We recognize that addiction insurance coverage and benefits can be complex. Our experienced staff is skilled in working with all types of insurance providers to access the maximum benefits available. We will work closely with you, our team of financial advisors and with your insurance company to help you determine the best financial plan.

Whether you are verifying for yourself, family member, friend or you’re a provider, we would love to help you. Day or night, seven days a week, free of charge, confidential; whenever you need, we’re here. To learn more begin the process below or reach out when you’re ready.

  • 1Take a moment to fill out as much information as you can. If there is any part of the form you are unsure of, don’t worry we can fill in the blanks later.
  • 2After you submit your information we will work with your insurance provider to determine your benefits and coverage. During regular business hours this process typically takes no longer than an hour.
  • 3Upon gathering this information we will contact you to discuss your coverage and options.

Insurance Verification Form

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1
Nameyour full name
Date of Birth
Phone Number=
State
Zip Code
Insurance Name
Provider Phone Number
Group Number
Identification Number
Subscriber Name
Subscriber Date of Birth
Are you currently enrolled in treatment?
How Long?your full name
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Whenever you need us, we're here

Day & Night - 7 Days a Week

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