Admissions

Rocky Mountain Detox is Proud to Accept Most Private Insurance PPO Plans:

Humana
UnitedHealthcare
Aetna
Cigna
Meritian Health
Assurant Health
Kaiser Permanente
Blue Cross Blue Shield
Most Other Private Insurance PPO Plans Accepted

Give Us a Call

You may contact us at any time with any questions at (833) 433-4850. You may also fill out the client and insurance information form found on this page. Once we receive your information, we will collect benefit information and contact you with information on what your insurance policy will cover for our program.

If at any time, you are in need of immediate emergency assistance, please contact 911.

Client and Insurance Information

First and Last Name of Client Seeking Treatment*
First Last
Client's Date of Birth*
Phone Number*
Client's Last 4 Digits of SSN*
First and Last Name of Primary Insurance Holder*
First Last
Primary Insured's Date of Birth*
Primary Insurance Holder's Address
Street Address City State ZIP Code
Contact Email Address*
Name of Insurance Provider*
Insurance ID#*
Group ID#*
Insurance Company Claims Address
Street Address City State ZIP Code
Insurance Phone Number*
Plan Type*
- PPO
- HMO
- EPO
- AHCCCS
- Other
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Rocky Mountain Detox is Proud to Accept Most Private Insurance PPO Plans:

Give Us a Call

Client and Insurance Information

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