Insurance Verification

We understand that making the decision for recovery is difficult for you and your family and our admission specialists are available to answer questions you may have regarding our program and how to schedule your admission. If you have not submitted your insurance information we will gather the required information and verify your coverage. We also have private pay options and low interest financing available through leading options.

Are you thinking of paying with insurance? Would you like to verify your insurance for our treatment services? If so, please fill out the following information and we will figure it out and let you know! We want to make the payment process as simple as possible for you.

Client name *
Client Name is required.
Client Last name is required.
Your name (if different)
Email Address is required.
Client Address *
Client Address is required.
Client date of birth *
Employer Insurance *
Employer Insurance is required.
Insurance Company Name is required.
Insurance Company Phone Number *
ID Number is required.