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Recovery support in New Jersey
Peer recovery coaching in New Jersey, with a Medicare peer navigation option
Accountable was built in Red Bank and serves members across New Jersey with weekly video coaching, daily groups, at-home testing and remote breathalyzer monitoring. Medicare members can start with an evaluation and peer navigation sessions; everyone else can check commercial coverage in a few minutes.
Coverage in New Jersey
New Jersey is one of three states where Accountable offers recovery coaching through Medicare. The Medicare offering is session-based and separate from our subscription program. It is built around peer navigation: after an initiating visit with a licensed clinician from one of our Insurance Offering Partners, a certified peer specialist works with you session by session under Medicare's Principal Illness Navigation, Peer Support benefit (PIN-PS). Medicare covers these sessions only when a licensed clinician finds a qualified clinical need at that evaluation visit. Clinical services and billing for covered services come from the Insurance Offering Partners. Accountable collects only the cost-sharing your plan sets, acting as billing agent. Cost-sharing cannot be waived, and a denied claim is the member's responsibility. Your out-of-pocket amount depends on your plan and any secondary coverage, so sign up or call for an estimate. Details are at /who-we-serve/medicare.
Outside Medicare, the full program is covered by a growing list of commercial health plans, with more added each month; check your coverage in a few minutes at the coverage check. In-network members get the breathalyzer device included and pay whatever co-pay or deductible their plan sets.
For GEHA members (federal employees and families), recovery coaching and monitoring is an included benefit nationwide. See /geha.
Private pay starts at $375 per month for weekly coaching plus all groups, and self-pay members pay $125 once for the breathalyzer device. Questions about any of this: call (646) 450-7641.
How it works here
Same program, wherever you are in New Jersey
Everything happens on your phone or laptop, on Eastern time, from anywhere in New Jersey. You meet your coach, a certified peer specialist who is in recovery themselves, for a one-on-one video session every week. Daily peer group meetings run throughout the day, and your family can join a weekly family Zoom group whether they live in Bergen County or Bend, Oregon. Messaging with your coach is mostly business hours, with some after-hours coverage.
Saliva screenings are assigned at random through the week: an instant 10-panel strip, plus a lab-confirmed oral fluid test when it is needed. If alcohol is the concern, you use a remote breathalyzer twice a day. You do not choose whether you test; you choose who sees the results, and that list is yours to set. With your consent, we coordinate with the clinicians you already see. The program is aligned to ASAM Criteria, 4th Edition, Level 1.0, Long-Term Remission Monitoring.
Because we are headquartered in Red Bank, we know the state's system. Before or alongside coaching, ReachNJ at 1-844-732-2465 is the state's 24-hour line for treatment referrals regardless of insurance (NJ DHS), and anyone 14 or older can pick up naloxone anonymously and at no cost at a participating pharmacy (NJ DHS). Accountable is not detox and does not prescribe.
For clinicians: Accountable works with 10 treatment programs and clinicians in New Jersey. We take referrals at discharge from IOP or residential care and from prescribers who want objective monitoring between visits. Members sign a release, you get the results and coach notes you ask for, and we do not duplicate your clinical work. For Medicare beneficiaries, the initiating evaluation with an Insurance Offering Partner clinician is the entry point to PIN-PS peer navigation.
What recovery looks like in New Jersey right now
Overdose deaths in New Jersey are falling, and still high
New Jersey lost 2,816 people to overdose in 2023, down from 3,171 in 2022, an 11% decline and the first drop in a decade to reach every racial and ethnic group (NJDOH, 2025). That is still more than seven residents a day, and most of those deaths involve fentanyl or one of its analogs, increasingly mixed with xylazine and medetomidine (NJDOH, 2025). The decline continued: CDC provisional data put New Jersey at about 1,643 predicted overdose deaths for the twelve months ending November 2025 (CDC NCHS, 2026). The state publishes confirmed deaths through its NJSUDORS Overdose Mortality Data Explorer (NJDOH) and near real-time suspected deaths through the Office of the Chief State Medical Examiner dashboard (NJ OCSME).
Alcohol kills more New Jerseyans than overdose does
Overdose gets the headlines; alcohol does more of the damage quietly. CDC's Alcohol-Related Disease Impact application attributes an average of 3,548 deaths a year in New Jersey to alcohol use during 2020 to 2021, with 2,295 from chronic causes like liver disease and 1,253 from acute causes like crashes and poisoning (CDC ARDI, 2020-2021). In the 2022-2023 National Survey on Drug Use and Health, 9.39% of New Jersey residents 12 and older met criteria for alcohol use disorder in the past year and 22.02% reported binge drinking in the past month (SAMHSA NSDUH, 2022-2023).
Most people who need treatment here do not get it
The same survey estimates 14.91% of New Jerseyans 12 and older had a substance use disorder in the past year, 16.86% were classified as needing substance use treatment, and 76.77% of those who needed treatment did not receive it (SAMHSA NSDUH, 2022-2023). If you are reading this for someone you love, that gap is the point: programs exist here, and most people never connect to one, or connect once and drift.
Older adults and Medicare
New Jersey had 1,766,379 Medicare beneficiaries in 2024 (KFF, 2025). Drinking or pill use that stayed manageable through a working life often slips after retirement. Our guides on substance use in older adults and addiction after retirement cover the warning signs. The Medicare peer navigation option above exists for exactly this group.
New Jersey resources worth knowing
- ReachNJ, 1-844-732-2465 (1-844-REACHNJ): the state's 24-hour addiction helpline; a live person answers, screens, and connects you to a local treatment provider regardless of insurance status or ability to pay.
- NJ Department of Human Services: free naloxone: anyone 14 or older can get naloxone anonymously and at no cost at participating pharmacies under the NJ Department of Health standing order; the page links the pharmacy list.
- Overdose Prevention Act, P.L.2013, c.46: New Jersey's Good Samaritan law; the person who calls for help and the person overdosing cannot be arrested, charged or prosecuted for drug possession or use when the evidence came from seeking medical assistance.
- NJSUDORS Overdose Mortality Data Explorer: New Jersey Department of Health dashboard of confirmed overdose deaths by county, demographics and substance.
- Office of the Chief State Medical Examiner dashboard: near real-time preliminary counts of suspected overdose deaths.
- NJDOH opioid and overdose data hub: naloxone incident, hospital visit, treatment and prescription monitoring dashboards in one place.
Common questions
Next step
Check your coverage in a few minutes, or talk to a person first.
The care team can tell you what your plan covers, what private pay costs, and how the first week works. Families are welcome to make the first call.