Insurance Verification — Valley Spring Recovery Center

Free Verification

Insurance Verified in Minutes. Treatment Can Begin Within 24 Hours.

Submit your information below and our admissions team will verify your benefits, determine your coverage level, and explain your out-of-pocket costs. The entire process takes minutes, not days.

100% confidential and HIPAA-compliant
No obligation to enroll after verification
We fight for maximum coverage on your behalf
Out-of-pocket costs explained upfront
Same-day verification available 24/7

(201) 781-8812

Prefer to call? Our admissions team is available 24/7.

Verify Your Insurance

All fields marked with * are required. We respond within minutes.

The Process

How Insurance Verification Works

Submit Your Information

Complete the form above or call our admissions team at (201) 781-8812. We need your insurance card details and basic personal information to get started.

We Contact Your Provider

Our admissions team contacts your insurance company directly to verify your behavioral health benefits, including coverage for outpatient addiction and mental health treatment.

Benefits Breakdown

We determine your deductible, co-pay, coinsurance, and any out-of-pocket maximums. We explain exactly what your plan covers for PHP, IOP, and outpatient programs.

Fight for Maximum Coverage

Our team advocates on your behalf to secure the highest possible coverage. We handle pre-authorizations, utilization reviews, and appeals so you can focus on recovery.

Clinical Assessment

Once insurance is verified, our clinical team completes a pre-assessment to determine the appropriate level of care based on your needs and ASAM criteria.

Begin Treatment

With insurance verified and clinical approval received, you can begin treatment as soon as the same day or next day. Intake is scheduled within 24 hours of approval.

Levels of Care

ASAM Levels We Treat

The American Society of Addiction Medicine (ASAM) defines standardized levels of care for substance use treatment. Insurance coverage is determined by which level your clinical assessment indicates.

Stage: Restore

2.5

Partial Hospitalization (PHP)

Our highest level of outpatient care. Structured day programming for individuals stepping down from inpatient or needing intensive stabilization.

Mon-Sat / 9 AM - 3 PM

Stage: Activate

2.1

Intensive Outpatient (IOP)

Evening intensive programming that lets you maintain work, school, and family obligations while receiving structured clinical treatment.

Mon-Fri / 6 PM - 9 PM

Stage: Accelerate

1.0

Outpatient (OP)

Flexible outpatient services for individuals transitioning to independent recovery. Individual therapy, virtual groups, and continued psychiatric care.

1-2 Days / Week / Virtual

Stage: Thrive

1.0

Alumni Program

Lifelong connection to your recovery community. Monthly meetings, quarterly events, peer mentorship, and continued access to resources.

Monthly / Ongoing

What Is Covered

What Does Insurance Cover for Addiction Treatment?

Under the Mental Health Parity and Addiction Equity Act, insurance companies are required to cover substance use and mental health treatment at the same level as medical and surgical care.

Clinical Assessments — Initial biopsychosocial evaluation and ongoing treatment planning to determine your appropriate level of care.

Individual Therapy — One-on-one sessions with licensed therapists using CBT, DBT, EMDR, Motivational Interviewing, and trauma-informed approaches.

Group Therapy — Process groups, psychoeducational groups, and specialized sessions facilitated by licensed clinicians.

Psychiatric Services — Medication management, psychiatric evaluations, and ongoing monitoring by our medical director and psychiatric team.

Medication-Assisted Treatment — Suboxone, Vivitrol, Naltrexone, Brixadi, and other FDA-approved medications for opioid and alcohol use disorders.

Case Management — Coordination of care including FMLA paperwork, disability documentation, court liaison, and aftercare planning.

Family Therapy — Regular family sessions to rebuild communication, establish boundaries, and support the recovery process together.

Understanding Your Benefits

Deductible — the amount you pay before coverage begins

Co-pay — fixed amount per visit after deductible

Coinsurance — percentage you pay after deductible

Out-of-pocket maximum — the most you pay per year

Pre-authorization — approval required before treatment

Utilization review — ongoing approval during treatment

In-network vs. out-of-network benefits

Behavioral health carve-out providers

We handle all of this for you. Our admissions team verifies your benefits, secures pre-authorizations, manages utilization reviews, and fights for maximum coverage so you can focus entirely on your recovery.

Frequently Asked Questions

Insurance & Payment Questions

In most cases, we can verify your insurance benefits within minutes of receiving your information. Our admissions team is available 24/7 and contacts your provider directly to confirm coverage for behavioral health services. You will receive a clear breakdown of your benefits, including deductible, co-pay, and any out-of-pocket costs before you commit to treatment.

We work with many additional insurance carriers beyond the 16 listed on our website. Call us at (201) 781-8812 and our admissions team will check your specific plan. Even if we are not in-network with your provider, we may be able to work with your out-of-network benefits to help cover treatment costs.

Yes. Under the Mental Health Parity and Addiction Equity Act, most insurance plans are required to cover substance use disorder treatment at the same level as medical and surgical care. This includes outpatient services such as Partial Hospitalization (PHP), Intensive Outpatient Programs (IOP), and standard outpatient care. Your specific coverage depends on your plan and provider.

Pre-authorization is approval from your insurance company that treatment is medically necessary before it begins. Many plans require pre-authorization for behavioral health services. Our admissions team handles the entire pre-authorization process for you, including submitting clinical documentation and responding to utilization review requests throughout your treatment.

Out-of-pocket costs depend on your specific insurance plan. Common costs include deductibles (the amount you pay before coverage kicks in), co-pays (a fixed amount per visit), and coinsurance (a percentage of the treatment cost). During verification, we will explain your exact costs upfront so there are no surprises. We also offer self-pay options and can discuss financing if needed.

Yes. Valley Spring is licensed by the State of New Jersey for both substance use disorder and mental health treatment. Our dedicated Mental Health Program treats anxiety, depression, PTSD, bipolar disorder, ADHD, OCD, and other conditions. Most insurance plans cover mental health IOP services under your behavioral health benefits, regardless of whether substance use is involved.

If your insurance initially denies coverage, our team does not stop there. We submit appeals with detailed clinical documentation supporting the medical necessity of your treatment. We have extensive experience navigating insurance appeals and fighting for our clients' coverage. Additionally, we can discuss alternative payment options including self-pay rates if needed.

Absolutely. Many of our calls come from family members seeking help for a loved one. You can submit the insurance verification form on their behalf or call our admissions team directly. We will need the policyholder's information, including name, date of birth, insurance provider, member ID, and group number. All information is kept strictly confidential.

Yes. All information you share with Valley Spring Recovery Center is protected under HIPAA (Health Insurance Portability and Accountability Act) regulations. Your personal and insurance information will never be shared with third parties. Insurance verification calls to your provider are conducted confidentially and do not disclose the nature of your treatment to employers or other parties.

Once your insurance is verified and clinical approval is received, you can begin treatment as soon as the same day or next day. Our admissions team schedules your intake appointment within 24 hours of approval. The entire process from initial phone call to beginning treatment can happen in under 24 hours in most cases.

Verify Your Coverage.

16 Providers. Maximum Coverage.