In 2019, the National Survey on Drug Use and Health estimated that more than 20 million Americans over the age of 12 suffered from a substance use disorder (SUD) within the past year. Unfortunately, fewer than 21% of these individuals received treatment for their condition.1 One of the main reasons people are unable to receive the treatment they require is the financial burden of treatment. Many people with drug or alcohol addictions do not have healthcare or the funds to cover rehabilitation.1
Fortunately, there are state-funded drug and alcohol treatment facilities that are able to provide affordable or no-cost treatment to some low-income individuals or people with no health insurance.
Substance use disorders (SUDs) are chronic but treatable brain conditions that impact our behaviors. Like with many other types of chronic illness, individuals suffering from addiction may experience periods of remission and relapse, with relapses signaling a potential need for additional treatment or adjustments to existing recovery efforts.2
For those who are looking for treatment but are struggling to find ways to afford it, state-funded treatment facilities may be an option. There are several ways that states are provided with funding to combat drug and alcohol addiction among those who cannot afford to pay for treatment on their own or with the help of insurance. For example, states may access funding provided through:3
Both Medicare and Medicaid are government-funded programs that provide healthcare coverage and assistance, respectively. While frequently confused, they are different services:4
Not all rehabilitation centers accept Medicaid or Medicare. People shouldn’t be discouraged by this, as there are often other treatment options available for people on these government-funded programs seeking drug and alcohol rehabilitation, including inpatient and outpatient care.
The minimum coverage provided through Medicaid and Medicare varies between states and individuals should check with their healthcare providers and a rehab facility before they commit to any facility.
The Affordable Care Act (ACA) is a healthcare act enacted in 2010. This act expands access to healthcare and provides additional rights and protections.5 Included in its provisions is the inability for healthcare companies and government-funded healthcare to refuse treatment based on any pre-existing conditions, including addiction and other mental health issues.6, 7
ACA marketplace plans cover mental and behavioral health treatments, including substance abuse rehabilitation. The specific level of coverage provided varies depending on the state and the particular plan chosen; however, ACA insurance generally covers:8
The ACA also prevents charging clients at a different rate for substance use and mental health treatment than for other healthcare treatment.8
Eligibility requirements for state-funded rehabilitation programs vary depending on the state. Generally, these requirements are very strict. These facilities may also prioritize service for people from certain demographics such as pregnant or single mothers: individuals with severe addictions to needle drugs; and people with infectious diseases, such as HIV/AIDS or tuberculosis, etc.9, 10
Unfortunately, low or no-cost treatment for drug and alcohol rehabilitation is in high demand and therefore spaces in inpatient or outpatient facilities are often very limited. Because of this, many of the people accepted in these treatment programs may have to be on a waiting list for periods lasting weeks or months.11
The Substance Abuse and Mental Health Services Administration (SAMHSA) provides the Behavioral Health Treatment Services Locator on their website, a helpful tool for locating rehab facilities across the United States.
They also provide a directory for Single State Agencies (SSA) for Substance Use Services, which shares the contact information for the state government agencies that coordinate and provide addiction treatment services to those who are uninsured or low income. State agencies can provide info about government-funded treatment centers where individuals might qualify for treatment.
State-funded and private rehabs both function in many of the same ways and have the same goal. Not all state-funded or private facilities are the same, but there are some key differences that often exist between state-funded and private facilities.
While the programs may differ, both state-funded and private rehab facilities provide effective treatment that helps patients address their problematic substance use and start working toward recovery.
American Addiction Centers (AAC) provides quality SUD treatment and is dedicated to helping all who are dealing with alcohol or drug addiction. If you are unsure about the steps you need to take to pursue treatment, call one our admissions navigators today, at 1-888-509-8965 Who Answers? . They will be able to provide you with confidential, in-depth information that can help you start on your path toward recovery.
If you do have insurance, and you are wondering what it covers, click here, or fill out the form below.
Addiction is a serious and chronic mental health issue. However, with the right treatment—often a combination of behavioral therapies and medications, when appropriate—many people are able to achieve long-lasting recovery.2
Both private and state-funded rehabilitation are valuable options to have. The right tool depends on the needs of the individual seeking treatment.