Pelago for Health Plans & PBMs

The behavioral health system built for how you evaluate coverage

Acuity-matched behavioral health, proven first in substance use, backed by 14 peer-reviewed studies (including two RCTs) and claims-validated actuarial review. Built to work inside your network, not around it.

Trusted by plans and PBMs

  • 0 of 4

    Largest national health plans

  • 0 of 4

    Largest PBMs

  • 0

    Peer-reviewed studies

  • 0

    RCTs

Designed for the way health plans and PBMs already do business

Health Plans

Strengthen your behavioral health offering, nationally and regionally

Resell Pelago to your sub-clients, close the substance use and mental health gaps in your network, and back it with claims-validated outcomes your actuaries can verify. Already in-network with 2 of the 4 largest national plans and regional Blues plans.

Pharmacy Benefit Managers

Bring formulary-ready behavioral health to your members

Featured on leading digital health formularies, and partnered with 3/4 largest PBMs, Pelago fills your gap for acuity-matched care.

The payer-native behavioral health partner

The only digital SUD vendor with both an RCT and claims-validated actuarial review

16 peer-reviewed studies, including two randomized controlled trials, plus the Aon 2026 Actuarial CEM showing $11,829 PMPY reduction and 5.66× ROI. This is the evidence bar reimbursement and contracting decisions require.

Case Studies

Everyone's different and everyone is in a different part of their journey. Pelago has met a need that wasn't satisfied in the market prior where they can actually take somebody no matter where they are in the stage of their journey.

Tammy Fennessy

Director of Benefits

Four steps to a fully integrated partnership

Integrate

Deep integrations across formularies, pharmacy MTM, care navigation, and case management, so members flow to Pelago without disrupting your existing systems.

And members love it

I would without hesitation recommend Pelago to anybody that wants to make even a small change in their life.

Steve

Pelago Member

At first, the idea of using AI for my mental health, I had a little bit of reluctance about it. But after using Sona, I'm a believer.

Matthew

Pelago Member

[Pelago's] been a really great and active, consistent support, and that consistency and stability has meant quite a lot.

Lee

Pelago Member

There's more to life than drinking and going out. Since starting my life isn't as centered around alcohol. Having the support system ... having my counselor has been the change that I needed.

Crystal

Pelago Member

My relationship with alcohol is now more intentional and on my own terms ... So I feel a lot happier and healthier and more in control

Tressy

Pelago Member

If anyone I knew was trying to quit, I would point them in this direction.

Nicholas

Pelago Member

I would definitely recommend this program. I'm grateful I took that leap of faith ... here I am 10 times better.

Andrea

Pelago Member

The app is a beginner-friendly way of looking into addiction, keeping track of yourself, keeping yourself accountable.

Sean

Pelago Member

I took every single one of Sona's recommendations, and I worked on it. I feel overall so much better.

Sharyn

Pelago Member

  • I would without hesitation recommend Pelago to anybody that wants to make even a small change in their life.

    Steve

    Pelago Member

  • There's more to life than drinking and going out. Since starting my life isn't as centered around alcohol. Having the support system ... having my counselor has been the change that I needed.

    Crystal

    Pelago Member

  • I would definitely recommend this program. I'm grateful I took that leap of faith ... here I am 10 times better.

    Andrea

    Pelago Member

  • At first, the idea of using AI for my mental health, I had a little bit of reluctance about it. But after using Sona, I'm a believer.

    Matthew

    Pelago Member

  • My relationship with alcohol is now more intentional and on my own terms ... So I feel a lot happier and healthier and more in control

    Tressy

    Pelago Member

  • The app is a beginner-friendly way of looking into addiction, keeping track of yourself, keeping yourself accountable.

    Sean

    Pelago Member

  • [Pelago's] been a really great and active, consistent support, and that consistency and stability has meant quite a lot.

    Lee

    Pelago Member

  • If anyone I knew was trying to quit, I would point them in this direction.

    Nicholas

    Pelago Member

  • I took every single one of Sona's recommendations, and I worked on it. I feel overall so much better.

    Sharyn

    Pelago Member

  • I wanted to be more healthier. I wanted to be here for my kids. I just wanted to live a long, prosperous life with my family.

    Lamistie

    Pelago Member

  • I don’t drink during the week anymore. I used to drink every single day, Sunday through Saturday.

    Bettina

    Pelago Member

  • I like being self-paced, and with Pelago, I feel like I can set my own schedule.

    Sydney

    Pelago Member

  • My quality of life and just my quality of living [has] gotten so much better since using Sona because I've been able to ease my OCD and anxiety, where before it was consuming me.

    Grace

    Pelago Member

  • I can open up the app at any time and do a little bit of meditation or do a journal entry to make sure that I’m staying on track.

    Stacey

    Pelago Member

Frequently asked questions