Insurance Verification

Let your journey of recovery start now!

We provide a no cost/no commitment verification of your insurance.

Verifying your insurance is fast and worry-free:

Fill in all required fields
Add any additional information on the bottom in the “Comments” section
Click Submit
An Admissions Specialist will contact you after verifying your insurance (during regular business hours, 7 days a week.)

Access to quality treatment in hours, not days!

"*" indicates required fields

Name*

Date of Birth*

Primary Insured Name*

Primary Insured Date of Birth*

Email*

Address*

Phone*

Insurance Provider*

Insurance Phone*

Insurance ID Number*

Photo of Insurance Card (Front)

Max. file size: 100 MB.

Photo of Insurance Card (Back)

Max. file size: 100 MB.

Comments

This field is for validation purposes and should be left unchanged.

Physical, emotional,
and spiritual well-being

Need Help? Contact Us

admissions@freebythesea.com |

Please call us to learn more about Free by the Sea

"*" indicates required fields

Name

Phone*

Email*

Message*

CAPTCHA

This field is for validation purposes and should be left unchanged.