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How to Get Into Rehab if You Don’t Have Insurance

How to Get Into Rehab if You Don’t Have Insurance

Long term addiction can cause you serious problems; more than just the obvious health issues, an inability to work may leave you in a difficult financial position, and you may not have health insurance or any funding to allow you to pay for the rehabilitation program you need to recover.

However, there are solutions, and not having health insurance does not mean that you will not get into rehab. There are a number of possible options to finance a rehab program.

Why is rehab important?

You may feel that you don’t need rehab, and that you can quit drugs at any time without assistance; sadly, this is all too often the case. The way that drugs change your body through addiction will often take away you control, leaving you unable to quit without assistance.

Effectively recovering from drug or alcohol abuse will require professional support, not just for the physical effects of the addiction, but also the psychological issues.

You may feel that you have the strength to give up drugs alone by going ‘cold turkey’ and just stopping taking drugs; however, scientific research has shown this may make your addictions worse. In experiments it was found the addictive drive was stronger after a period of abstinence alone.[1]

What does rehab cost?

There is no one set price for treatment, and the costs vary greatly according to the type of treatment and the provider. However, the following will give you an idea of what the costs could be if you were not covered by insurance.[2]

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Type of Treatment Cost
Residential Treatment: Staying onsite at a specialized facility. Treatment may include one-on-one psychotherapy, group therapy, 12-step meetings, medication therapy, and other holistic approaches like yoga and mindfulness. $0 – $80,000 per month
Outpatient Treatment: Outpatient centers offer the same types of treatment as residential programs; however, as you don’t stay overnight, you can more easily continue to work or attend school while still fulfilling your treatment plan. c. $2,000 per month
Sober Living Homes: Previously known as Halfway-houses. These are live-in, drug-free living environments that offer peer support for recovery and long-term sobriety. $450 – $10,000 per month
Cognitive Behavioral Therapy (CBT): A common psychotherapeutic treatment for a variety of mental illnesses, including anxiety and mood disorders, as well as addiction. CBT focuses on questioning and changing negative and unproductive thoughts and beliefs in order to stop the triggers, behavior, and underlying emotions that contribute to mental illness and addiction. $100 per hour

c. $400 – $800 per month

Family And Couples Therapy: Sometimes called multidimensional family therapy, or MDFT, it is structured so that every member of the family has a voice. With the guidance of a professional therapist, the goal is to improve the interworking of each family’s relationships and their home life. $75 – 200 per hour

c. $300 – $1,600 per month

Drug Therapy: Medication can be used to help ease symptoms of withdrawal, and to prevent cravings that can lead to relapse. $21 – $1,000 per month

Possible options for funding rehab

There are a number of options to allow you to get the funding you need for treatment. One single option may not offer what you need, and you may need to combine more than one route to funding:

  • Loans or finance
  • State-funded treatment
  • Borrow or raise money
  • Grants
  • Medicaid
  • Scholarships

Loans or Finance

You should not give up hope if you are experiencing financial difficulties, or have no insurance. Many rehab providers understand the situation faced by people who have been suffering with addiction, and there are ways in which you can be supported.

Many providers may offer you a loan or finance offer, which will allow you to undergo the rehab you require, safe in the knowledge that you will have an affordable payment plan in the future. Generally, you will not start having to pay until you have completed your rehab.

Some credit card companies will offer deferred interest rate healthcare credit cards specifically for medical related expenses, including substance and mental health treatment. However, most providers will require you to have a good credit score; on average you would need a credit score of at least 640. If you do not have this you may do better to look at other options.

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State-Funded Treatment

Another available option is to use a state-funded treatment center. They are organizations that are funded by the state to support people who require rehab, but who do not have adequate insurance to cover commercial centers.

Funding for state-funded centers is limited, so there is likely to be a waiting list for a treatment program. The waiting time can vary from a month to over a year and a half depending on the state you are in.

However, if you can wait, this is an option for accessing healthcare professionals who can help you to recover.

Borrow or Raise Money

Can you borrow the funds you need from family, or perhaps raise money by selling items you have? You may be reluctant to ask your family for money; however, they may well be willing to help you if you are looking to work on a path towards recovery. Your family could pay all or part of your treatment costs as a gift, or a loan. If you have any savings, you could use these to pay for treatment; again, you may be reluctant, but you are taking a step which will improve your life, and if you recover you will not be spending money on alcohol or drugs.

The other option is to see if you have anything of value you could sell to go towards the cost of treatment. Getting yourself to a better place is a vital thing to do, and you should look for any sacrifices you can make to improve yourself and your life.

Grants

A potential option is to contact the Substance Abuse and Mental Health Services Administration (SAMHSA), which provides grants to help fund your treatment if you cannot pay for your treatment because you have inadequate insurance coverage.

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There are details of the process you need to follow to obtain grants on the SAMHSA website.

Medicaid

Medicaid is a federal government program administered by your state. It provides payment for medical services for people who have low income, or who are unemployed. To qualify, you need to meet the income levels set by the government.

There are a number of rehab centers that will accept Medicaid patients. The funding is paid directly to your provider, and you may be asked pay a small part of the cost of treatment. This co-payment requirement is dependent on state rules.

There are numerous requirements that must be met to be eligible for funding; these may include your age, whether you are pregnant, disabled or blind; your income and any savings you may have or items you could sell to fund treatment is also considered. You are required to be a U.S. citizen or a lawfully admitted immigrant.

If you have a low income and are in one of the eligibility groups, you should apply for Medicaid.

Scholarships

There are some organizations that offer scholarships for people with low incomes. You should contact your chosen rehab provider to see if you are eligible for a scholarship. A number of providers can offer scholarships, and it is worth contacting your providers to see if they can support you, and if you meet their scholarship requirements.

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Low-cost or Free Options

There are also some low-cost, or even free options available to you via a range of organizations, including Alcoholics and Narcotics Anonymous. These offer self-help support groups where there is peer support, often following the 12-Step program.

12 Step Program

A twelve-step program is used to support recovery from addiction or compulsion. It was initially created by Alcoholics Anonymous in their 1939 book, Alcoholics Anonymous: The Story of How More Than One Hundred Men Have Recovered from Alcoholism. The twelve step program has now been adopted by a number of organizations based on the original 12 steps:[3]

  1. We admitted we were powerless over alcohol—that our lives had become unmanageable.
  2. Came to believe a Power greater than ourselves could restore us to sanity.
  3. Made a decision to turn our will and our lives over to the care of God as we understood Him.
  4. Made a searching and fearless moral inventory of ourselves.
  5. Admitted to God, to ourselves, and to another human beings the exact nature of our wrongs.
  6. Were entirely ready to have God remove all these defects of character.
  7. Humbly asked Him to remove our shortcomings.
  8. Made a list of all persons we had harmed, and became willing to make amends to them all.
  9. Made direct amends to such people wherever possible, except when to do so would injure them or others.
  10. Continued to take personal inventory, and when we were wrong, promptly admitted it.
  11. Sought through prayer and meditation to improve our conscious contact with God as we understood Him, praying only for knowledge of His will for us and the power to carry that out.
  12. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics, and to practice these principles in all our affairs.

Individuals are often supported through the steps by a sponsor, a more experienced person who has gone through the process and can provide peer support.

The 12 step program is a well respected process, however only about 3% of people suffering from alcoholism and attending Alcoholics Anonymous involved in a study found recovery results without relapse from the 12-step programs treatment.[4] However, they can be used alongside or following other treatment to provide a peer network and ongoing support which may prevent future relapse for individuals.

Reference

[1] Professor Moshe Szyf: McGill University and Bar Ilan University
[2] Cost of Treatment: https://www.addiction.com/get-help/loved-one/paying-treatment-for-loved-one/
[3] Bill W. (June 2001). “Chapter 5: How It Works”
[4] Robert B. Cutler “Are alcoholism treatments effective? The Project MATCH data” BMC Public Health

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Last Updated on January 21, 2020

The Best Way to Create a Vision for the Life You Want

The Best Way to Create a Vision for the Life You Want

Creating a vision for your life might seem like a frivolous, fantastical waste of time, but it’s not: creating a compelling vision of the life you want is actually one of the most effective strategies for achieving the life of your dreams. Perhaps the best way to look at the concept of a life vision is as a compass to help guide you to take the best actions and make the right choices that help propel you toward your best life.

your vision of where or who you want to be is the greatest asset you have

    Why You Need a Vision

    Experts and life success stories support the idea that with a vision in mind, you are more likely to succeed far beyond what you could otherwise achieve without a clear vision. Think of crafting your life vision as mapping a path to your personal and professional dreams. Life satisfaction and personal happiness are within reach. The harsh reality is that if you don’t develop your own vision, you’ll allow other people and circumstances to direct the course of your life.

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    How to Create Your Life Vision

    Don’t expect a clear and well-defined vision overnight—envisioning your life and determining the course you will follow requires time, and reflection. You need to cultivate vision and perspective, and you also need to apply logic and planning for the practical application of your vision. Your best vision blossoms from your dreams, hopes, and aspirations. It will resonate with your values and ideals, and will generate energy and enthusiasm to help strengthen your commitment to explore the possibilities of your life.

    What Do You Want?

    The question sounds deceptively simple, but it’s often the most difficult to answer. Allowing yourself to explore your deepest desires can be very frightening. You may also not think you have the time to consider something as fanciful as what you want out of life, but it’s important to remind yourself that a life of fulfillment does not usually happen by chance, but by design.

    It’s helpful to ask some thought-provoking questions to help you discover the possibilities of what you want out of life. Consider every aspect of your life, personal and professional, tangible and intangible. Contemplate all the important areas, family and friends, career and success, health and quality of life, spiritual connection and personal growth, and don’t forget about fun and enjoyment.

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    Some tips to guide you:

    • Remember to ask why you want certain things
    • Think about what you want, not on what you don’t want.
    • Give yourself permission to dream.
    • Be creative. Consider ideas that you never thought possible.
    • Focus on your wishes, not what others expect of you.

    Some questions to start your exploration:

    • What really matters to you in life? Not what should matter, what does matter.
    • What would you like to have more of in your life?
    • Set aside money for a moment; what do you want in your career?
    • What are your secret passions and dreams?
    • What would bring more joy and happiness into your life?
    • What do you want your relationships to be like?
    • What qualities would you like to develop?
    • What are your values? What issues do you care about?
    • What are your talents? What’s special about you?
    • What would you most like to accomplish?
    • What would legacy would you like to leave behind?

    It may be helpful to write your thoughts down in a journal or creative vision board if you’re the creative type. Add your own questions, and ask others what they want out of life. Relax and make this exercise fun. You may want to set your answers aside for a while and come back to them later to see if any have changed or if you have anything to add.

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    What Would Your Best Life Look Like?

    Describe your ideal life in detail. Allow yourself to dream and imagine, and create a vivid picture. If you can’t visualize a picture, focus on how your best life would feel. If you find it difficult to envision your life 20 or 30 years from now, start with five years—even a few years into the future will give you a place to start. What you see may surprise you. Set aside preconceived notions. This is your chance to dream and fantasize.

    A few prompts to get you started:

    • What will you have accomplished already?
    • How will you feel about yourself?
    • What kind of people are in your life? How do you feel about them?
    • What does your ideal day look like?
    • Where are you? Where do you live? Think specifics, what city, state, or country, type of community, house or an apartment, style and atmosphere.
    • What would you be doing?
    • Are you with another person, a group of people, or are you by yourself?
    • How are you dressed?
    • What’s your state of mind? Happy or sad? Contented or frustrated?
    • What does your physical body look like? How do you feel about that?
    • Does your best life make you smile and make your heart sing? If it doesn’t, dig deeper, dream bigger.

    It’s important to focus on the result, or at least a way-point in your life. Don’t think about the process for getting there yet—that’s the next stepGive yourself permission to revisit this vision every day, even if only for a few minutes. Keep your vision alive and in the front of your mind.

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    Plan Backwards

    It may sound counter-intuitive to plan backwards rather than forwards, but when you’re planning your life from the end result, it’s often more useful to consider the last step and work your way back to the first. This is actually a valuable and practical strategy for making your vision a reality.

    • What’s the last thing that would’ve had to happen to achieve your best life?
    • What’s the most important choice you would’ve had to make?
    • What would you have needed to learn along the way?
    • What important actions would you have had to take?
    • What beliefs would you have needed to change?
    • What habits or behaviors would you have had to cultivate?
    • What type of support would you have had to enlist?
    • How long will it have taken you to realize your best life?
    • What steps or milestones would you have needed to reach along the way?

    Now it’s time to think about your first step, and the next step after that. Ponder the gap between where you are now and where you want to be in the future. It may seem impossible, but it’s quite achievable if you take it step-by-step.

    It’s important to revisit this vision from time to time. Don’t be surprised if your answers to the questions, your technicolor vision, and the resulting plans change. That can actually be a very good thing; as you change in unforeseeable ways, the best life you envision will change as well. For now, it’s important to use the process, create your vision, and take the first step towards making that vision a reality.

    Featured photo credit: Matt Noble via unsplash.com

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