It is not uncommon for people engaged in substance abuse to exhaust all resources on their addiction. When it comes time to get help in a Kapaau drug treatment program, there may be no money remaining to pay for such treatment. If the person is not covered by private health insurance in Kapaau, Hawaii, they will need to self pay in order to receive rehab services. Self pay implies that the individual 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 treatment, potential treatment clients can work with treatment counselors to find out 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 decided based on each individual's personal situation which can include household income and other potential sources of income.