Verify Insurance Benefits Here

Insurance Friendly Treatment

Pine Grove’s team members will work directly with your insurance provider to simplify your path to treatment. Cost and coverage will vary based on your selected program and length of stay.

Some Plans We Are in Network with Are:

Medicare
Medicaid
Blue Cross
Tricare

Aetna
Cigna
United Behavioral Health

Pine Grove is committed to providing the highest quality and cost effective health care services. Please contact us for all pricing and insurance information regarding a particular service. We are happy to file all insurance plans and have a dedicated team including case managers on staff, who work with Pine Grove’s patients to inform them about their insurance benefits and any out of pocket costs that may be applicable prior to treatment.

Verify Your Coverage Now

Insurance Verification Form

Pine Grove’s team members will work directly with your insurance provider to simplify your path to treatment. Cost and coverage will vary based on your selected program and length of stay and we’ll find out those specifics within a few hours of your form submission.

Step 1 of 4

Thank you for your interest in Pine Grove Behavioral Health & Addiction Services. To enhance the quality of your care and expedite your admission, please fill out this form to have your insurance benefits verified for one of our quality treatment programs. A member of Pine Grove’s professional staff will contact you within one business day upon receipt of your secure form to discuss your benefits and our services. If this is an emergency, please dial 911.
Patient Information
FIRST NAME*
LAST NAME*
Date of Birth*
Month
Day
Year
Age*
Social Security Number*
Phone Number*
Address*
Street Address City State / Province / Region ZIP / Postal Code

Verify Insurance Benefits Here

Insurance Friendly Treatment

Some Plans We Are in Network with Are:

Verify Your Coverage Now

Insurance Verification Form

Step 1 of 4

Patient Information

Insurance Information

Preferred Contact Person

Seeking Treatment For

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