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(208) 247-4279 Mon–Thu, 8am–5pm 300 W. Main St., Suite 100 · Boise, ID 83702
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Hayton Primary CareMedicare & CCM

A Medicare practice built
around your needs, not the clock.

Whether you're managing multiple conditions or simply want a physician who will actually know you — Dr. Hayton accepts Original Medicare and most Medicare Advantage plans in the Boise area.

Original Medicare Medicare Advantage CCM covered by Medicare
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Or call us: (208) 247-4279

What Chronic Care Management Makes Possible

Imagine having a physician who already knows.

Your cardiologist’s notes from last Tuesday. The new medication your rheumatologist added — reviewed against everything else you’re taking. Referrals followed through. Nothing falling between the cracks.

Most patients have never experienced this, because the typical primary care model simply isn’t built for it.

Medicare changed that. Chronic Care Management funds the between-visit coordination most practices can’t afford: monthly check-ins, a written care plan, and specialist communication. This practice was built around it.

What Being a Patient Here Looks Like

Care that keeps up
with your life.

Your medications reviewed across every doctor you see. Your specialists in the loop. A care plan that reflects where you actually are — updated as things change, not just at your annual visit.

Between appointments, we’re in contact. When something comes up, there’s someone who knows your case. That’s what belonging to a practice like this feels like.

For eligible Medicare patients, this is a covered service. Depending on your supplemental coverage, many patients pay little or nothing out of pocket — we confirm your specific cost before enrollment.

This is your primary care practice. You establish care with Dr. Hayton as your physician. CCM is a component of care available to eligible Medicare patients — not a separate program enrolled in elsewhere.

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What you can expect as a patient here

  • Medications reviewed across all your prescribers
  • Specialist coordination and referral follow-up
  • A written care plan, updated as your health changes
  • Monthly check-ins between office visits
  • One physician who knows your full story
Who Qualifies

Most Medicare patients with ongoing conditions qualify

CCM requires two or more chronic conditions expected to last at least 12 months. If you’re managing a handful of health issues and feel like no one has the full picture — you’re exactly who this is for.

Common qualifying conditions

You likely qualify if you have…

  • Hypertension
  • Diabetes (Type 1 or Type 2)
  • Heart disease or heart failure
  • COPD or chronic lung disease
  • Chronic kidney disease
  • Atrial fibrillation
  • Hyperlipidemia
  • Depression or anxiety alongside a physical condition
  • Hypothyroidism or thyroid disease
  • Chronic pain
  • Osteoporosis or osteoarthritis
Medicare requirements

What Medicare asks for

  • Enrolled in Original Medicare Part B or Medicare Advantage
  • Two or more chronic conditions lasting 12+ months
  • Conditions placing you at risk of decline or exacerbation
  • Written consent to enroll (completed at your first visit)
  • One designated CCM physician

Only one provider can bill CCM per patient per month. If you’re currently enrolled elsewhere, we’ll walk you through how to transition.

Not sure if you qualify? Just call.

We review eligibility before enrollment and walk you through exactly what’s covered, what it costs, and what to expect. No obligation — just a conversation. If CCM isn’t the right fit for your situation, we’ll tell you that too.

Cost & Coverage

What CCM costs — and what Medicare pays

CCM is a covered Medicare benefit. For most patients with supplemental insurance, out-of-pocket costs are minimal or zero. We verify your specific coverage before enrollment so you know what to expect.

Original Medicare

Medicare Part B

Medicare covers 80% of the approved CCM amount under Part B. The remaining 20% is typically covered by your Medigap supplement — leaving most patients with little or no out-of-pocket cost.

Medicare Advantage

Advantage Plans

Most Medicare Advantage plans cover CCM, though cost-sharing varies by plan. We verify your plan before enrollment and tell you exactly what to expect before you commit to anything.

With Medigap Coverage

Supplemental Insurance

Patients with Medigap typically pay nothing for CCM. Their supplement covers the 20% that Medicare doesn’t — making this the most common zero-cost scenario for our Medicare patients.

Clear costs, up front. We verify your coverage and tell you your out-of-pocket cost before enrollment. Call us at (208) 247-4279 — we’ll check your benefits before you schedule anything.

Common questions

No. This is your primary care practice. You establish care with Dr. Hayton as your physician. CCM is a Medicare-covered component of care for eligible patients here — not a separate enrollment elsewhere or a service run by a different team.
No. Your Medicare benefits stay exactly the same. You keep all the same rights and freedoms — including seeing any provider who accepts Medicare. Establishing care here doesn’t restrict access to specialists or other physicians.
Yes. Only one provider can bill CCM per patient per month, but you can change your CCM physician. Call us and we’ll walk through the transition. It typically takes effect the following billing month.
Medicare pays 80% of the approved amount. If you have Medigap, your supplement typically covers the remaining 20% — leaving you with nothing out of pocket. For Medicare Advantage, cost-sharing depends on your specific plan. We verify this before enrollment and give you the exact figure before you agree to anything.
Yes. CCM eligibility requires two or more chronic conditions, but you don’t need CCM to be a patient here. Many Medicare patients receive excellent longitudinal primary care without CCM billing. The longer visits, continuity, and coordination model applies to everyone.
Office visits are face-to-face appointments billed separately under your normal Medicare benefits. CCM covers the work between those appointments — monthly check-ins, care coordination, and written care planning. They complement each other; CCM patients still come in for regular visits.
No referral needed. Call directly, use the form below, or schedule online. We’ll confirm your Medicare coverage and gather basic health history before your first appointment.

Ready to have a physician
in your corner?

Schedule online, call us directly, or send a message — we'll confirm your Medicare coverage and get you set up.

Schedule an Appointment (208) 247-4279

We verify your coverage and give you a cost estimate before your visit.

Original Medicare · Medicare Advantage · Adults 18+

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