Insurance Verification for Addiction Treatment

We work with a variety of insurers that help cover the cost of treatment. They include but are not limited to BlueCross BlueShield, Aetna, Humana, Cigna, Beacon, Magellan, First Health, Tricare.

To verify benefits for your specific provider, please fill out the form below or call our intake staff directly.

Name of Participant:*

Date of Birth:

Participant Address:

Participant Contact Number:*

Participant Email:*

Primary Policy Holder:*

Primary Policy Holder DOB:

Primary Policy Holder's Address:

Primary Policy Holder's Contact Number:*

Insurance Company:*

Insurance ID:

Insurance Provider's Number:

Group#:

Name

This field is for validation purposes and should be left unchanged.

85335