It is not unusual for people engaged in substance abuse to deplete all financial resources on their addiction. When it is time to get help in a Madera, California drug treatment program, there may be nothing left to pay for such treatment. If the individual is not covered by private health insurance in Madera, they will need to self pay in order to obtain rehab services. Self pay implies that the individual will need to come up with the money to cover the costs of drug rehabilitation, costs which can vary depending on the rehabilitation option which is being considered. If the self pay option is the only way to pay for drug rehab, prospective treatment clients can work with treatment counselors to determine if any payment assistance can be offered in the form of a reduced rate or sliding scale fee. These payment assistance options for self pay clients are usually decided based on each individual's personal situation which can include household income and other potential sources of income.