For some people, the cost of rehab and finding out whether or not their health insurance will pay for it is one of the most stressful aspects of early recovery, both detox and after. Most rehabs are notoriously cagey anout how much they charge – they like you to ring first and talk to them about admission stuff – this is a classic sales hook that unfortunately the majority of rehabs use.
Hazelden, one of the main treatment centers providers, say that they estimate a cost of between $25000 and $30000 for a twenty eight day stay in one of their facilities. A few rehabs that do give make their charges public seem to indicate a similar figure. It is probably a fair assumption to usea working figure of $30000 for a twenty eight / thirty day stay in a residential rehab or treatment center.
There is also the so called luxury rehab market, rehabs often based in Malibu, where a similar period of treatmnet can cost upwards of $80000 for a similar residential stay.
Rehab and Health Insurance
Most rehabs , like hospitals , gear their costing towards health insurance, and use this as a marketing technique in their business model. There are a few things to be wary about.Insurance companies seem to work with rehabs on the basis of agreeing cover for the initial detox , if needed , and then for a few days afterwards.
The insurance company will then agree coverage with the rehab for a further bock of days , and do this on a rolling basis until they reach the twenty eight day / thirty day limit . The reason this is important is because if the insurance company declines to continue cover at any point during that period, either the client becomes liable for the remainder of the cost, or will have to leave rehab as soon as cover expires.
This is potentially damaging to the client for two main reasons. It creates uncertainty in the process, even if the client stays. If the client has to leave early, it distorts the whole recovery program, which will be geared to a twenty eight / thirty day regimen, with a structured discharge and aftercare program as an integral part of the program.
Health Insurance Costs
Even if the residential stay is covered by insurance, there are potentially other costs that need to be taken into account.A rehab may have an arrangement with a local hospital to oversee a medical detox, depending on the initial alcohol and drug assessment.
This may even include staying in the hospital itself for afew days. Check the detox arrangements of the rehab, and make sure all costs , including cost of medications are covered under the insurance plan.
Like all claims made under a health insurance policy, you will also probably have to pay any deductible and co-insurance charges that apply to the policy. If your employer pays for your health insurance, check with the rehab and / or insurance company the position regarding confidentiality both during and after rehab.
As with any health issue, but particularly with respect for treatment for alcoholism or other addictions, it is crucially important that there is clarity as to what the employer is told and by whom. This is also really important if the job or profession is one where an admission of a problem with alcohol or drugs could have a significant impact on their future career.
It is also important in this regard that anyone entering rehab is aware of any legal, moral or professional obligation they may have to tell their employer of their position. It may be appropriate in certain circumstances for them to take legal counsel prior to entry.
Rehab Costs – Additional
The figure quoted above is of $30000 for a twenty eight / thirty day residential stay in a rehab. Whatever the actual cost turns out to be, there will be additional charges or extras to consider. These are normally for things like additional medication and additional therapies, depending on what staff are employed at the rehab
It is just important to clarify at the outset with the rehab what additional costs, if any, there might be and agree them prior to to admission. Often a Christian rehab will charge less for long term accomodation, but it is likely to have conditions attached to it,
Health Insurance and Rehab Credit
Somr rehabs offer their own credit facilities, which should operate on similar terms to other financial institutions. If looking to borrow money from anyone to go into rehab, this should only be done as an absolutely last resort, and all other options should be considered carefully first.
Many many people get clean and sober by going straight to meetings of Alcoholica Anonymous and Narcotics Anonymous, which are completely free. This should certainly be tried first by anyone considering borrowing money to pay for rehab.
When someone is looking for a rehab that is 12-step orientated, what they are normally looking for is a rehab that bases part of its treatment recovery program on the 12 step program of Alcoholics Anonymous.
Many rehabs that effectively advertise themselves as being 12 step rehabs do not actually follow the 12 step program of Alcoholics Anonymous, but do use a certain number of the steps, although the way they are interpreted by the rehab is normally quite different to the way they are interpreted by the book Alcoholics Anonymous.
A rehab is likely to either offer what it refers to as the first five steps in the program of Alcoholics Anonymous, or possibly the first three steps in this program.
There are some rehabs that describe themselves as step one rehabs, and these rehabs effectively use the concept of step one in the Alcoholics Anonymous recovery program as the focus for their addiction treatment work, which is likely to focus on the basics of the AA recovery approach.
There are also a significant number of people who look to a rehab that is not 12-step based. The approach that many rehabs will take is to offer a number of principles that they consider helpful, which may include different types of therapy, group and individual, as well as a number of what are referred to as alternative therapies.
These types of alternative therapies can include areas such as yoga, tai chi, meditation, art therapy, horse therapy etc.
REHAB – 12 STEP
These rehabs can certainly help people, the problem tends to be around proving the clinical effectiveness of the work they offer, which is harder to do than those rehabs that are 12-step focused, which also tend to include inclusion of current medical thinking and practice concerning addiction.
Rehab that are 12 step focused will also include a heavy commitment that clients or participants in the treatment center program attend meetings of torso fellowships such as Alcoholics Anonymous and Narcotics Anonymous.
There is normally a requirement that people tend a minimum number of meetings a week.
This is viewed as an important part of their recovery process whilst in treatment, and a hope that it will encourage people to attend meetings and become part of alcoholics anonymous once they leave rehab, as a major part of their after-care program.
Some rehabs also offer their own after-care program, offering ongoing support online, and with often an annual get-together at the rehab for any previous participants who are interested in attending.
The idea of a medical detox can be quite a scary one for anyone who is involved in active alcoholism and is afraid of stopping drinking at all, let alone having to manage the withdrawal effects of alcohol and/or any other drugs that they may be coming off.
Anyone stopping drinking who is an alcoholic is likely to have a significant level of fear about the reality of living a life without alcohol.
This may lead them to a deep form of denial about having a problem and a defence of their drinking and the need to protect their drinking from other people trying to stop them.
This is a large part of the denial of active alcoholism and one of the reasons many alcoholics will drink for significant periods of time before they begin to realise they may have a problem.
The majority of rehab is residential and offers addiction treatment programs for people who are alcoholics or addicted to very types of drugs will virtually always offer or advise some type of detox.
There are a number of rehabs who will insist that the individual has a detox before they come into rehab, but they are in the minority. The majority of rehabs will either offer a detox themselves, or have arrangements with a local clinical facility to oversee and manage the detox on their behalf.
What is important for anyone entering a rehab is that the rehab has a clear understanding of the individuals own situation, in terms of their active alcoholism and their use of drugs, both description and non-prescription and for how long.
Part of the job of a rehab is to be able to undertake a risk assessment of the individual to see whether a medical detox is needed, and in order to do this it needs to employ a number of qualified medical and clinical staff who have extensive experience of alcoholism and drug addiction who can oversee such an assessment.
If such a detox is needed, and is done in the rehab, then the rehab needs to make sure that it has on-site clinical staff to manage the detox in a safe and secure manner.
The effects of a detox can vary widely, depending upon the individual’s alcoholism and drug use. Irrespective of the actual symptoms of withdrawal, the individual may well have additional fears about what such a withdrawal may involve.
Having a detox take place in a secure and safe environment can help to allay such fears, especially if there are other people around who are sober and moving forward with their lives who have also been through something similar and can help give support to the individual based on that inexperience.
An alcohol addiction is virtually always referred to as alcoholism, although sometimes other terminology is used such as alcohol dependence or the term alcohol addiction itself. In truth the terminology used to define an alcohol addiction is secondary to the reality of what such an addiction does to the individual, their families and the surrounding people in their lives.
An alcohol addiction or alcoholism is difficult to define, but is quite easy in a sense to understand if you are heavily affected by it and have the clarity to understand what is happening. One of the features of alcoholism or alcohol addiction is that often the alcoholic themselves and the people closest to them are in complete denial of the fact that there is a problem, or that any of the individuals concerned need help.
It is worth making the point that there is a difference between someone who is an alcoholic, and someone who is a very heavy drinker but not necessarily an alcoholic. To some people this may be a bit of a pointless difference to make, but it is important in terms of the individual and their need to understand what is happening to them.
Someone who is a heavy drinker, who has an alcohol addiction may well have serious problems in their lives as a result of their drinking, but is likely to be able to stop or cut down significantly on their own, albeit with a considerable amount of difficulty and hard work.
Alcohol Addiction – Alcoholism
Someone who is an alcoholic, either potential or full-blown is unlikely to be able stop on their own, or often have the desire to stop or cut down at all. The framework of Alcoholics Anonymous as a 12-step fellowship makes very clear that an individual who cannot stop can get help and achieve sobriety through meetings of Alcoholics Anonymous, either by going to meetings directly or through exposure in a rehab.
Alcohol addiction should be seen as a serious medical condition, and anyone contemplating stopping drinking or cutting down quickly should seek medical help and advice prior to beginning the process of stopping.
This is simple because the withdrawal effects of alcohol, especially if the individual is using other substances as well, can have serious complications, both medical and mental for the individual, and as such a medically supervised detox is often recommended.
In any event an individual should be assessed by a qualified medical doctor as to whether a medical detox is needed or not. Alcohol addiction is a serious condition, and the appropriate help should be sought by the by the individual or their families at the earliest opportunity.
Any individual who has a problem with alcohol or is an alcoholic who is seeking treatment for an alcohol addiction or alcoholism, is faced with a number of different options, and they can often be a degree of confusion as to which is the best approach to take.
Historically the most effective form of alcohol treatment, in fact in many ways the only treatment for alcoholism has been the 12 step Fellowship of Alcoholics Anonymous. Over time treatment centers and rehabs have grown hugely, and have in many ways become an alternative short-term option to people going directly to meetings of Alcoholics Anonymous.
Any individual who has acknowledged that they have a problem with alcohol and needs help, has these two main options to consider.
Many will prefer the idea of a rehab largely because it is normally a secluded environment that can avoid the necessity of directly approaching Alcoholics Anonymous. A rehab is often thought of much more in terms of a clinical facility such as a hospital, where people go to get help for alcoholism and other types of addiction.
The majority of rehabs and treatment centers are highly supportive of Alcoholics Anonymous and encourage individuals who are resident in a rehab to attend meetings of Alcoholics Anonymous both both whilst in rehab, and as a means of after-care and support once they have left.
It is also very likely that the rehab will have based its addiction treatment programs and therapeutic approach to helping the alcoholic on the principles contained in the 12 step programme of Alcoholics Anonymous.
Alcohol Treatment – Alcoholics Anonymous.
An individual can also go directly to meetings of Alcoholics Anonymous without any necessity of going to a rehab at all. This has a number of advantages, not least in terms of cost as meetings of Alcoholics Anonymous are free, although there is normally a collection at meetings to cover the cost of rent, tea and coffee et cetera. Any contribution is completely voluntaryand anonymous and normally beneath one dollar per meeting.
When people look for the best alcohol treatment or the most effective alcohol treatment, they tend to want statistics as to which approach of the two mentioned above or any other is the most effective.
The reality is that there are no meaningful statistics that can prove which is the most effective, in large part because so much of the process of recovery from alcoholism is dependent upon the individual and their attitude to their own illness as opposed to any particular type of recovery process or recovery method.