Peak Health the same as WVU Medicine?

No, Peak Health is a separate health plan company, although WVU Medicine's parent, WVU Health System, founded it and remains the lead owner alongside Marshall Health Network and Valley Health. Peak administers WVU Medicine employee benefits, and its provider network is built around WVU Medicine and partner hospitals and clinics.

A national wrap network from First Health, an Aetna company, extends member access to providers well beyond the WVU Medicine and partner health systems.

Private Insurance Acceptedhttps://rehabseekers.com/insurance-accepted/private-insurance-accepted/

What states does Peak Health operate in?

Peak Health operates mainly in West Virginia. For 2026 its Peak Advantage Medicare Advantage PPOs cover 54 of the state's 55 counties plus Fayette and Greene counties in Pennsylvania. As a third-party administrator the company is licensed in West Virginia, Pennsylvania and Kentucky, and its service area includes western Virginia.

The Pennsylvania entry, centered on Uniontown Hospital, is Peak's first Medicare offering outside West Virginia. The Peak Plus dual plan covers ten West Virginia counties for 2027.

Does Peak Health cover rehab?

Yes, Peak Health plans include behavioral health benefits, and Medicare Advantage plans must cover Medicare-covered substance use treatment. The 2026 Peak Advantage summaries show inpatient and outpatient mental health cost sharing but do not itemize detox, residential, partial hospitalization or intensive outpatient rates, so those sit in the Evidence of Coverage.

Peak Advantage members can ask for those figures at 1-855-962-7325 (TTY 711); employer plan members call 1-833-569-7325, Monday to Friday, 8am to 5pm ET.

Inpatient Rehabhttps://rehabseekers.com/programs/inpatient/

Does Peak Health cover inpatient psychiatric care?

Yes, inpatient mental health hospital stays are a covered benefit. On the 2026 Peak Advantage Vista and Summit PPOs an in-network stay costs $425 per day for days 1 through 3 and $0 per day for days 4 through 90, with 35% coinsurance out of network.

Vista also charges $800 for each lifetime reserve day, and the 2027 PeakPlus Rise dual plan charges $0 per stay in network. Inpatient admissions normally need prior authorization.

Inpatient Psychiatric Unithttps://rehabseekers.com/type/hospital/inpatient-psychiatric-unit/

Does Peak Health cover therapy?

Yes, Medicare-covered individual and group therapy is a standard benefit. In 2026 an in-network session costs $40 on Peak Advantage Vista and $30 on Summit, with 35% coinsurance out of network, and the 2027 PeakPlus Rise dual plan charges $0 in network. No visit limit appears in the summaries.

Peak's network access standard calls for an initial routine behavioral health appointment within 10 business days, and employer plans include a behavioral health care management track.

Counseling and Therapyhttps://rehabseekers.com/therapies/counseling-and-therapy/

Does Peak Health cover Suboxone?

Yes, generic buprenorphine/naloxone tablets and films and plain buprenorphine tablets sit on Tier 1 of the 2026 Peak Advantage Part D formulary, with no prior authorization or step therapy listed. Tier 1 preferred generics cost $0 at preferred retail and mail pharmacies and $15 at standard retail for a 30-day supply.

A quantity limit of 120 units per 30 days applies, except the 12-3mg film, which has no limit. Navitus Health Solutions administers the pharmacy benefit.

Suboxonehttps://rehabseekers.com/medications/mat/buprenorphine/suboxone/

Does Peak Health cover methadone?

Yes, as a pharmacy benefit. Methadone 5mg and 10mg tablets and the 1mg/mL solution are Tier 1 on the 2026 Peak Advantage formulary, and the 2mg/mL solution is Tier 2, with quantity limits but no prior authorization listed. Tablets carry a limit of 360 per 30 days.

Those listings are typically for pain. Methadone for opioid use disorder is dispensed by an opioid treatment program under medical benefits, and Peak's cost sharing for that was not published.

Methadone Medication Clinichttps://rehabseekers.com/medications/mat/methadone/

Does Peak Health need prior authorization for rehab?

Yes, for inpatient stays and many other medical services, though urgent and emergency care never requires it. Peak reviews requests against CMS national and local coverage rules first, then its own Medicare medical policies, then InterQual criteria, with a medical director deciding when none of those applies.

A treatment center usually files the request through Peak's provider portal before admission; members can check the status with Peak Advantage member service at 1-855-962-7325.

Residential Rehabhttps://rehabseekers.com/programs/residential/

Does Peak Health cover out-of-network rehab?

Yes on PPO plans, at a higher cost. Peak Advantage Medicare PPOs pay out-of-network mental health care at 35% coinsurance in 2026, up to a combined out-of-pocket maximum of $10,500 on Vista or $9,000 on Summit. Employer PPO out-of-network benefits vary by plan design.

EPO plans cover out-of-network care only for emergency, urgent and continuity-of-care situations or with an approved exception. Charges above the allowed amount can fall to the member.

Private Insurance Acceptedhttps://rehabseekers.com/insurance-accepted/private-insurance-accepted/

Is Peak Health a Medicaid plan?

No. Peak Health is not one of West Virginia's Mountain Health Trust Medicaid managed care plans; those are Aetna Better Health of West Virginia, The Health Plan and UniCare Health Plan of West Virginia. Peak's only Medicaid connection is Peak Plus, its dual-eligible special needs plan.

Peak Plus, marketed as PeakPlus Rise, serves individuals with both Medicare and West Virginia Medical Assistance, including full-benefit dual eligibles and QMB members, across ten counties for 2027.

Medicaid Rehabhttps://rehabseekers.com/insurance-accepted/medicaid/

What Medicare plans does Peak Health offer?

Peak Health sells Peak Advantage Medicare Advantage PPO plans under contract H8947: Vista, with a $0 Part C and $0 Part D premium for 2026, and Summit, with a $0 Part C premium and a $16 monthly Part D premium. PeakPlus Rise, a dual-eligible PPO, follows for 2027.

Vista's 2026 in-network out-of-pocket maximum is $7,000; Summit's is $5,700 and includes a $360 yearly flex debit card. Peak reports a 4.5-star CMS rating.

Medicare Rehabhttps://rehabseekers.com/insurance-accepted/medicare/

Does Peak Health cover telehealth?

Yes, Peak states that all of its benefit plans include unlimited access to telemedicine and telehealth through contracted national companies and individual providers. On-demand virtual urgent care runs with WVU Medicine clinicians from 8am to 8pm, 363 days a year, with Teladoc covering national and after-hours visits on some plan designs.

Virtual visits are reached through the MyPeak member portal or the Epic MyChart app with Peak Health selected. The urgent care service handles medical issues rather than counseling.

Online Rehab and Telehealthhttps://rehabseekers.com/programs/online-rehab-and-telehealth/

How do I find a rehab that takes Peak Health?

Start with Peak's Find a Provider tool, or the separate Peak Advantage Medicare directory, and look for behavioral health or substance use programs. Then call the center and the plan to confirm network status, whether prior authorization is required, and your share of the cost before admission.

Peak Advantage members can ask for help at 1-855-962-7325 (TTY 711); employer plan members call 1-833-569-7325, Monday to Friday, 8am to 5pm ET.

Private Insurance Acceptedhttps://rehabseekers.com/insurance-accepted/private-insurance-accepted/

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Peak Health is a provider-owned health plan and third-party administrator based in Morgantown, West Virginia, founded by WVU Health System and co-owned with Marshall Health Network and Valley Health. For anyone arranging addiction treatment, the first thing to settle is which Peak product the card describes, because the insurer side and the administrator side run on different rulebooks.

Peak Health Insurance Corporation is licensed in West Virginia as an accident and sickness insurer, NAIC 17441, and sells the Peak Advantage Medicare Advantage PPO plans, Vista and Summit, under contract H8947, along with the Peak Plus dual-eligible plan. Peak Health, LLC is licensed as a third-party administrator in West Virginia, Pennsylvania and Kentucky and runs self-funded employer plans. The network behind both is built on WVU Medicine and the partner health systems, with national access through the First Health Complementary network, an Aetna company.

This guide covers what each Peak line pays toward substance use treatment, where the published figures stop and a call to Member Service begins, which services carry prior authorization, what out-of-network care costs, how addiction medication sits on the 2026 formulary, and how to work out whether a program holds a Peak contract.

Does Peak Health Cover Drug and Alcohol Rehab?

Yes. Peak Advantage Vista, Peak Advantage Summit and the Peak Plus D-SNP all cover inpatient mental health hospital stays and Medicare-covered outpatient therapy, and a Medicare Advantage plan has to cover the substance use services Medicare covers. Peak’s published benefit summaries do not itemize detox, residential, partial hospitalization or intensive outpatient cost sharing.

That gap is a documentation gap rather than an exclusion. The figures sit in the Evidence of Coverage medical benefits chart, so the practical step is to ask Peak Advantage Member Service on 1-855-9-MAPEAK (1-855-962-7325, TTY 711) for the cost share at the level of care being arranged, and to get the answer in writing before admission.

On the employer side, Peak’s administrative services care management includes a behavioral healthcare management track, and the network access standard for an initial routine behavioral health visit is 10 business days. Employer plan cost sharing varies by plan design: a per-visit copay, an annual deductible that may also have a family amount, and coinsurance once the deductible is met.

What Does Peak Health Pay at Each Level of Care?

Medical Detox

Withdrawal management delivered in a hospital falls under the inpatient benefit, and inpatient stays carry prior authorization on Peak Advantage, with no authorization required for urgent or emergency care. Because medical detox is not broken out in the summaries, ask Member Service which benefit line the admission will be paid under and what the daily charge is.

Residential and Inpatient

Inpatient mental health hospital care on 2026 Vista and Summit runs $425 a day for days 1 to 3 and $0 a day for days 4 through 90 in-network, with $800 per lifetime reserve day on Vista and 35% of the cost out-of-network. The 2027 PeakPlus Rise D-SNP shows $0 per stay in-network. A freestanding residential rehab admission may be priced differently, which is worth asking about alongside the authorization request.

PHP, IOP and Outpatient

Medicare-covered individual and group therapy costs $40 in-network on 2026 Vista and $30 on Summit, 35% of the cost out-of-network, and $0 in-network on 2027 PeakPlus Rise, with no visit limit stated in the summaries. Partial hospitalization and intensive outpatient cost sharing is not published, so treat it as a question for Member Service. All Peak benefit plans include unlimited access to telemedicine, which keeps telehealth counseling open where travel is difficult.

Which Peak are you dealing with? Peak Advantage Vista and Summit are Medicare Advantage PPOs sold across 54 of West Virginia’s 55 counties plus Fayette and Greene counties in Pennsylvania for 2026. Peak Plus is a PPO D-SNP for those holding both Medicare and West Virginia Medical Assistance. An employer card means Peak is administering a self-funded plan or an insured PPO or EPO, and the benefit booklet rather than a Medicare summary holds the answers.

Does Peak Health Need Prior Authorization for Rehab?

Yes for inpatient stays and many medical services, and no for urgent or emergency care. On Peak Advantage, requests go through the PeakProvider portal, through Epic for WVU Medicine providers, or by fax to 304-974-3191. Provider Service answers on 1-833-9-MYPEAK (1-833-969-7325), Monday to Friday, 8am to 5pm ET.

Review order on the Medicare side is CMS national and local coverage determinations first, then Peak Health Medicare medical policies, then InterQual criteria, then medical director judgment. On employer plans Peak’s own medical policies come first, then InterQual, then a medical director review, and an inpatient claim may need an inpatient authorization number attached. ASAM criteria are not named in Peak’s published utilization management material, so the admitting clinician should ask which standard the reviewer will apply.

Peak publishes its prior authorization lists on a document portal linked from member resources. Rather than guessing from the plan summary, ask the admissions team to pull the current list for the exact service code and to record the reference number for the request.

Does Peak Health Cover Out-of-Network Rehab?

On Peak Advantage PPOs, yes, at a higher share: 35% of the cost for inpatient and outpatient mental health in 2026, counting toward the combined out-of-pocket maximum. Employer PPO members need no referral and no primary care selection, and out-of-network benefits vary by plan. EPO plans are stricter, paying out-of-network only for emergency and urgent care, certain continuity-of-care situations, or where an exception has been granted.

If no in-network option meets the access standard. Peak’s PPO network access plan allows an exception to be granted so the care is paid at in-network cost sharing. Surprise and emergency out-of-network billing is handled through FairCost, an Aetna subsidiary, so an unexpected balance bill after an emergency admission is worth raising with Member Service before paying it.

How Much Does Rehab Cost With Peak Health?

With a Peak Advantage plan, the ceiling matters more than the daily rate. Vista for 2026 carries a $0 Part C and $0 Part D premium, no Part C deductible, and an out-of-pocket maximum of $7,000 in-network or $10,500 combined. Summit carries a $0 Part C premium, a $16 monthly Part D premium, no deductible, a $5,700 in-network maximum and $9,000 combined, plus a $360 yearly flex debit card.

The 2027 PeakPlus Rise D-SNP has a $0 premium, no Part C deductible and maximums of $9,850 in-network and $14,800 combined, with $0 in-network outpatient mental health and $0 per inpatient psychiatric stay. Depending on the Medicaid level a dual-eligible member holds, no cost sharing may be owed at all. Employer plan members should check the deductible position for the year before admission, since a residential stay will clear most deductibles in the first week.

Typical US market rates before insurance
Level of care	Monthly	Daily
Medical detox (7–14 days)	$1,500 – $5,200 per week	$215 – $745
Residential inpatient	$6,200 – $26,000	$205 – $865
PHP	$7,200 – $14,000	$240 – $465
IOP	$2,700 – $9,200	$90 – $305
Outpatient	$1,300 – $5,200	$45 – $175

Those are the sums a program bills without coverage. With a Peak plan the member’s share is the copay or coinsurance above, capped by the annual maximum, which is why the authorization and network questions decide the bill rather than the sticker price.

Does Peak Health Cover Suboxone, Methadone and Other Addiction Medication?

Yes on the pharmacy side. The 2026 Peak Advantage formulary places buprenorphine and buprenorphine/naloxone sublingual tablets and films on Tier 1, with a quantity limit of 120 per 30 days and no prior authorization or step therapy listed; the 12-3mg film carries no quantity limit. Tier 1 preferred generics cost $0 at preferred retail and mail pharmacies for a 30-day supply on Vista, $15 at standard retail.

Methadone 5mg and 10mg tablets and the 1 mg/mL solution are Tier 1, with the 2 mg/mL solution on Tier 2 and no prior authorization listed, though those pharmacy entries are the pain formulations. Methadone for opioid use disorder is dispensed through an opioid treatment program and paid as a program service rather than a pharmacy fill, and Peak does not publish that cost share, so ask Member Service before the first dosing day. Formulary status for naltrexone, the extended-release injection and other long-acting formulations was not published in the material reviewed here, which makes it another question for the Part D line.

Where the Prescription Is Filled

Navitus Health Solutions administers Peak’s pharmacy benefit for both Part D and employer plans, with the Part D coverage line on 1-855-847-1026, available 24 hours a day, TTY 711. An employer that uses a separate pharmacy manager issues a separate drug ID card, so check which card the pharmacy should run before discharge.

Opioid Safety Edits

Part D applies the CMS opioid safety edits and retrospective drug utilization review, including flags at 90 or more morphine milligram equivalents a day across prescribers and flags for concurrent opioid, benzodiazepine and muscle relaxant prescriptions. A pharmacy stop of this kind is usually cleared by the prescriber rather than by the member.

Which Rehab Centers Are In-Network With Peak Health?

A program is in-network with Peak Health when it holds a contract covering the exact product on the card, whether that is Peak Advantage, Peak Plus or the employer plan Peak administers, and when it holds the state license its level of care requires. Network status is settled in Peak’s Find a Provider search, the separate Medicare directory, or by Member Service.

Programs that accept Peak Health are gathered on the Peak Health page, with level-of-care pages alongside for intensive outpatient programs and outpatient rehab. Each listing shows the payments the program says it accepts, its licensing and accreditation, and how far it sits from the nearest airport, so a shortlist can be drawn up before the call that settles the contract question.

How Do I Find a Rehab That Takes Peak Health?

Start with Peak’s Find a Provider search for employer plans or the Peak Advantage Medicare directory, then call Member Service, 1-833-5-MYPEAK (1-833-569-7325) for employer plans or 1-855-962-7325 for Peak Advantage, and ask for contracted substance use programs by level of care. The 24-hour nurse advice line for Medicare members is 1-844-484-0307.

Geography shapes the answer. The network is anchored on WVU Medicine, Marshall Health Network and Valley Health facilities, so searches across West Virginia return the most in-network options, while Peak Advantage members in Fayette and Greene counties in Pennsylvania sit in Peak’s first market outside the home state. Where the local network cannot meet the behavioral health access standard of 10 business days for a routine visit, raise the access exception route with Member Service rather than waiting.

Is Peak Health the Same as WVU Medicine or Peak Health Alliance?

No to both. Peak Health is a separate plan company created by WVU Health System and co-owned with Marshall Health Network and Valley Health; WVU Medicine is a care delivery system whose hospitals and clinics anchor the network. Peak Health Alliance is an unrelated nonprofit purchasing alliance in Summit County, Colorado.

Peak is also not a West Virginia Medicaid managed care organization. Mountain Health Trust is run by Aetna Better Health of West Virginia, The Health Plan and UniCare Health Plan of West Virginia, and Peak’s only Medicaid connection is the Peak Plus D-SNP, which coordinates Medicare with West Virginia Medical Assistance for full-benefit dual eligible and QMB members.

Before calling a program: have the plan name from the card, Vista, Summit, Peak Plus or the employer plan, ask the admissions team whether it holds a Peak contract for that product, and ask Member Service for the written cost share at the level of care being arranged. Those three answers settle the bill before dates are discussed.

References and Citations

Peak Health — 2026 Summaries of Benefits for Peak Advantage Vista (PPO) and Peak Advantage Summit (PPO), contract H8947, and the 2027 PeakPlus Rise (PPO D-SNP) Summary of Benefits.
Peak Health — provider manual, administrative services provider manual, PPO and EPO network access plans, and utilization management and prior authorization pages.
Peak Health — 2026 Peak Advantage comprehensive formulary and Part D prior authorization criteria documents; Navitus Health Solutions pharmacy benefit administration.
West Virginia Medicaid — Mountain Health Trust managed care organization listing; Peak Health corporate announcements on ownership and 2026 service area expansion.
RehabSeekers directory listings and market rate research, United States, 2026. Ranges are indicative and vary by facility, length of stay and coverage.