Self pay drug rehabs are programs which don't accept private, federal or state health insurance. Because up to 50 % of the population doesn't have medical health insurance at this time, self pay drug rehabs are often the best option if someone else needs help for drug use. The need to self pay for drug and alcohol rehabilitation can seem to be overwhelming, because most individuals have very little resources left after you have used them during the course of their alcohol or drug abuse. If this describes the case, a number of varieties of payment assistance that self pay drug rehabs can offer in order that individuals in need of assistance don't get turned down. A sliding scale fee is one sort of payment assistance, which determines just what the individual may ultimately pay at a self pay rehab determined by certain variables, such as their income if any, the number of dependents they have, and also other circumstances that helps treatment counselors determine how much assistance they need. Therefore, individuals who desperately need rehabilitation in addition to their families should not feel disheartened about the need to self pay for rehab, and should work vigilantly with treatment counselors in a self pay rehab to get a workable solution to fund treatment which is just a matter of logistics.