Self pay drug rehabs are programs which don't accept private, federal or state medical insurance. Because nearly half of the population doesn't have medical insurance at the moment, self pay drug rehabs are often the best option if someone else needs help for substance abuse. Having to self pay for alcohol and drug treatment can seem to be overwhelming, because most individuals have very little resources left after having exhausted them during the course of their drug or alcohol abuse. If it is true, there are certain varieties of payment assistance that self pay drug rehabs can provide so that individuals in need don't get turned down. A sliding scale fee is one type of payment assistance, which determines exactly what the individual will in the end pay at a self pay rehab according to certain variables, including their income if any, the number of dependents they have, as well as other circumstances that helps treatment counselors see how much assistance they need. Therefore, those who really need rehab along with their families ought not feel disheartened about having to self pay for treatment, and should work vigilantly with rehabilitation counselors in a self pay rehab to come up with a productive solution to pay for treatment which is just an a few logistics.