It is not unusual for individuals involved in substance abuse to expend all resources on their addiction. When it is time to get help in a Hilo drug rehab facility, there may be nothing remaining to pay for such treatment. If the individual is not covered by private health insurance in Hilo, Hawaii, they will need to self pay in order to obtain treatment services. Self pay implies that the person will need to come up with the money to pay for the costs of drug rehab, costs which will vary depending on the treatment option which is being considered. If the self pay option is the only way to pay for drug treatment, prospective treatment clients can work with treatment counselors to find out if any payment assistance can be offered in the form of a reduced rate or sliding scale fee. These options for self pay clients are typically determined based on each individual's personal situation which can include household income as well as other possible financial resources.