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Does a sliding-scale fee cover rehab?

A sliding-scale fee means the price depends on your income and other factors. FindTreatment.gov lets programs report that they offer one, and more than half of substance use treatment facilities said they do in SAMHSA's 2022 survey.

This is general information, not a guarantee of coverage. What your plan pays depends on your plan, your state, whether the program is in network, and whether your plan decides the care is medically necessary. Call the number on your card, then the program, before you start.

What it usually covers, by level of care

Level of careWhat to expect
Detox (medically managed withdrawal)Less common. Most medical detox is billed to insurance or paid in full, so ask.
Residential rehabSome publicly funded programs set fees by income. Others have a small number of reduced-fee beds.
Partial hospitalization (PHP)Some community programs scale the fee by income.
Intensive outpatient (IOP)More common here than in residential care, especially at nonprofits and community clinics.
Outpatient therapy and medicationThe most common place to find one, especially at nonprofit and community clinics. Federally funded health centers must offer a sliding fee to patients with low incomes.

How to check

  • Ask what you would pay a session or a day, and what proof of income to bring.
  • Ask whether the fee scale applies to every service or only to counseling.
  • SAMHSA's National Helpline, 1-800-662-4357, can refer you to programs with a sliding-scale fee and to your state's publicly funded treatment.

Call a program and ask

Call the program and ask them to verify your benefits; it's free and takes a few minutes.

  1. Do you accept a sliding-scale fee for substance use treatment, and for which levels of care?
  2. Are you in network for my exact plan, and is prior authorization needed?
  3. What would I pay a day or a week, and when is the next opening for an assessment?

Call the program yourself: Find Care doesn't take your insurance details, collect your name or pass anything to a program for you. This is general information, not a guarantee of coverage. What your plan pays depends on your plan, your state, whether the program is in network, and whether your plan decides the care is medically necessary. Call the number on your card, then the program, before you start.

Sources to check this against: FindTreatment.gov: paying for treatment · SAMHSA: free and low-cost treatment · SAMHSA: 2022 national survey of treatment facilities (payment options) · HRSA: health centers' sliding fee discounts. Written by Find Care as general information; not reviewed or endorsed by any of them.

Programs that list a sliding-scale fee

Counted by organization, only where at least 3 list it. Not every program that takes a sliding-scale fee says so publicly.

Check my insurance Find your fit

If you are in crisis, call or text 988. For help finding treatment, SAMHSA's National Helpline is 1-800-662-4357.

Find treatment near you

Detox, residential, outpatient, medication treatment and sober living across Texas, Louisiana, Oklahoma, Arkansas, Missouri, Kansas, Mississippi, New Mexico, Colorado, Arizona, Tennessee, Kentucky and Alabama. Pick a city, then call a program directly.

Not sure where to start? SAMHSA's National Helpline is free, confidential and open 24/7: 1-800-662-4357. In a crisis, call or text 988. In an emergency, call 911.

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Get help now: find treatment near you

Get help now

Find programs near you, then call them directly. Their numbers are on every listing.

Not sure where to start? SAMHSA's National Helpline is free, confidential and open 24/7: 1-800-662-4357. In a crisis, call or text 988. In an emergency, call 911.