St. Joseph Institute for Addiction.

Insurance Information for Alcohol and
Drug Abuse Treatment

Let Us Help You
Please provide the information below and we will contact your health insurance company to determine your benefits and any deductible or co-pay that may be required. Your confidentiality is fully protected by law.

Don't Have Health Insurance?

Name of the person receiving treatment?
  A value is required.*
Date of Birth
  A value is required.*
Name of the Insurance company:
  A value is required.*
Policy ID #
 
800# on back of Insurance Card
 
Phone
A value is required.*
Email
A value is required.*

Please note that required fields are indicated with an asterisk (*).