Side by side
| Program | Ages | Treats | Where | Schedule | Insurance |
|---|---|---|---|---|---|
| Charlie Health | 8 to 64 | Mental health; substance use for teens and adults | 42 state pages | 10+ hours a week, groups 3 days, morning, afternoon or evening | In network, 600+ plans |
| Pathlight At Home | 12 and up | Mental health (mood, anxiety, trauma, OCD) | "Nationwide"; 17 state pages | 3 days a week, 3 hours a day | In network with major commercial plans |
| The Meadows Outpatient | Adults | Mental health and addiction tracks | AZ, CA, CO, GA, IL, NV, TX | 15 hours a week, 3 or 4 days, morning and evening | In network incl. BCBS, Aetna, Cigna, UHC |
| Clear Behavioral Health | Adults | Mental health | California | 3 hours a day, 3 days a week, 8 to 12 weeks | In network incl. Anthem, Aetna, Blue Shield CA, Cigna |
| Embark | 12 to 35 | Mental health led | 19 states and DC | 3 hours a day, Mon to Thu, 4 to 10 PM ET | Accepts insurance; network status not published |
| Recovery Centers of America | Adults | Substance use and dual diagnosis | 11 states | Not published | In network with 80+ carriers |
| Bend Health | 7 to 25 | Mental health | Not published | 9 group hours a week over 3 days | Single case agreements or cash |
| The Ridge | Adults | Mental health; dual diagnosis track | Not published | 3 evenings, 5:30 to 8:30 PM | Most commercial plans, Medicare |
| Shift Support Network | 18 and up | Mental health nationwide; substance use in California | All 50 states and DC | 15 hours a week, Mon to Fri, 5:30 to 8:30 PM PT | Out of network with PPO plans; free benefit check |
How to choose
- Age: teen programs and adult programs run different groups. Check the age range first.
- Your state: the clinician must be licensed where you are during sessions.
- Your hours: pick group times you can keep for 8 to 12 weeks.
- Your plan: in network costs less on most plans. Out of network can work on PPO plans with an out-of-network benefit. Ask for the number in writing first.
- Substance use: confirm the program treats it in your state, not only mental health.
Where Shift fits
Shift is for adults who keep working: groups every weekday evening, 15 hours a week, by video, Joint Commission accredited for telehealth. It is out of network, so it fits PPO plans with an out-of-network benefit and does not take Medicaid, Medicare or Kaiser. If an in-network program near you fits your schedule, that is usually cheaper. Details: virtual IOP explained, Charlie Health alternative, IOP cost, virtual PHP.
Facts as published by each provider, checked October 28, 2026. Programs change; confirm with the provider.