Insurance Verification for Veterans and First Responders

At Aliya Veterans treatment network is committed to helping military service members, Veterans, first responders, and their loved ones, which includes doing everything in our power to ensure that treatment is not a financial burden. Health insurance often covers the cost of substance abuse and mental health treatment with us.

Our team works tirelessly as your healthcare advocates to coordinate your care with your insurance provider, whether that be through the VA, an employer, or a private plan. It is our goal to make sure you or your loved one receives the help needed to thrive in life. This goal extends to our ability to advocate for your treatment needs to your insurance provider.

Insurance Verification Form

If you would like information about your health insurance plan, coverage, and benefits for our addiction and mental health services, please use our insurance verification form below.

"*" indicates required fields

Name*

First Last

Phone*

Email*

Date of Birth*

Address*

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

Insurance Company*

Plan Type(HMO,PPO)*

Name on Card*

Member ID*

Insurance Phone*

Group ID*

Social Security #*

Alcohol Consumption?*

Health Issues?*

Drug Use?(Please List)*

Insurance Verification

Insurance Verification Form

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