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Insurance Information


Addiction Treatment Programs Insurance Information

Ocean Breeze Recovery accepts most health insurance plans and we will work with your insurance company to get the maximum amount of coverage possible for your addiction treatment. Our admissions staff will handle everything for you, from determining benefit eligibility to billing the insurance company and calculating your out of pocket expenses.

 

Please complete the form below to verify insurance and get started on changing your life forever.

 

All information will remain confidential. For immediate help call Ocean Breeze Recovery at 1-855-627-7700.

 

First Name (required)

Last Name (required)

Phone Number (required)

Your Email (required)

Address

Address 2

City

State

Zipcode

Age

Drug Being Used
 Opiates Alcohol Benzo Methadone Barbiturates Ecstasy Marijuana Cocaine Other

Payment Method
 Insurance Self Pay

Do you need transportation?

 Yes No

Do you have insurance?

 Yes No

Insurance type?

 HMO PPO

Your Insurance Provider

Patient Name

Patient Date of Birth

Policy Holder Name

Policy Holder Date of Birth

Relation to Patient

Insurance ID Number

Insurance Phone Number

Have you had drug or alcohol treatment before?

 Yes No

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