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Peak Health

Provider-led health insurer with Medicare Advantage

Overview

Peak Health operates as a provider-led health insurer in West Virginia, offering health plans including Medicare Advantage PPOs and options for employer groups. Its products, such as Peak Advantage, are designed with local doctors and health systems to simplify access to care, streamline billing, and improve communication between members and healthcare providers. It differentiates itself by being locally based and provider-owned, connecting hospitals and clinics with the insurer to align incentives and improve member service. Its goal is to expand affordable, accessible care for communities by starting with employer coverage and Medicare Advantage expansion across West Virginia and parts of Pennsylvania.

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About Peak Health

Simplify's Rating
Why Peak Health is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Financial ServicesHealthcare

Company Size

51-200

Company Stage

N/A

Total Funding

N/A

Headquarters

Morgantown, West Virginia

Founded

N/A

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Simplify's Take

What believers are saying

  • Coverage expanded for 2026 into twenty West Virginia counties and two Pennsylvania counties.
  • Member service center opened July 1, 2026, boosting retention and complaint resolution.
  • CMS methodology rewarded member experience, matching Peak Health's provider-led operating model.

What critics are saying

  • A CMS rating drop or contract termination would cripple Peak Health's Medicare franchise.
  • West Virginia concentration leaves revenue exposed to local employer losses and political fights over PEIA.
  • Provider ownership creates governance tension if WVU, Marshall, or Valley shift care volumes elsewhere.

What makes Peak Health unique

  • Provider-owned by WVU Medicine, Marshall Health Network, and Valley Health, aligning incentives tightly.
  • Peak Advantage earned a 4.5-star CMS rating in July 2026, highest in West Virginia.
  • Its Morgantown service center and local provider network emphasize face-to-face, coordinated care.

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Benefits

  • Hybrid Work Options

Company News

Peak Health
Aug 19th, 2026
Peak Health opens new Member Service Center in Morgantown.

Peak Health opens new Member Service Center in Morgantown. 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 is located on the first floor of Peak Health's headquarters at 1085 Van Voorhis Road, Suite 140, Morgantown, WV 26505. The Member Service Center reflects Peak Health's ongoing commitment to creating a simpler, more connected healthcare experience by making it easier for members to get the support they need. Whether members have questions about their benefits, need help coordinating an appointment, want to make a bill payment, or simply prefer speaking with someone in person, the Member Service Center offers one-on-one support from knowledgeable Member Service representatives. No appointment is necessary. "As a provider-led health plan, we're always looking for ways to make healthcare easier to navigate and more personal for our members," said Amos Ross. "The new Member Service Center gives our members another convenient way to connect with our team, ask questions, and receive personalized support close to home." The new location expands Peak Health's commitment to providing personalized service while strengthening relationships with members throughout the region. By offering in-person assistance, Peak Health is creating another opportunity for members to get answers, receive support, and feel more confident navigating their healthcare journey. As Peak Health continues to grow, we're always exploring opportunities to expand our in-person support and connect with more members and communities in the future. We appreciate the continued interest in Peak Health and encourage members and community partners to stay connected for future updates. The Member Service Center is open Monday through Friday from 8 a.m. to 4:30 p.m. and provides assistance with: * Benefit questions * Appointment coordination * Bill payments * Personalized member support and other service needs Members who are unable to visit the center can continue to receive assistance by phone. Peak Health Member Service: 1-833-569-7325 Peak Advantage Member Service: 1-855-962-7325

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