Insurance
Verification

We Verify Your Health Coverage For Addiction Treatment Benefits.

Coverage
Verification

Verify Your Health Insurance Coverage

At Rise in Glendale Sobriety Center, we understand that the cost to treat substance use addiction can be a major concern. That’s why we accept most major health insurance plans to help cover the cost of a 30-day, medical detox and inpatient substance abuse treatment plan. The good news is that the Affordable Care Act has made addiction treatment an essential benefit, which means that your insurance may cover all or part of your treatment.

Please fill out the confidential health insurance verification form below so one of our admissions coordinators can instantly check your treatment coverage free of charge with your insurance provider. Once verified, an admissions coordinator will schedule a call with you. Let us help you or your loved one take the first step towards recovery.

Note: If you don’t have health insurance, please scroll down to review the type of payment options we accept at Rise in Glendale Sobriety Center.

Primary Contact

Name(Required)

First Last

Email(Required)

Phone(Required)

Who is submitting this form?(Required)

Patient Information

Patient Name(Required)

First Last

Patient Date of Birth(Required)

Phone(Required)

Type of Addiction Help(Required)

Insurance Company

Type of Insurance Plan(Required)

Insurance Provider Name

Insurance Policy Number

Group Policy Number

Insurance Provider Phone(Required)

Note: Insurance provider phone number should be located on the back of your insurance card.

Primacy Insurance Subscriber

(If different from patient)

Subscriber Name(Required)

First Last

Subscriber Date of Birth(Required)

Subscriber SSN (Last 4 Digits)

Insurance Card Upload

Drop files here or

Max. file size: 256 MB, Max. files: 2.

Note: Make sure you upload the front and back side of your insurance card.

Additional Notes

Types of
Payment Options

Great to hear that you are interested in our substance addiction treatment services at Rise in Glendale Sobriety Center. We understand that each patient’s needs are unique, and we tailor each patient’s treatment plans accordingly. Your individualized, 30-day inpatient substance abuse treatment plan will determine the exact costs.

The cost of addiction treatment should not be a barrier to receiving the care you need. At our accredited substance abuse treatment center, we believe that everyone deserves access to quality treatment regardless of their financial situation. We offer various payment options and financial assistance programs to help make treatment affordable for all. Please review our three payment options below.

Using Health Insurance

We accept most health insurance plans to help cover the cost of addiction treatment. Fill out the form above to see if you have eligible treatment benefits.

Get Family Support

We understand that getting help for a loved one can be a financial burden. We can accept multiple payments from multiple people to cover the cost of treatment.

Financing Options

We understand the cost of treatment can be a barrier for many people. We partner with providers who offer financing options to help pay for treatment.

Using Credit Cards

We offer a variety of card payment options to make it easy for you to pay for your treatment. We accept Visa, Mastercard, American Express, and Discover.

*As required by law, all communications with Rise in Glendale Sobriety Center are HIPAA Compliant and 100% Confidential.

Your Journey to Living a Life Free of Addiction, Starts Here!

At Rise, we give you the best opportunity to learn, change and live happy, healthy lives free from addiction.

*As required by law, all communications with Rise in Glendale Sobriety Center are HIPAA Compliant and 100% Confidential.

Insurance
Verification

Coverage
Verification

Verify Your Health Insurance Coverage

Primary Contact

Patient Information

Insurance Company

Primacy Insurance Subscriber

Types of
Payment Options

Using Health Insurance

Get Family Support

Financing Options

Using Credit Cards

Your Journey to Living a Life Free of Addiction, Starts Here!

Site Navigation

Our Center Address

Insurance Verification

Coverage Verification

Verify Your Health Insurance Coverage

Primary Contact

Patient Information

Insurance Company

Primacy Insurance Subscriber

Types of Payment Options

Using Health Insurance

Get Family Support

Financing Options

Using Credit Cards

Your Journey to Living a Life Free of Addiction, Starts Here!

Site Navigation

Our Center Address

Insurance
Verification

Coverage
Verification

Types of
Payment Options