Eleanor Health

What Eleanor Health does

Eleanor Health is a virtual-only addiction treatment program that combines medication for addiction treatment (MAT), therapy with licensed counselors, and peer support from people in recovery, all delivered online. Founded with a focus on accessibility and judgment-free care, the company serves people recovering from opioid addiction, alcohol use disorder, methamphetamine addiction, and prescription drug misuse. Eleanor treats this as a medical condition, not a moral failing, and builds treatment around each person's actual starting point rather than requiring abstinence upfront.

How you get care

Treatment starts with a free, confidential intake call that takes about 10 minutes and involves no commitment. During this call, Eleanor's team asks about your situation and determines whether the program is a fit. If it is, you schedule a first virtual appointment with a medical provider.

Most people are seen within about 2 days, depending on availability and insurance coverage. Your first appointment lasts 30 to 40 minutes. You'll meet with a medical provider who asks about your background, your goals, and what's happening right now, and you'll leave with a customized treatment plan tailored to your specific needs, not just a follow-up appointment.

What happens after depends on your plan. Appointments can include therapy with a licensed counselor, prescription refills for medications like Suboxone, peer coaching from someone with lived recovery experience, health coaching, and ongoing support. All appointments happen virtually through a secure platform, and you can do your entire treatment from home, including getting prescriptions filled at your own pharmacy. Eleanor emphasizes that you don't have to be substance-free to start treatment. A lot of people aren't when they first call, and that's okay. Your care plan is built around where you are right now and changes with you as things shift.

Peer support is a core part of Eleanor's model. The company works with trained recovery peers who have been through their own journeys. They're part of your care team and bring something a clinician can't always offer: the experience of having been in a similar place. A lot of members say it's one of the most valuable parts of their care. The program combines medical care, therapy, and recovery support to create personalized treatment plans around goals you set, even if the goal is not abstinence. Eleanor describes its approach as harm reduction and whole-person recovery, acknowledging that addiction often stems from past trauma or related behavioral or physical health conditions.

What the pages prove

Eleanor currently accepts members in 19 states: Arizona, Colorado, Florida, Georgia, Idaho, Illinois, Louisiana, Massachusetts, Missouri, Nevada, New Jersey, New Mexico, North Carolina, Ohio, Oklahoma, Pennsylvania, Texas, Washington, and Wisconsin. Services are available remotely from anywhere in the state.

The conditions Eleanor treats are opioid addiction, alcohol use disorder, methamphetamine addiction, and prescription drug misuse. Each treatment plan includes medical care, therapy, and recovery support tailored to your needs. The company states that Suboxone may be prescribed for opioid use disorder when it's the right clinical fit for you, and it's an FDA-approved medication. The program also emphasizes that "at Eleanor, medication is always paired with counseling and support, because the prescription alone isn't the full picture."

The company publishes outcomes from its members: 82% report a reduction in substance cravings, 83% of members' most recent urine screening met their goals, and 77% report a reduction in depression. Eleanor notes that these "reflect real outcomes from Eleanor Health members receiving treatment."

Insurance coverage is available. Many insurance plans, including Medicaid, cover addiction treatment through Eleanor. The company verifies your coverage before your first appointment at no cost to you, so you know exactly where you stand before anything starts. All virtual visits happen through a secure, confidential platform, and the company follows HIPAA requirements. Nobody finds out you're in treatment unless you tell them.

Eleanor's facilities in multiple states are CARF accredited, with accreditations listed for Louisiana, North Carolina, New Jersey, Massachusetts, Ohio, Texas, and Washington.

What Eleanor does not publish

Eleanor does not publish specific pricing for its services. This is common among telehealth addiction treatment programs that rely primarily on insurance billing. The company asks you to verify your insurance coverage through a call or online check, but there's no displayed cost for uninsured or out-of-pocket patients. If you're paying cash or have a high deductible, you won't know the per-appointment or monthly cost without calling.

The company does not provide detailed information about what happens if you switch providers within the program or how that process works. It also doesn't specify the typical length of treatment or how long most people stay in the program. The FAQ notes that "it's different for everyone and there's no set timeline," but no sense of average duration or common trajectories is given.

Eleanor doesn't specify whether therapists and medical providers are employees or independent contractors, and it doesn't list the specific credentials of providers (though it mentions working with licensed therapists and medical providers). The company also doesn't detail its medication options beyond Suboxone for opioid use disorder, whether other MAT options like methadone or buprenorphine-only formulations are available isn't specified.

Who it fits

Eleanor is built for people who are ready to try treatment but concerned about time or judgment. If you work a full-time job or care for family and can't take weeks away, virtual care that works around your schedule is the core appeal. If you've tried to cut back or moderate many times and keep ending up back at square one, Eleanor's philosophy that you don't have to be abstinent to start and that harm reduction is legitimate might feel like permission to try something different.

It's a fit if you have insurance or if cost barriers are your main concern and you want to explore what your plan covers. It's also designed for people who feel ashamed or judged and need a program that explicitly frames addiction as a medical condition. The outcome data (82% reporting reduced cravings) suggests it works for people using the medications and peer support together.

Eleanor doesn't work for people in states it doesn't serve or for those who can't access video appointments. It's also not a fit if you need medical detoxification in a medical setting or inpatient residential treatment, which Eleanor doesn't provide, it's outpatient only. Someone with severe co-occurring mental health conditions might need a higher level of care than an outpatient virtual program can provide.