How to Pay for Addiction Treatment
For families seeking help for a loved one, how to cover the cost of drug addiction treatment is often first question.
With so many options available and little guidance in terms of how best to navigate the options, it’s easy to let the cost be the deciding factor.
Addiction can be a bankrupting experience for many families, and so for many, financial strain may make the decision to get treatment a difficult one. But the good news is that even if money is tight, your family doesn’t have to forego effective and comprehensive treatment for you or your loved one. There are a number of affordable options as well as resources to pay for treatment costs.
Using Health Insurance to Cover Rehab
If you have health insurance, the current law provides that you will have coverage for addiction treatment and mental health treatment that is comparable to the treatment provided for physical ailments. This means that you will have coverage for all care that is deemed necessary by your physician, but it does not specify any details. That is, exactly what portion of the cost is covered or what is defined as “medically necessary” will vary widely.
In many cases, health insurance providers will cover the cost of the most basic outpatient treatment services, but may need some interaction from your doctor to cover inpatient treatment, long-term maintenance medications, and some holistic treatment services that support ongoing sobriety.
There may also be a time limit. For example, your health insurance policy may cover inpatient treatment for fewer than 30 days but cover the cost of outpatient treatment for several months. Every company and every policy is different. If you can prove that you have a medical need for a specific treatment with the help of your doctor then you should be able to get some portion of the costs covered minus deductibles and copays.
If you do not have health insurance, it may be less expensive to secure a policy and use it to pay for the costs of treatment than it would be to pay for the entire bill out of pocket. Take your time and explore your options, taking care to find out what addiction treatment services are covered and in what amount, copays that are relevant, deductibles that may apply, and how the policy handles other related issues such as long-term therapeutic care and detox or maintenance medications.
Choosing Treatment Wisely
Depending on the limitations of your insurance policy, you may be faced with choosing between paying a large sum out of pocket and agreeing to a less intensive treatment program. It is important to note that less intensive does not necessarily translate into less effective.
Substance use disorders occur on a spectrum, and for some people, outpatient treatment services are appropriate. For many, an intensive outpatient treatment that allows them to continue working and to live at home with the heavy support of a treatment community is ideal. For those who do not have a safe and sober place to live, who struggle with intense mental health issues, and/or who have lived for years, if not decades, in active addiction, inpatient drug rehab is the best choice.
Though it is absolutely not a good idea to choose a less intensive program due to the lower price tag if it is not ultimately going to be effective, take some time to discuss options with your doctor to determine what is truly necessary for you to build a solid foundation in recovery.
Other Ways to Pay for Addiction Treatment
Health insurance does not always cover the entire cost of treatment. Many people find that their need for treatment doesn’t line up with the services covered by their plan. Others may not have insurance at all. Fortunately, there are other ways to access treatment that don’t involve insurance:
- Government-funded programs: There are often funds available in the state or city budget for covering the cost of treatment for certain populations or for providing a specific group or service. Find out what is happening in your community and if there is something that would fit your needs.
- Savings: Though there may not be a lot of extra money in the savings account, you may consider the option of cashing out some savings that may be earmarked for other things. Vacation funds, college funds, retirement, and other options may be a good choice depending on your financial situation.
- Sales: It may be easier and more appropriate to sell some items you have at home. Whether it’s a big ticket item like a car or exercise equipment you have in the house or it means holding a garage sale to unload unneeded clothes and house items, it can give you some cash in hand to start dealing with the treatment costs.
- Friends and family: Those who are close to your family may want nothing more than to support your family in the recovery process. You can create a Go Fund Me page that gives those who are interested in contributing a way to help out or create a contractual loan with a family member who has the means to provide significant support.
- Sliding scales and scholarships. Some treatment programs make treatment more accessible by offering either sliding scales (adjusted cost based on income) and scholarships for eligible patients.
- Loans and financing: Options for loans and financing are widely available. Speak to potential treatment facilities to see what their financing options are or investigate outside loans.
Waiting Is Not an Option
When someone you love suffers from a substance use disorder in the family, don’t let finances keep you from getting help. Every day spent actively using drugs and alcohol can result in more emotional and physical harm. If you are unsure about how to begin to navigate the financial aspect of rehab, contact us today at to speak with an admissions navigator about your options.