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Insurance Verification Worksheet

Know what to ask before using insurance for addiction treatment. Follow the questions, record what the insurer tells you, and leave with a clear follow-up plan.

No account requiredPrivate on your devicePrintable worksheet
Important: This worksheet does not check insurance benefits or confirm coverage. Only your insurer and treatment provider can clarify plan-specific rules, costs and authorization requirements. Do not enter policy numbers, birth dates, diagnoses, or other sensitive personal details.
YOUR RESEARCH PROGRESS0 of 12 questions reviewed
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STEP 1 OF 3

Understand coverage

Ask your insurer these questions. Select an answer status and record only the details you need.

YOUR FOLLOW-UP PLAN

Questions still to confirm

Anything marked “Need to ask” or “Not confirmed” appears here automatically.

12 remaining

Answers stay in this browser while the page is open. Saving is optional. Once you choose Save, your saved copy restores automatically in this browser on future visits until you clear it. Avoid using shared devices for private notes. ARN does not receive your worksheet answers through this tool.

OPTIONAL TREATMENT REFERRAL ASSISTANCE

Need help exploring treatment options?

ARN offers independent educational resources and optional referral assistance. Calling is not required to use this worksheet. ARN may receive compensation for qualifying admissions; coverage and placement are not guaranteed.

Call (321) 655-0120
Helpful official references: Insurance terms ↗ · Out-of-pocket limits ↗ · Insurance appeals ↗

ARN is an independent educational and referral resource, not an insurer, treatment facility, medical provider, or public helpline.