It is not uncommon for individuals engaged in substance abuse to expend all resources on their addiction. When it comes time to get help in an Appalachia, Virginia drug treatment program, there may be no money left to cover the costs of such treatment. If the person is not covered by private health insurance in Appalachia, Virginia, they will need to self pay in order to receive treatment services. Self pay implies that the person will need to come up with the resources to pay for the costs of drug treatment, costs which will vary depending on the treatment option 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 discounted rate or slide scale fee. These payment assistance options for self pay clients are typically determined based on each individual's circumstances which can include personal income and other possible financial resources.