How will I find treatment that is affordable?
The Behavioral Health Treatment Services Locator provided by the Substance Abuse and Mental Health Services Administration provides payment information for each of the treatment services listed, including information on sliding fee scales and payment assistance. You should select the “substance use facilities” section and you can enter a zip code. If you find it difficult to navigate or prefer to talk on the phone, you can call the treatment helpline at 1-800-662-4357 or 1-800-487-4889 (TTY). You can also go to the "Frequently Asked Questions" section for more information (See the question "Where can a person with no money and no insurance get treatment?"). In addition, to ask about treatment centers that offer low- or no-cost treatment, you can also contact your state behavioral health agency—many states offer help with payment for substance use treatment.
Note that the Mental Health Parity and Addiction Equity Act ensures that co-pays, deductibles, and visit limits are generally not more restrictive for mental health and substance use disorder benefits than they are for medical and surgical benefits. The Affordable Care Act builds on this law and requires coverage of mental health and substance use disorder services as one of ten essential health benefits categories. Under the essential health benefits rule, individual and small group health plans are required to comply with these parity regulations. For more information on the Affordable Care Act, you can call 1-800-318-2596 or go to https://www.healthcare.gov/.
When you research payment options, be sure you are speaking to people familiar with the new rules (old websites and pamphlets will not necessarily be accurate.)
A note on health insurance for veterans: If the person needing treatment is a veteran or is covered by health benefits for veterans, the U.S. Department of Veterans Affairs (VA) can help you find VA services near you. Visit the VA Substance Use Disorder Program Locator to do your search.
If I seek treatment, I am worried that other people will find out. How do I keep it quiet?
You can tell your employer or friends you need to go on medical leave. If you talk to your doctor or another medical expert, privacy laws prevent them from sharing your medical information with anyone outside of the health care system without your permission. In addition, most health care providers who specialize in addiction treatment can't share your information with anyone (even other providers) without your written permission. For more information on how your private medical information is protected by law, read the HHS information on Health Information Privacy (HIPAA) and the substance use confidentiality regulations (PDF, 388KB).
In certain cases—when health professionals believe you might be a danger to yourself or to others, the provider may be able to share relevant information with family members. Here is more information on when it is appropriate for the clinician to share protected information.