Paying for drug treatment in Appalachia, VA. can be a big hurdle to deal with, and self payment is very often the only choice that potential clients have and most alcohol and drug rehabilitation centers realize this situation. Most drug addicted people don't have the luxury of private health insurance, due to the fact many will have lost such insurance in the course of their addiction. These potential clients will most often be unable to get more health insurance, and will have to self pay for their rehab. Drug treatment programs in Appalachia, VA. will often work with individuals when self payment is the only choice, determine what help can be provided to bring the cost of treatment lower to a cost which can be feasible. It is not uncommon for families to help make financial arrangements if self payment is the primary choice, and loved ones may consult with rehab centers around them to determine what assistance if any may be possible to help addicted persons begin rehabilitation.