Self pay drug rehabs facilities which don't accept private, federal or state health insurance. Because up to 50 % of the population doesn't have health care insurance at this time, self pay drug rehabs are often the only option if someone else needs help for substance abuse. Being forced to self pay for alcohol and drug treatment can seem to be overwhelming, because most individuals have little resources left after having used them throughout their drug or alcohol abuse. If this is true, there are specific types of payment assistance that self pay drug rehabs can offer to ensure that individuals in need don't get turned away. A sliding scale fee is one type of payment assistance, which determines what the individual could eventually pay at the self pay rehab according to certain variables, including their income if any, how many dependents they have, as well as other circumstances that helps treatment counselors decide how much assistance they need. Therefore, those who need treatment in addition to their families should not feel discouraged about the need to self pay for rehab, and should work vigilantly with rehabilitation counselors at a self pay rehab to get a workable solution to cover treatment which is just a matter of logistics.