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Recovery support in New York
Peer navigation for New Yorkers on Medicare, and weekly recovery coaching for everyone else in the state
Accountable pairs you with a certified peer specialist for weekly video coaching, daily groups, a family group and at-home testing, from the Bronx to Buffalo. We work with 34 treatment programs and clinicians in New York, our largest partner network anywhere.
Coverage in New York
If you are on Medicare in New York, Accountable's Medicare offering is peer navigation that follows an initiating visit with a licensed clinician. It is session-based and separate from the monthly subscription described below. Clinical services and billing for covered services come from our Insurance Offering Partners, and the service is billed under Principal Illness Navigation, Peer Support (PIN-PS). Medicare covers it only when a licensed clinician finds a qualified clinical need after an evaluation visit. Accountable does not bill Medicare; we collect only the cost-sharing your plan sets, acting as billing agent for the Insurance Offering Partners. That cost-sharing cannot be waived, and a denied claim is the member's responsibility. Because the amount depends on your plan and any secondary coverage, sign up or call for an estimate, and read the details at /who-we-serve/medicare.
Not on Medicare? Accountable's coaching and monitoring subscription is covered by a growing list of commercial health plans, with more added each month; check your coverage in a few minutes at appv2.youareaccountable.com/get-started. GEHA members (federal employees and their families) have recovery coaching and monitoring as an included benefit nationwide; see /geha. In-network members get the breathalyzer device included and pay whatever co-pay or deductible their plan sets.
Private pay starts at $375 per month for weekly coaching plus all groups. Self-pay members pay $125 once for the breathalyzer device. Questions go to our care team at (646) 450-7641.
How it works here
Same program, wherever you are in New York
Everything happens by phone and video, on Eastern time. You meet your coach, a certified peer specialist who is in recovery themselves, for a weekly one-on-one video session. Daily peer group meetings run through the week, and your family can join a weekly family Zoom group wherever they live. For alcohol, you use a remote breathalyzer twice a day. For other substances, you get at-home saliva screening assigned at random: an instant 10-panel strip, plus a lab-confirmed oral fluid test when it is needed (the lab test is the one that detects fentanyl and xylazine). You do not choose whether you test; you choose who sees the results. Messaging is mostly business hours with some after-hours coverage.
For Medicare members, the order is different. Peer navigation starts after an initiating visit with a licensed clinician from one of our Insurance Offering Partners, who evaluates whether there is a qualified clinical need. If there is, sessions are billed under PIN-PS and you pay the cost-sharing your plan sets. Call (646) 450-7641 for an estimate.
If you or a family member is in crisis, the OASAS HOPEline at 1-877-846-7369 answers around the clock (OASAS, 2025). Naloxone is available in every pharmacy in the state without a prescription, and the state's N-CAP program covers the co-pay for anyone with prescription coverage (NYS DOH, 2025).
If you are a clinician in New York, Accountable works with 34 treatment programs and clinicians in New York, our largest partner network in any state. We sit at ASAM Criteria, 4th Edition, Level 1.0, Long-Term Remission Monitoring: we take your patient after discharge or alongside outpatient care and, with the patient's consent, send you toxicology results and coach notes. For Medicare patients, the initiating clinician visit is the referral point.
What recovery looks like in New York right now
Overdose deaths in New York are falling, and still high
OASAS reports that in 2024 New York had 1,800 fewer drug overdose deaths than in 2023, a 30 percent decrease, with more than 4,000 New Yorkers still dying that year (OASAS, 2025). CDC provisional counts, which report New York City separately from the rest of the state, show the decline continuing: roughly 3,700 statewide for the 12 months ending April 2026 (1,887 in the city, 1,784 elsewhere), down from about 4,070 a year earlier (CDC NCHS, 2026).
New York City counted 2,192 overdose deaths in 2024, down from 3,056 in 2023; the Bronx rate is still more than double Manhattan's (NYC Mayor's Office, 2025). Fentanyl was present in 80 percent of the city's 2023 overdose deaths (NYC DOHMH, 2024). Statewide, fentanyl was involved in 93 percent of opioid overdose deaths in 2023 (NYS DOH, 2025).
Xylazine is in the New York supply
The animal tranquilizer xylazine was involved in 31 percent of New York City's opioid-involved overdose deaths in 2023, up from 22 percent in 2022 (NYC DOHMH, 2024). OASAS says it "most commonly is being added to illicitly manufactured fentanyl" and that naloxone "always should be administered" in any suspected overdose (OASAS, 2025). Our guide to tranq and xylazine covers the wounds, the withdrawal and testing.
Alcohol kills more New Yorkers than drugs do
CDC's ARDI estimates an annual average of 8,093 alcohol-attributable deaths in New York for 2020 to 2021 (CDC ARDI, 2024). For the 2023 to 2024 survey years, SAMHSA estimates that 9.6 percent of New Yorkers aged 12 and older, about 1.63 million people, had a past-year alcohol use disorder (SAMHSA NSDUH, 2025).
The treatment gap
The same survey estimates 2.9 million New Yorkers had a past-year substance use disorder, 3.17 million needed treatment, and 591,000 received it, fewer than one in five (SAMHSA NSDUH, 2025). Most people who need help are not in a program.
Older New Yorkers and Medicare
New York has 3.9 million Medicare beneficiaries, about 52 percent of them in Medicare Advantage (KFF, 2024). New York City's highest overdose death rate in 2023 was among people aged 55 to 64, at 87.9 per 100,000 (NYC DOHMH, 2024). See our guide to substance use in older adults.
New York resources worth knowing
- OASAS HOPEline: call 1-877-846-7369 (1-877-8-HOPENY) or text HOPENY (467369), free and confidential, 24-hour, for substance use and gambling.
- OASAS provider search: the state directory of about 1,700 certified prevention, treatment, harm reduction and recovery programs.
- Naloxone in New York pharmacies: available at every pharmacy without a prescription, with the N-CAP co-payment assistance program for insured New Yorkers.
- New York's 911 Good Samaritan Law: what it protects when you call for help during an overdose, with the statute at Penal Law 220.78.
- NYS Overdose Death Dashboard: county-level overdose deaths by age, sex, race and substance.
- NYS Department of Health opioid data: annual reports and county quarterly reports on overdose, naloxone and treatment.
- NYC Health overdose data brief: the city's annual epidemiology report on unintentional drug poisoning deaths.
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.