Verify Your Insurance Benefits

If you or a loved one is in need of treatment for substance abuse and you have health insurance, please fill out the form to your right with as much information as possible. Once LINKS receives your information we will call you with your summary of benefits and begin the process of locating a drug treatment center that fits your needs.

SECTION 1:
Enter patient's information below:
Who Needs Help?
Patient First Name*
Patient Last Name*
Patient Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Patient Phone Number*
Patient Email Address*
Patient Date of Birth*
MM
DD
YYYY
SECTION 2:
Enter insurance information below:
Insurance Provider
Insurance Provider's Phone Number
Member ID
Group Number
Plan Type
Do You Need Detox?
Anything Else You Would Like Us To Know?
Comments
This field is for validation purposes and should be left unchanged.

Request a Callback 24/7 or Call 1-877-217-8558 for Immediate Help

We Work with All Insurance Providers

Verify Your Insurance Benefits

SECTION 1:
Enter patient's information below:

SECTION 2:
Enter insurance information below:

Verify Your Insurance Benefits

SECTION 1: Enter patient's information below:

SECTION 2:Enter insurance information below:

SECTION 1:
Enter patient's information below:

SECTION 2:
Enter insurance information below: