Addiction treatment is not cheap. It does not matter what price a person ends up paying for treatment services, they are not cheap services. There is almost always therapy staff to pay as well as overhead costs. If there is a medical detox involved then the costs jump up considerably. Nurses and doctors are necessary to properly run a detox, and you generally have to have at least nurses on staff 24/7. So that is a huge amount of overhead right there as well.
So even if you attend rehabilitation for free, it is still not cheap. There are always costs involved. Keep that in mind; that the services are never truly “free.” Someone has to pay for them, it might just not be you.
So the amount that you pay for rehab services will likely depend on your exact situation and where you live. Let’s look at some examples.
Say that you have Medicare coverage. You can probably go to treatment and be covered in full by the Medicare, but you will be limited as far as what rehabs you can attend. They require a hospital based facility.
Likewise, say that you have Medicaid coverage. Again, you can probably go to treatment and be covered in full, but not every rehab center will accept Medicaid coverage. And, if you happen to have both Medicaid and Medicare, then you will also be somewhat limited in where you can go, because the Medicare coverage is primary over the Medicaid, and so you will be faced with any of the Medicare restrictions.
That said, if you happen to have government insurance or health coverage, then getting help for your addiction is generally affordable or outright “free.”
Now let’s imagine that you have regular health insurance, the kind that is provided by an employer. These would be things such as Aetna, BCBS, Priority Health, Cigna, and so on. Depending on the plan that you have, you may or may not be well covered for treatment. The trend seems to be towards less coverage though and more copays and more coinsurance costs passed on to you. I have seen dozens of people who came into rehab with good health insurance, only to find out that they would have to pay thousands of dollars out of their pocket in order to stay for even a week or two in rehab.
Depending on the country or state that you live in, it can actually be a lot better to NOT have any insurance if you are in need of rehab services. For example, if you are in many states in the US, you can sometimes qualify for state funding to go to rehab if you do not have any insurance at all. These are monies set aside for people to get help in treatment who would not otherwise have any way to pay for it at all.
Finally, you might be able to get into a long term treatment service if it is set up to help homeless people and is thus funded by tax dollars. There might also be similar rehabs that are part of churches, and are thus funded by donations rather than by client payment.
It is not an unusual problem for addicts and alcoholics to be out of money and to have no insurance. Most addict and alcoholics lose their job eventually if they have one, and thus they typically do not have insurance from a job. It is tougher and tougher to get put on government insurance these days so some people are just sort of slipping through the cracks.
It is not realistic for anybody to pay cash for treatment services, as the cost is generally between 400 and 1,000 dollars per day. A short stay in detox and residential will typically run at least 10 days, and that is considered to be really short.
Affordable treatment and rehab does exist, the key is to explore your options and find out what help is available to you at what cost. You might have to apply for state funding in order to get the help that you need.
It all sounds like a lot of hassle, but it is definitely worth it if you can turn your whole life around and get clean and sober.