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Recovery support in Washington

Recovery coaching in Washington, on Pacific time, from wherever you live

Weekly video sessions with a certified peer specialist, random at-home saliva screening, remote breathalyzer monitoring and a family group, all from wherever you are in Washington. Sessions run on Pacific time, and you can check your coverage in a few minutes.

Check my coverageCall (646) 450-7641
Recovery coaching in Washington, Accountable, with an outline of the state
Available statewideEvery county in Washington, 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 Washington

A growing list of commercial health plans cover Accountable, with more added each month; check your coverage in a few minutes. If your plan is in network, recovery coaching, peer groups, the family group and at-home monitoring are covered as a plan benefit, you pay whatever co-pay or deductible your plan sets, and the breathalyzer device is included. If you went to a treatment provider in Washington and now live somewhere else, the program travels with you.

If you or a family member is a federal employee, recovery coaching and monitoring is an included benefit for GEHA members nationwide. See how the GEHA benefit works.

If you would rather not involve insurance, private pay starts at $375 per month for weekly coaching plus all groups. Self-pay members pay $125 once for the breathalyzer device if alcohol monitoring is part of the plan. Nothing else is required, and there is no long-term contract.

Check your coverage or call the care team at (646) 450-7641. We will tell you what your plan covers before you commit to anything.

How it works here

Same program, wherever you are in Washington

Everything happens on your phone or laptop, on Pacific time. You meet your coach by video once a week at a standing time; your coach is a certified peer specialist in recovery themselves. Daily peer groups run through the day and evening, and a weekly family Zoom group is open to the people who love you, wherever they live. Messaging with your coach is mostly business hours, with some after-hours coverage.

Testing keeps the weekly conversation honest. Saliva screening is assigned at random through the week, an instant 10-panel strip plus a lab-confirmed oral fluid test when needed. You do not choose whether you test; you choose who sees the results. For alcohol, a remote breathalyzer is used twice a day. Results go to the people you name in writing, a spouse, a parent, a licensing board or a treating clinician, and no one else. That matters here because the My Health My Data Act treats substance use and testing information as consumer health data and requires consent before sharing (RCW 19.373). Our Washington consumer health data policy spells out what we collect and your rights over it.

Accountable is not detox, does not prescribe and does not replace treatment. It pairs with a clinic prescribing buprenorphine or naltrexone, an outpatient program, or the Washington Recovery Help Line at 1-866-789-1511 when you are not sure where to start. Washington law requires commercial plans to cover telemedicine when they cover the same service in person, at parity since 2021 (RCW 48.43.735), part of why in-network coverage for a fully virtual program works here.

For clinicians: Accountable works with 5 treatment programs and clinicians in Washington and is aligned to ASAM Criteria, 4th Edition, Level 1.0, Long-Term Remission Monitoring. We take a warm handoff at discharge, share screening results under a signed release, and coordinate care with the member's consent.

What recovery looks like in Washington right now

Overdose deaths are falling, but slower than nationally

Washington lost 3,512 people to drug overdose in 2023, nearly three times the 1,251 deaths in 2019. Deaths fell to 3,183 in 2024 and 2,968 in 2025, and the provisional count for the 12 months ending April 2026 is 2,538, about 22 percent below the prior year (CDC NCHS, 2026). Washington's 2024 decline was far smaller than the national drop of nearly 24 percent (CDC, 2025). The state Department of Health counted more than 3,100 overdose deaths in 2024, opioids involved in 79 percent (Washington DOH, 2025).

Fentanyl drives most of it

Synthetic opioids, mostly illicit fentanyl, were involved in 2,145 of Washington's 2,968 overdose deaths in 2025, roughly 72 percent (CDC NCHS, 2026). King County recorded 758 opioid overdose deaths in 2024, a 23 percent drop in the death rate from 2023, yet opioid overdose still accounted for 19 percent of all deaths among county residents aged 18 to 64 (Public Health Seattle & King County, 2025).

Alcohol is the larger, quieter problem

An estimated 713,000 Washingtonians aged 12 and older, 10.8 percent, met criteria for alcohol use disorder in the past year, and about 19 percent reported binge drinking in the past month. Across all substances, roughly 1.2 million people, 18.5 percent, had a substance use disorder, and about 116,000 had an opioid use disorder (SAMHSA NSDUH, 2022-2023). Nationally, excessive alcohol use caused an average of 178,307 deaths a year in 2020 and 2021, up 29 percent from 2016 and 2017 (CDC MMWR, 2024).

Most people who need help do not get it

About 75 percent of Washington residents classified as needing substance use treatment did not receive it in the past year, roughly one million people (SAMHSA NSDUH, 2022-2023). Geography is part of the reason: about 21 percent of Washington's population is rural (Washington DOH, 2023), the rural overdose death rate runs more than 10 percent above the statewide rate, and only 191 of the state's 1,260 inpatient psychiatric beds are in rural counties (Washington HCA, 2025). The State Health Assessment listed 35 of 39 counties as federal mental health professional shortage areas (Washington DOH, 2018). For a family in Okanogan County, the nearest peer specialist may be hours away. A video session is not.

Washington resources worth knowing

Common questions

Yes. Accountable serves members in every state, and the program is fully virtual, so it works the same in Seattle, Spokane, Yakima or a town of 800 in Ferry County. Sessions are scheduled on Pacific time. You need a phone or laptop with a camera and a mailing address for the test kits and, if alcohol is part of your plan, the breathalyzer.

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 coverageI'm asking for someone elseCall (646) 450-7641