Check your insurance coverage and get a quote

Fill out the form bellow to schedule a call back from one of our admissions coordinators or verify insurance benefits. If you would like to speed up the process please fill out the insurance info section as well.

Coverage verification

1Contact Person Contact First Name:

Contact Last Name:

2Patient Info

Client DOB:

Subscriber First Name:

Subscriber Last Name:

Subscriber DOB:

SSN (Last 4):

3Insurance Info Insurance Providers:

Insurance Policy #:

Group Number:

Insurance Provider Phone Number:

Additional Notes:

Get help fast.

Make a call

We know it's tough - believe us, we've been there. Many of the friendly voices on the other end of the line are in fact fully recovered addicts who were once in the same position as you.


*All communications with Mountain Springs Recovery are HIPAA Compliant and 100% Confidential