Insurance Verification

Build a Strong Foundation for Lasting Recovery from Addiction and Embrace a Healthier Future.

Confirm Your Treatment Coverage

Request Insurance Verification For Rehab

We help you get the most out of your health insurance policy.

Our admissions team can help you navigate your insurance and determine your level of coverage so we can maximize your drug treatment coverage.

Call 866.931.6429 or fill out our confidential insurance verification form below and one of our experienced admissions specialists will get back to you shortly.

VOB Form - www.EvokeWellnessMA.com

Client Name(Required)

First Last

Client Date of Birth(Required)

Are you the primary insured on this policy?(Required)

Yes

Primary Name(Required)

First Last

Primary Date of Birth(Required)

Phone Number(Required)

Email Address(Required)

Address

Street Address City State / Province / Region ZIP / Postal Code

Insurance Provider(Required)

Type of Plan

Insurance ID Number(Required)

Group ID Number(Required)

Insurance Provider Phone

CAPTCHA

Build a Strong Recovery and Embrace a Healthier Future.

Build a Strong Recovery and Embrace a Healthier Future.

Build a Strong Recovery and Embrace a Healthier Future.

Build a Strong Recovery and Embrace a Healthier Future.

Build a Strong Recovery and Embrace a Healthier Future.

Build a Strong Recovery and Embrace a Healthier Future.

Build a Strong Recovery and Embrace a Healthier Future.

Build a Strong Recovery and Embrace a Healthier Future.

Build a Strong Recovery and Embrace a Healthier Future.