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Medicare
A certified peer recovery coach you see on video, with a licensed clinician from one of our Insurance Offering Partners evaluating and monitoring your care. In select states, Medicare may cover this as peer navigation under its PIN-PS benefit when the clinician finds a qualified clinical need. Sign up or call, and we walk you through what your plan is likely to cover before your first visit.
How Medicare works here
Medicare's Principal Illness Navigation, Peer Support benefit (PIN-PS) pays for a certified peer specialist to help people with a serious condition, including substance use disorder, find their way through care. That is how our Medicare offering works. After an initiating visit with a licensed clinician from one of our Insurance Offering Partners, the medical groups that provide clinical services through Accountable, your peer recovery coach works with you on the practical side of recovery under that clinician's direction. It is session-based and separate from our monthly subscription. Medicare covers it only when the clinician finds a qualified clinical need, and coverage depends on your plan and on the partner being in-network with it.
Tell us your plan, Original Medicare or Medicare Advantage, and whether you have secondary coverage such as a Medigap plan, and we walk you through what is likely to be covered and what you may owe. Starting this for a parent or spouse? You can begin the process on their behalf, and they go through the same clinician visit to qualify.
What you get
Same person every week, on video or by phone. Your coach helps you get to appointments, understand your options, connect with services in your community, and set goals for your recovery, with a licensed clinician overseeing your care.
Your doctor, your therapist, your sponsor, a spouse, an adult child, a close friend. You pick who is in the know and how much they see, and you can change that any week. Your coach keeps everyone on the same page.
A breathalyzer check twice a day with facial verification, and random saliva screens on recorded video. The device ships to you. Nobody sees a result unless you have shared it.
Group recovery meetings on video every day, open to every member and led by a coach. Come to as many as you want. You can talk or just listen.
Medicare coverage applies to covered services under the PIN-PS benefit and your plan's rules, and we tell you before you start which parts of the program your plan is expected to cover. If you miss a session or a check-in, or test positive, nothing automatic happens. You get a message from your coach, not a report to anyone else, and nobody is dropped for a relapse. If we are worried about your safety, we tell you first and help you get to clinical care.
How to start
Tell us your plan, Original Medicare or Medicare Advantage, and whether you have secondary coverage. You can do this for a parent or spouse.
A licensed clinician from one of our Insurance Offering Partners meets with you, confirms there is a qualified clinical need, and sets up peer navigation as part of your care. Medicare covers it only when that need is there.
We walk you through what your plan is likely to cover and what you may owe, before coaching begins.
Regular sessions with your peer coach, focused on navigating your care and staying on track, under the clinician's direction. A first session can happen soon after your visit, during business hours.
In crisis? Call or text 988 (Suicide & Crisis Lifeline).
Your coach
Sober after 35 years of struggling, from a first drink at 14 in San Antonio to sober living and a job at the treatment center she went through.
Read Liz's story →
Got sober in St. Louis after years of trying, earned his peer certification, and ran a 30-bed sober living intake before joining Accountable.
Read Dave's story →
In recovery from opioid addiction since April 2012, after a decade in and out of treatment. Her daughter has never seen her use.
Read Megan's story →
Raised in Detroit, came through incarceration and recovery to fatherhood and service, and uses every chapter of it to help someone else.
Read Nick's story →Who this is for
Older adults whose drinking or medication use changed after retirement, a loss, or a move.
Substance use in older adults →People staying sober after treatment who want the same coach every week for the year after.
Staying sober after rehab →People who have been sober for years and want someone beside them for the long stretch.
Relapse prevention for seniors →Adult children starting this for a parent, and spouses starting it for a partner.
Support for families →People on Suboxone or methadone. We support every path to recovery, including medication.
Does virtual support work? →People who are not sure they want to quit and want someone to talk to. About one in six members are here for harm reduction.
How to stop drinking →Does it work?
Ninety-eight out of a hundred members surveyed in 2026 said they would recommend Accountable to someone they love (592 surveyed). The research on peer recovery support, with sources, is in the guide on whether virtual recovery support works.
"They do what they say they're going to do, even when I resented them for it at times. They've been instrumental in coordinating care, giving my family peace of mind, and most importantly, holding me accountable."
Olivia M., member
"The daily check-ins and encouragement from the team have kept me motivated and focused on my goals. I don't feel alone in this process anymore."
Samantha L., member
"My peer coach, Dani, is wonderful and very supportive. She really understands where I'm coming from and my struggles from day to day. I will continue with the groups and my progress thanks to this program."
Rebecca A., member
Common questions
Sign up, or call (646) 450-7641 weekdays 9 to 7 ET, and we walk you through coverage before anything begins.
Clinical services covered by Medicare or other insurance are furnished by physicians, nurse practitioners and other licensed clinicians employed by or contracted with our Insurance Offering Partners (You Are Accountable Medical PA, You Are Accountable Medical NJ PC, You Are Accountable Medical NY PC, You Are Accountable Medical TX PA and associated provider groups), which handle billing for covered services under the applicable coverage rules. Peer navigation is furnished under Medicare's Principal Illness Navigation, Peer Support (PIN-PS) benefit under the direction of the treating clinician. Accountable collects plan-determined cost-sharing on their behalf as billing and administrative agent. Accountable is peer recovery support, not treatment or medical care, and is not affiliated with, endorsed by, or sponsored by the federal Medicare program, the Centers for Medicare & Medicaid Services (CMS), or the Social Security Administration. Coverage, eligibility, and out-of-pocket costs depend on your plan and its benefit rules, and cost-sharing required by Medicare cannot be routinely waived. Check with your plan about your benefits.