After our team used the top online medication-assisted treatment (MAT) programs, I compiled this list of the five best options. Some services focus on specific conditions like alcohol or opioid use disorder, while others cover a wider range of addictions. The best programs combine affordability, insurance acceptance, and effective medication support to provide a clear pathway to recovery.
Editors Note:
We regularly review and update our content to provide the most accurate and current information. In this round of updates, we revised pricing across all providers, noting that all companies had a price increase, with out-of-pocket costs now spanning from $50 per session to $449 per month, depending on the provider and plan.
We also updated our ranking methodology, and renamed select award categories for clarity. PursueCare is now recognized as Best for Multiple Addictions. Bicycle Health was removed from our top list. Workit Health remains our top pick for Best Overall Online MAT program.
Our Favorite Programs
- Best Overall - Workit Health | Read review
- Best for Dual-Diagnosis - Eleanor Health | Read review
- Best for Multiple Addictions - PursueCare | Read review
- Best for Opioid Use Disorder - Ophelia | Read review
- Best for Alcohol Use Disorder - Ria Health | Read review
Programs at a Glance
Here’s a closer look at our top picks for online addiction counseling and treatment programs.
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Data Points AnalyzedThe reviews on ChoosingTherapy.com are fair, honest, thorough, and based on firsthand experience. To date, we’ve reviewed mental health solutions offered by more than 300 companies. That has involved more than 2,350 hours of firsthand use and consideration of over 1,150 data points. Our editorial policies outline a rigorous review process, but they all boil down to this: produce reviews that our own friends and family can rely on. Learn more here.
Detailed App Reviews
If you’re exploring virtual care for addiction recovery, here’s a closer, in-depth look at the top-rated programs available today.
- Cost: $150 – $300 monthly
- Insurance Accepted: Yes
- Services: MAT for OUD/AUD/Stimulant Abuse; Therapy; Peer support
Workit Health is an online addiction recovery program offering comprehensive care, including medication-assisted treatment, dual-diagnosis support, and recovery coaching. Its holistic approach to addiction recovery is why I gave it the award for best overall online MAT program.
Pros & Cons
- Offers medication-assisted treatment for several addictions
- Can also prescribe PrEP for HIV prevention
- Offers hundreds of educational courses on recovery-related topics
- Patients can access care through their online platform or mobile app
- Online community events
- Only available in select states
- Difficult to initially determine the cost of care
- Not available to patients under 18
- Medicaid plans are not accepted in some states
Cost
The cost of treatment with Workit Health varies based on the specific program and whether you’re paying out of pocket or using insurance. Below is an overview of current self-pay pricing:
Opioid Use Disorder Program (Self-Pay):
- Sign-up fee: $15
- Initial appointment: $90
- Ongoing subscription: $75 per week (billed monthly at $300)
Alcohol Use Disorder Program (Self-Pay):
- Sign-up fee: $100
- First month: $150
- Ongoing subscription: $150 per month
If you’re using insurance, your copay and out-of-pocket expenses may be significantly lower depending on your specific plan.
Visit our full review of Workit Health for more details on cost.
Overview
Workit Health is an online MAT program that provides a wide range of services, including medication-assisted treatment, dual-diagnosis services, and recovery coaching. Workit Health treats several forms of addiction, including opioid use disorder, and alcohol use disorder. Workit health is available in Arizona, Florida, Illinois, Michigan, Montana, New Jersey, New Mexico, Ohio, Oklahoma, and Texas.
Workit Health’s care teams include psychiatrists, therapists, and recovery counselors, offering personalized support. Patients can choose one-on-one sessions with licensed mental health professionals or participate in group therapy. Additionally, Workit Health provides nationwide recovery coaching for problematic behavior, including issues with compulsive gambling, sex, pornography, and disordered eating.
As for medication, Workit Health offers treatment for alcohol and opioid disorders. Most medications prescribed by Workit Health are covered by insurance, but final pricing is determined by the pharmacy, not Workit Health. Common prescriptions from Workit Health providers include:
- Naltrexone
- Suboxone
- Campral
A standout feature of Workit Health is its extensive library of online educational courses, covering topics like addiction, coping strategies, and recovery tools. This comprehensive and inclusive approach impressed our team, earning Workit Health the Best Overall MAT program title.
To learn more about this program, check out our in-depth review of Workit Health.
- Cost: $249 monthly
- Insurance Accepted: Yes
- Services: MAT for OUD/AUD/Stimulant Abuse; Therapy; Peer support
Eleanor Health is an online addiction treatment program that also offers therapy to treat both substance abuse and co-occurring mental health disorders. Winning the award for Best MAT for Dual-Diagnosis, Eleanor Health curates personalized treatment plans for patients with multiple diagnoses or presenting issues.
Pros & Cons
- Convenient and accessible medication-assisted treatment for addiction
- Offers several medications to assist with treating multiple substance use disorders
- Online and in-person treatment available in select states
- Includes psychiatry and therapy for co-occurring mental health issues
- Out-of-pocket costs depend on your location and provider availability
- Only available in eight states
- No monthly or annual flat rates or subscription options
- Not available to patients under the age of 18
Cost
The cost of care at Eleanor Health depends on your personalized treatment plan. The company accepts most major insurance providers and offers discounted rates for those paying out of pocket. For individuals without insurance, Eleanor Health’s self-pay program is available at $249 per month.
To learn more about pricing, read our full review of Eleanor Health.
Overview
Specializing in medication-assisted treatment (MAT) and therapy, Eleanor Health supports people with substance use disorders and co-occurring mental health conditions. Currently, Eleanor Health is only available in eight states: Florida, Louisiana, Massachusetts, New Jersey, New Mexico, North Carolina, Ohio, Texas, and Washington.
Understanding that addiction is often accompanied by mental health issues such as depression, anxiety, and PTSD, Eleanor Health offers a holistic approach to recovery. By combining medication and therapy from the outset, their program targets both addiction and mental health, aiming to support lasting sobriety.
Medication costs will depend on the specific prescription, dosage, and quantity needed. Many insurance plans cover these medications or require only a small copay. For those paying out of pocket, medication costs are separate from Eleanor Health’s monthly program fee. Common prescriptions from Eleanor Health providers include:
- Buprenorphine
- Naltrexone
- Vivitrol
- Suboxone
- Campral
- Chantix
Patients have access to various therapeutic options, including individual and group therapy, as well as family and couples counseling. This wide range of services ensures that your needs and the dynamics of your relationships are addressed during the recovery process.
To learn more about this program, check out our in-depth review of Eleanor Health.
- Cost: $50 per session
- Insurance Accepted: Yes
- Services: MAT for OUD/AUD/Stimulants/Tobacco; Therapy; Pharmacy
PursueCare stands out as a comprehensive program for MAT treatment and mental health care, seamlessly integrating addiction and mental health support. A key highlight is its in-house pharmacy, PursueCareRx, which streamlines the process of accessing medications tailored to each patient’s needs, ensuring truly personalized care. They offer treatment for many addictions and diagnoses, winning our award for the Best MAT for Multiple Addictions.
Pros & Cons
- Offers medication-assisted treatment (MAT) for multiple types of addiction, including opioids, alcohol, and tobacco
- Provides dual-diagnosis care for co-occurring mental health conditions
- Includes access to psychiatry & therapy
- Features an in-house pharmacy
- Offers financial aid
- Services are only available in six US states
- Not available for individuals under 18
Cost
Out-of-pocket costs for MAT services through PursueCare are $50 per session. The psychiatry plan is available for $85 per month, which includes a monthly visit with a psychiatrist and continued support from a dedicated case manager.
PursueCare accepts most major insurance plans, which can significantly lower your costs. Even without insurance, it remains one of the more affordable options for virtual mental health and addiction care.
Learn more about pricing in our full PursueCare review.
Overview
Starting with PursueCare is straightforward and designed to feel supportive from the beginning. The platform offers virtual care for substance use disorders, including medication-assisted treatment (MAT), therapy, and psychiatry for co-occurring mental health conditions. Services are available in select states and most major insurance plans are accepted. If you’re uninsured, self-pay options begin at $50 per session.
PursueCare prescribes medications such as Suboxone for opioid use, Naltrexone for alcohol dependence, and Chantix for tobacco cessation. These FDA-approved options can reduce cravings and withdrawal symptoms and help lower the risk of relapse. Services are available in Connecticut, Kentucky, Maine, New Hampshire, Ohio, and West Virginia.
Unlike many MAT-only programs, PursueCare also offers full psychiatry services. Their $85/month psychiatry plan includes medication management for a wide range of mental health concerns, whether or not addiction is involved. Therapy is also available, and clients can participate in individual or group counseling with licensed professionals. These services can be added as part of a recovery plan or accessed on their own by anyone seeking support.
To learn more about this program, check out our in-depth review of PursueCare.
Ophelia is a medication-assisted treatment for those struggling with opioid use disorder and common co-occurring conditions such as depression, anxiety, and insomnia. I chose Ophelia as the Best MAT for Opioid Use Disorder because of its comprehensive care model for online opioid addiction treatment.
Pros & Cons
- Quick and convenient access to MAT for opioid use disorder
- Accepts a wide range of major insurance plans
- Offers support for co-occurring conditions such as anxiety, depression, and insomnia
- 24/7 virtual access to triage nurses for urgent care needs
- Only available in select states
- Does not include therapy or counseling services
- Only treats opioid use disorder; other addictions are not covered
- Not available for individuals under 18
Cost
Ophelia costs $245 monthly. This plan does not include the cost of medication. Insurance is accepted, so costs may be lower. Ophelia does charge a $20 no-show fee for missed appointments.
To learn more about pricing, read our full review of Ophelia.
Overview
Ophelia offers online medication-assisted treatment (MAT) specifically for individuals with opioid use disorder. The service is available in select states and accepts many major insurance plans. Without insurance, the program costs $245 per month, not including the cost of medication. After a medical evaluation, a licensed clinician may prescribe Suboxone, which can often be picked up at a local pharmacy the same day as your initial virtual appointment.
Services are available in the following United States: Arizona, California, Connecticut, Florida, Maine, Maryland, Montana, New Jersey, New York, Pennsylvania, Texas, Vermont, Virginia, and Washington.
A key feature of Ophelia’s care model is its team of dedicated care coordinators. These professionals guide patients through every step of treatment, helping with scheduling, insurance questions, and pharmacy coordination. Many care coordinators have backgrounds in social work, psychology, or public health. For those interested in extra support, they can also help connect patients with individual or group peer support during recovery.
To learn more about this program, check out our in-depth review of Ophelia.
- Cost: $175 – $449 monthly
- Insurance Accepted: Yes
- Services: MAT for AUD; Therapy; Coaching
Ria Health is an MAT provider designed to support individuals with alcohol use disorder, whether their goal is to reduce drinking or achieve complete sobriety. Recognized as the top program for alcohol use disorder and mindful drinking, Ria stands out for its personalized approach, offering customized treatment plans that align with each person’s unique goals and needs.
Pros & Cons
- Provides medication-assisted treatment for alcohol use disorder and moderate drinking
- Treats co-occurring mental health conditions
- Available in all 50 states
- Offers recovery coaching from licensed mental health professionals
- Not available to patients under the age of 18
- Does not currently accept Medicaid or Medicare Advantage Plans
Cost
Ria Health’s pricing depends on your selected plan and whether you’re using insurance, with typical out-of-pocket costs ranging from $175 to $449 per month. The program accepts most major insurance providers, which can help lower costs significantly. For those without coverage, upfront fees may be higher before transitioning to monthly billing.
Visit our full Ria Health review for more details on pricing.
Overview
Ria Health offers a fully virtual medication-assisted treatment (MAT) program for individuals with alcohol use disorder (AUD). Available in all 50 states, the program includes personalized care plans, medication management, and recovery coaching—all accessible via app or personal device. Monthly costs range from $175 to $449, though many major insurance plans are accepted, potentially reducing out-of-pocket expenses.
Ria’s approach centers on FDA-approved medications designed to reduce cravings and ease withdrawal symptoms, including options like naltrexone, acamprosate, and gabapentin. Patients can also be treated for co-occurring conditions such as anxiety or depression. A notable option offered is The Sinclair Method (TSM), a science-backed strategy that blocks the brain’s reward system while drinking. If MAT is prescribed, medication is sent to the patient’s local pharmacy, and each member receives a Bluetooth breathalyzer to monitor their progress—both included in the program.
The program also features weekly one-on-one sessions with licensed recovery coaches who use evidence-based methods like CBT and Motivational Interviewing. Group support sessions are available as well, offering peer accountability and community. Progress is closely monitored using BAC readings, mental health assessments, and lab results. Ria recommends a minimum 12-month commitment to see lasting results, though some individuals may complete the program sooner based on their progress and goals.
To learn more about this program, check out our in-depth review of Ria Health.
Comparing Our Top Picks
Here’s a quick comparison of pricing, features, and availability for our top five picks.
Cost | $150 – $300 monthly | $249 monthly | $50 per session | $245 monthly | $175 – $449 monthly |
Accepts Insurance | |||||
Offers Dual-Diagnosis Services | |||||
Nationwide Coverage | |||||
Services Offered | MAT for OUD/AUD/Stimulant Abuse; Therapy; Peer support | MAT for OUD/AUD/Stimulant Abuse; Therapy; Peer support | MAT for OUD/AUD/Stimulants/Tobacco; Therapy; Pharmacy | MAT for OUD | MAT for AUD; Therapy; Coaching |
Cost | ||||
$150 – $300 monthly | $249 monthly | $50 per session | $245 monthly | $175 – $449 monthly |
Accepts Insurance | ||||
Offers Dual-Diagnosis Services | ||||
Nationwide Coverage | ||||
Services Offered | ||||
MAT for OUD/AUD/Stimulant Abuse; Therapy; Peer support | MAT for OUD/AUD/Stimulant Abuse; Therapy; Peer support | MAT for OUD/AUD/Stimulants/Tobacco; Therapy; Pharmacy | MAT for OUD | MAT for AUD; Therapy; Coaching |
Other Companies We Considered
While exploring the best online MAT treatment programs, we came across a few additional providers worth mentioning, though they didn’t make our main list. If the options highlighted above don’t meet your needs, here are three more online MAT providers to consider.
Cost: $25 per session w/ insurance; $100 per session w/o insurance
Insurance Accepted: Yes
Services: MAT for AUD; Therapy; Primary & Urgent Care; Moderated Support Groups; Community Forum
Learn MoreShow less
Monument is a virtual medication-assisted treatment (MAT) program designed for individuals looking to quit or reduce alcohol use. In addition to prescribing medications like naltrexone and disulfiram, the platform offers one-on-one therapy sessions and access to peer support groups. All therapists are licensed mental health professionals with expertise in addiction and alcohol recovery.
Two standout features include Monument’s moderated support group meetings and active community forums. The program operates in select states, accepts insurance, and offers several payment options. Sessions are billed per visit, with most insured members paying around $25 per appointment. Currently, Monument focuses exclusively on alcohol use disorder and does not treat other forms of addiction.
To learn more about this program, check out our in-depth Monument review.
Cost: $249 monthly
Insurance Accepted: Yes
Services: MAT for OUD
Learn MoreShow less
Bicycle Health is an online treatment program that provides medication-assisted treatment (MAT) for opioid use disorder (OUD), along with access to group therapy. For $249 per month (without insurance), patients receive virtual doctor’s visits, unlimited provider messaging, and guidance from a clinical support specialist. While the cost of medication is not included, some insurance plans are accepted, which may significantly reduce out-of-pocket expenses.
Each patient is paired with a clinical support specialist who helps with scheduling, billing, and treatment coordination. Bicycle Health also offers weekly, hour-long virtual support groups led by recovery coaches. These groups focus on key recovery topics like stress, triggers, and self-care, giving patients a space to check in and connect with others in similar situations.
To learn more about this program, check out our in-depth Bicycle Health review.
Cost: $249 monthly
Insurance Accepted: Yes
Services: MAT for OUD
Learn MoreShow less
Charlie Health offers MAT services for both teens and adults, making it a great option for anyone struggling with addiction. The services can prescribe Naltrexone and Suboxone for addiction care, along with offering intensive outpatient programming. One drawback, and the reason Charlie Health didn’t make our main list, is that its MAT services are only available to clients already enrolled in its virtual intensive outpatient program (IOP).
To learn more about this program, check our in-depth Charlie Health review.
Frequently Asked Questions
What is Medication-Assisted Treatment?
Medication-assisted treatment is a form of recovery care that provides both medication and counseling for those battling addiction. It’s often referred to as a “whole-person” approach to treating substance use disorders. Research shows that medication-assisted treatment can increase patients’ chances of remaining sober and reduce the risk of relapse and overdose.1
What Are the Benefits of Online Addiction Treatment Programs?
The following are some benefits of online addiction treatment programs:
- Access to medications to aid in managing cravings and reducing withdrawal symptoms
- Therapy and counseling to address underlying mental health symptoms
- Flexible appointment scheduling
- Convenience of receiving treatment without leaving your home
- More private than in-person treatment
- Easier to communicate with doctors, therapists, and addiction specialists through chat, text messages, and video calls
If you’ve tried in-person medication-assisted treatment or addiction therapy in the past and found it difficult to commit to a program due to busy schedules, lack of transportation, or because you live in a remote area without accessible care, an online medication-assisted treatment program could be a good fit for you.
What is the "Three-Day Rule" for Suboxone?
The “Three-Day Rule” is a federal regulation that permits healthcare providers, who are not specifically registered to treat opioid use disorder (OUD), to administer (but not prescribe) narcotic medications like Suboxone to patients experiencing acute withdrawal symptoms. This provision allows for administering a single day’s medication at a time, for up to 72 hours, while arrangements are made for the patient’s referral to appropriate treatment. Importantly, these 72 hours cannot be extended or renewed.11
ChoosingTherapy.com strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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Substance Abuse and Mental Health Services Administration. (n.d.). Medications for Substance Use Disorder. Retrieved from: https://www.samhsa.gov/medications-substance-use-disorders
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American Psychological Association. (2019, June 19). “Whole-Person Approach Needed to Solve Opioid Epidemic,” Says APA. Retrieved from: https://www.apa.org/news/press/releases/2019/06/whole-person-opioid-epidemic
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Greenstein, Luna. (2017, October 4). Understanding a Dual Diagnosis. National Alliance on Mental Health. Retrieved from: https://www.nami.org/Blogs/NAMI-Blog/October-2017/Understanding-Dual-Diagnosis
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National Institute on Drug Abuse. (2021, December). Medications to treat opioid use disorder research report. Retrieved from: https://nida.nih.gov/download/21349/medications-to-treat-opioid-use-disorder-research-report.pdf?v=99088f7584dac93ddcfa98648065bfbe
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Church, C. (2025, April 14). Workit health review: cost, pros & cons, & who it’s right for. ChoosingTherapy.com. Retrieved from https://www.choosingtherapy.com/workit-health-review/
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Church, C. (2025, May 14). Eleanor health review: cost, pros & cons, & who it’s right for. ChoosingTherapy.com. Retrieved from https://www.choosingtherapy.com/eleanor-health-review/
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Church, C. (2025, May 23). Pursuecare review: cost, pros & cons, & who it’s right for. ChoosingTherapy.com. Retrieved from https://www.choosingtherapy.com/pursuecare-review/
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Church, C. (2025, May 14). Ophelia review: cost, pros & cons, & who it’s right for. Choosing Therapy.com. Retrieved from https://www.choosingtherapy.com/ophelia-health-review/
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Church, C. (2025, April 11). Ria health review: cost, pros & cons, & who it’s right for. ChoosingTherapy.com. Retrieved from https://www.choosingtherapy.com/ria-health-review/
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Guarnotta, E. (2025, April 23). Bicycle health review: cost, pros & cons, & who it’s right for. ChoosingTherapy.com. Retrieved from https://www.choosingtherapy.com/bicycle-health-review
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Lieberman, A. (2025, May 23). Charlie health review 2025: cost, pros & cons, & who it’s right for. ChoosingTherapy.com. Retrieved from https://www.choosingtherapy.com/charlie-health-review/
We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: Melissa Boudin, PsyD (New author)
Medical Reviewer: Kristen Fuller, MD (New medical reviewer)
Primary Changes: Fact-checked all information for factual accuracy, along with improving readability. Updated pricing throughout (Workit Health: From “Depends on program & insurance” to $150 – $300 monthly; Eleanor Health: From “Depends on program & insurance” to $249 monthly; PursueCare: From $85 to $245+ monthly to $50 per session; Ophelia: From $195 monthly to $245 monthly; Ria Health: From $449.00 monthly to $175 – $449 monthly). Updated list order. Removed Bicycle Health from main list. Renamed Categories (PursueCare is now Best for Multiple Addictions instead of Most Personalized Pharmacy Services).
Author: Melissa Boudin, PsyD (New author)
Medical Reviewer: Kristen Fuller, MD (New medical reviewer)
Primary Changes: Fact-checked all information for factual accuracy, along with improving readability. Updated pricing throughout (Bicycle Health: From $199 monthly to $249 monthly.) Reordered to move Ophelia and Ria Health higher on the list.
Author: Melissa Boudin, PsyD (New author)
Medical Reviewer: Kristen Fuller, MD (New medical reviewer)
Primary Changes: Complete rewrite of article. Fact-checked all information and reconsidered/made changes to the recommendations list based on research and product testing. Updated where necessary to improve factual accuracy and readability. Companies removed from list: Monument. Companies added to list: None.
Author: Randi Sprintis, MS (No change)
Medical Reviewer: Benjamin Troy, MD (No change)
Primary Changes: Complete revamp of overall style; updated logos for all companies.
Author: Randi Sprintis, MS
Original Medical Reviewer: Benjamin Troy, MD
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