Self pay drug rehabs are programs which don't accept private, federal or state medical health insurance. Because nearly half of the population doesn't have health insurance currently, self pay drug rehabs are sometimes the only option if somebody needs help for drug use. Being forced to self pay for drug and alcohol treatment can feel overwhelming, since most individuals have very little resources left after having exhausted them during their drug or alcohol abuse. If this is true, there are particular varieties of payment assistance that self pay drug rehabs can provide so that individuals in need of assistance don't get turned away. A sliding scale fee is one type of payment assistance, which determines what the individual will in the end pay at a self pay rehab determined by certain variables, such as their income if any, the number of dependents they have, along with other circumstances which will help rehab counselors see how much assistance they need. Therefore, those who desperately need rehabilitation and their families must not feel disheartened about being forced to self pay for treatment, and should work vigilantly with treatment counselors at a self pay rehab to create a workable solution to fund treatment which is just an a few logistics.