Recovery support in Pennsylvania

Recovery coaching in Pennsylvania, from anywhere in the Commonwealth

Weekly video coaching with a certified peer specialist, at-home saliva testing and remote breathalyzer monitoring, daily groups and a weekly family group, all from anywhere in the Commonwealth. Accountable works with 7 treatment programs and clinicians in Pennsylvania.

Check my coverage Call (646) 450-7641

Recovery coaching in Pennsylvania, Accountable, with an outline of the state

Available statewideEvery county in Pennsylvania, fully virtual, supplies shipped to your home.

Commercial plansA growing list of commercial plans, with more added each month.

Private pay from $375A month for weekly coaching plus all groups, month to month.

GEHA benefitIncluded for GEHA members and their families.

Coverage in Pennsylvania

Accountable is in network with Cigna and Evernorth in Pennsylvania. If you went through treatment with a provider in Pennsylvania, you're in network with Cigna and Evernorth even if you now live in another state. Other commercial health plans cover Accountable too, with more added each month; check your coverage in a few minutes. When your plan is in network, coaching, random at-home toxicology screening, remote breathalyzer monitoring and all groups are covered as a plan benefit, you pay whatever co-pay or deductible your plan sets, and the breathalyzer device is included.

The program travels with you. That covers people who come home to Pennsylvania from a program elsewhere, and people who leave a Pennsylvania program for New Jersey, Ohio, Maryland or New York.

Check your coverage in a few minutes at appv2.youareaccountable.com or call the care team at (646) 450-7641. If you are a federal employee or a family member on a GEHA plan, recovery coaching and monitoring is an included benefit nationwide; details are at /geha.

If you do not have coverage, or you would rather not run this through insurance, private pay starts at $375 per month for weekly one-on-one coaching plus all groups. Self-pay members pay $125 once for the breathalyzer device. Your county's Single County Authority can also help with funding if you are uninsured or underinsured.

How it works here

Same program, wherever you are in Pennsylvania

Everything happens by video and phone, so it works the same in Pittsburgh, State College or a one-stoplight township. You meet your coach, a certified peer specialist who is in recovery themselves, once a week on a video call scheduled in Eastern time. Daily peer group meetings run through the day and evening, and your family can join a weekly family Zoom group from anywhere, not just Pennsylvania. Messaging with your coach is mostly during business hours with some after-hours coverage. Accountable is aligned to the ASAM Criteria, 4th Edition, Level 1.0, Long-Term Remission Monitoring.

Testing is at home. Saliva screens are assigned at random through the week, so you do not choose whether you test; you choose who sees the results. That might be a spouse, a parent, a counselor at your Pennsylvania program, or nobody but you. For alcohol, the remote breathalyzer runs twice a day.

Use the state's own system alongside us. Pennsylvania's Get Help Now line at 1-800-662-4357 is answered by people rather than bots and can connect you with your county's Single County Authority for funding or a level-of-care assessment (Pennsylvania DDAP, 2026). Keep naloxone at home; the statewide standing order lets any resident at risk, or in a position to help someone at risk, get it without an individual prescription (Pennsylvania Department of Health, 2025).

For clinicians and programs in Pennsylvania: Accountable is the step-down you can hand someone at discharge without losing sight of them. With the member's consent we share test results and attendance with your team and coordinate around a return to use. Clinicians can call the care team directly to arrange a warm handoff. Accountable already works with 7 treatment programs and clinicians in Pennsylvania.

What recovery looks like in Pennsylvania right now

Overdose deaths in Pennsylvania are falling, and still too high

Pennsylvania has had one of the sharpest declines in overdose deaths in the country. CDC provisional counts put the state at roughly 2,700 drug overdose deaths in the 12 months ending April 2026, down from about 3,200 a year earlier and from about 4,700 in calendar 2023 (CDC NCHS, 2026). That is real progress, and it still means more than seven Pennsylvanians a day. Most of the people we work with came through a program, went home to Scranton or Erie or the Main Line, and now face the long stretch where most returns to use happen.

What is in the drug supply, especially in Philadelphia

Philadelphia's health department counted 1,069 unintentional overdose deaths in the city in 2024, an 18 percent decrease from 2023. Fentanyl was detected in 93 percent of the opioid-involved deaths, and the veterinary sedative xylazine was found in 34 percent of all overdose deaths (Philadelphia Department of Public Health, 2026). A second animal sedative, medetomidine, showed up in the city's supply in May 2024 and has since become more common than xylazine in fentanyl samples, according to the DEA's Philadelphia office (DEA, 2025). If "tranq" is part of your story, our xylazine guide covers wounds, withdrawal and testing.

Alcohol is the quieter number

By CDC's estimate, alcohol kills more Pennsylvanians each year than drug overdoses do. CDC's ARDI application estimates an annual average of 6,624 alcohol-attributable deaths in Pennsylvania across 2020 and 2021 (CDC ARDI, 2020-2021). The federal household survey estimates that about 1.1 million Pennsylvanians aged 12 or older, roughly one in ten, had an alcohol use disorder in the past year, and 22 percent binge drank in the past month (SAMHSA NSDUH, 2022-2023).

Most people who need treatment do not get it

The same survey classified about 2.3 million Pennsylvanians as needing substance use treatment in the past year, and 71 percent of them, about 1.6 million people, did not receive it (SAMHSA NSDUH, 2022-2023). Some of that gap is cost, some is distance, and a lot of it is that people finish detox or residential and then have nothing structured between discharge and the next crisis. That gap is what a weekly coach, random testing and a weekly family group are for.

Pennsylvania resources worth knowing

PA Get Help Now helpline: call 1-800-662-4357 or text 717-216-0905 for free, confidential help finding treatment (DDAP).
Locate drug and alcohol treatment services: DDAP's provider search and your county's Single County Authority.
Statewide naloxone standing order: the Secretary of Health's order under Act 139 for pharmacy and community naloxone access.
Good Samaritan overdose immunity: Department of Health fact sheet on Act 139 protections for people who call for help.
Act 53 for parents of minors: how a parent or guardian petitions the county court for assessment and treatment of a child aged 12 to 17.
ODIN overdose dashboard: State Police data on overdoses and naloxone administrations by county, with spike alerts.
Philadelphia overdose reports: the city health department's annual data, including xylazine and medetomidine.

Common questions

Yes. Accountable serves members in every state, and Pennsylvania is home to 7 of the treatment programs and clinicians we work with. Coaching, groups and family sessions are all by video, and the saliva tests and breathalyzer ship to your home, so it works the same in Philadelphia, Harrisburg or a rural county.

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.

Check my coverage I'm asking for someone else Call (646) 450-7641