Rehab Insurance Verification

At The Right Step Houston, we believe that the first step to a better life is yours to take. When it comes to verifying your insurance benefits, our trusted recovery advisors can help with the rest. We work with numerous national insurance providers to ensure that everyone has access to affordable addiction treatment programs in Texas. We also proudly accept Medicaid.

Please fill out the form below to get started on the insurance verification process. To speak with an admissions specialist, please contact The Right Step Houston at 1.844.768.0169.

Your Contact Information
Your Name*
First Last
Phone Number*
Email*
Who is seeking treatment?*
- Yourself
- A Loved One
- A Client
How did you hear about us?
Loved Ones Information
Your Information
Loved One's Name*
First Last
Loved One's Date Of Birth*
MM slash DD slash YYYY
Your Date Of Birth*
MM slash DD slash YYYY
Additional Information
Insurance Information
Would you like us to verify your or a loved one's insurance benefits?*
- Yes
- No
Policy Holder's Name*
First Last
Policy Holder's Date Of Birth*
MM slash DD slash YYYY
Policy Holder's Address**
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Insurance Company's Name*
Insurance Company's Phone Number*
Member ID*
Group Number*
Subscriber relationship to client*

Your Contact Information

Loved Ones Information

Your Information

Insurance Information

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Do you have questions?

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