Self pay drug rehabs are programs which don't accept private, federal or state health care insurance. Because up to 50 % of the population doesn't have health care insurance right now, self pay drug rehabs are often the best option when someone needs help for substance abuse. Having to self pay for alcohol and drug treatment can appear overwhelming, because most individuals have little resources left after you have exhausted them throughout their drug or alcohol abuse. If this describes the case, a number of types of payment assistance that self pay drug rehabs can offer so that individuals in need of assistance don't get turned away. A sliding scale fee is one sort of payment assistance, which determines exactly what the individual will in the end pay at the self pay rehab determined by certain variables, such as their income if any, what number of dependents they've got, and other circumstances that helps rehabilitation counselors figure out how much assistance they require. Therefore, those who desperately need rehabilitation and their families should not feel discouraged about having to self pay for treatment, and really should work vigorously with rehab counselors in a self pay rehab to come up with a workable solution to fund treatment which is only a couple of logistics.