Patient Forms
Complete the new patient packet prior to starting treatment with us. The release of information (ROI) forms can be emailed here.
New Patient Packet Release of Information to Outside Provider Release of Information to Individual Release of Information to Insurance ProviderGet Support
/ Ideal Option: Patient Forms
Insurance & Billing
How much does treatment cost?
Your out of pocket cost for treatment depends on your insurance and specific benefit package. When you call to make an appointment, you’ll be transferred to a financial counselor to verify your insurance, your deductible, and any out of pocket costs you may incur. Our financial counselors will also provide you with an estimate of the total cost so you will know what to expect. Most Medicaid plans do not require a co-pay, but every state differs.
How much does the medication cost?
For the majority of our patients who are Medicaid members, the medication is fully covered. For Medicare and commercially insured patients, the co-pay varies depending on the plan you are enrolled in.
What if I am uninsured and can't pay for treatment?
An Ideal Option financial counselor will work with you to apply for Medicaid, financial hardship assistance, or to develop an affordable payment plan for your treatment or even co-pays if you are insured. If you are committed to your recovery but experiencing financial duress, we will do everything possible to help you. Please contact us and ask to speak with a financial counselor today.