Rehab Insurance Verification

At Washburn House, we want to ensure that all individuals have access to addiction treatment. We team up with national insurance providers to minimize out-of-pocket costs for our addiction treatment programs in Massachusetts. To verify your insurance benefits, please fill out the form below. We’ll work with your insurance provider to help you get the maximum coverage possible.

Prefer to speak with someone over the phone? Call Washburn House today at 855.298.3104.

Your Contact Information
Your Name*
First Last
Return Callback Phone Number*
Email*
Who is seeking treatment?*
- Yourself
- A Loved One
How Did You Hear About Us?
Loved Ones Information
Your Information
Loved Ones Name*
First Last
Loved Ones Date Of Birth*
MM slash DD slash YYYY
Your Date Of Birth*
MM slash DD slash YYYY
Additional Information
Insurance Information
Would you like us to verify your or a loved ones insurance benefits?*
- Yes
- No
Policy Holders Name*
First Last
Policy Holders Date Of Birth*
MM slash DD slash YYYY
Policy Holders Address**
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Insurance Company's Name*
Insurance Company's Phone Number*
Member ID*
Group Number*
Subscriber relationship to client*

Your Contact Information

Loved Ones Information

Your Information

Insurance Information

Getting Better Together

Do you have questions?

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Do you have questions?

Call our free helpline now.

Getting Better Together

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