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Insurance Verification for Rehab

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Before you start treatment, our admissions team can check what your insurance pays for rehab at The Hope Institute. Fill out the form or call (855) 659-2310 with your insurance card in hand.

What We Check When You Verify Your Insurance

We call your insurance company and ask about your behavioral health benefits. You will know:

  • Whether your plan covers partial care, IOP and outpatient rehab
  • Your deductible, and how much of it you have already paid this year
  • Your copay or coinsurance
  • Your out-of-pocket maximum
  • Whether your plan needs prior authorization or a referral
  • Whether Suboxone or Vivitrol is covered under your pharmacy benefit
  • Whether virtual sessions are covered

If your plan needs prior authorization, we send the request after your assessment and call you once it is approved.

Unsure? Give us a call.

Call Us:

+1 (855) 659-2310

Email Us:

info@thehopeinstitutenj.com

Visit Us:

179 Cahill Cross Road, Suite 201 West Milford, NJ 07480

Your Information Is Always Confidential

Personal Information*

By pressing submit, you accept the Privacy Policy and Terms of Service.

What You Need to Verify Your Rehab Insurance

  • Your full name and date of birth
  • Your insurance company and member ID
  • The policyholder’s name and date of birth, if the plan is in someone else’s name
  • The behavioral health phone number on the back of your card

Covered by two plans, for example your own and your spouse’s? Send us both.

Does Insurance Cover IOP, Partial Care and MAT?

Most health plans cover outpatient addiction treatment when a clinician finds it medically necessary. Under federal parity law, most plans have to cover addiction treatment the same way they cover other medical care.

We verify benefits for our partial care program, intensive outpatient program, outpatient program and medication-assisted treatment. With MAT, the medication usually goes through your pharmacy benefit and the counseling through behavioral health, so we check both. If you need detox first, we refer you to a detox center and check your benefits again before you start with us.

Rehab Coverage by Insurance Company

Have a different insurance company? Pick it from the form, or choose Other.

Private Pay for Rehab

You can also pay for our outpatient programs privately. If your plan covers only part of your care, we tell you what you would owe before your first session.

Insurance Verification FAQs

How do I know if my insurance covers rehab?

Send us your insurance details through the form or call (855) 659-2310. We check with your insurance company and call you back with what your plan covers.

Most plans do when treatment is medically necessary. What you pay depends on your deductible and copay.

Most plans cover buprenorphine (Suboxone) and naltrexone (Vivitrol) through the pharmacy benefit. Some need prior authorization first.

No. Checking your coverage only gives you information. When to start is up to you.

Addiction treatment records have extra protection under federal privacy law. We do not share your treatment details with your employer without your written consent.

To check your coverage, fill out the form above or call (855) 659-2310.