It is not uncommon for people involved in substance abuse to expend all resources on their addiction. When it comes time to get help in a Madison, WV. drug treatment program, there may be nothing remaining to cover the costs of such treatment. If the addicted individual is not covered by private health insurance in Madison, WV., 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 resources to cover the costs of drug rehab, costs which can vary depending on the treatment type which is being considered. If the self pay option is the only way to pay for drug rehabilitation, potential 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 options for self pay clients are typically determined based on each individual's circumstances which can include household income and other potential sources of income.