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Paying for Treatment — A Plain-Language Guide to Insurance, Medicaid, and Your Options

Written by: Content Marketing Team

For families ready to take the courageous step of seeking help for addiction, one question often looms larger than any other: “How can we possibly afford this?” The assumption that high-quality treatment is financially out of reach is one of the most common and powerful barriers preventing people from getting the life-saving care they need. This fear, while understandable, is often based on misinformation. 

The reality is that the landscape of healthcare funding has changed dramatically. Thanks to legislative reforms and a growing recognition of addiction as a medical disease, treatment is more accessible and affordable than ever before. 

The Data That Dispels the Affordability Myth 

The 2024 N-SUMHSS from SAMHSA paints a clear picture of a system designed to be accessible [1]. 

Payment Type Accepted by SU Facilities  2021  2024
Cash or self-payment  90.5%  89.9%
Private insurance  75.2%  78.3%
Medicaid  73.2%  77.8%
Medicare  45.2%  52.6%
Federal military insurance  40.3%  46.9%

Perhaps the most surprising and hopeful statistic is this: 46.3% of all substance use treatment facilities offer treatment at no charge or for a minimal payment to clients who cannot afford to pay. The narrative that treatment is only for the wealthy is demonstrably false.

Navigating Your Insurance Benefits 

For the nearly 80% of facilities that accept private insurance, understanding your benefits is the key to unlocking your coverage. The Mental Health Parity and Addiction Equity Act (MHPAEA) of 2008 is a crucial piece of federal legislation that generally requires health insurers to provide the same level of benefits for mental health and substance use treatment that they do for medical and surgical care. The best first step is to call a treatment provider’s admissions department—they are experts in this process and can typically verify your benefits for you, often within a few hours, at no cost. 

Discovery Point Retreat: Making Premier Care Accessible 

At Discovery Point Retreat, we are deeply committed to removing the financial barriers that stand in the way of recovery. We are proud to be in-network with a wide range of major private insurance providers, and our dedicated admissions team is highly skilled at working with insurers to maximize your coverage and minimize your out-of-pocket costs. We will conduct a free and confidential benefits verification, clearly explain your coverage, and work with you to create a financial plan that you are comfortable with. 

Call our admissions team at 855-245-4127 for a free, no-obligation insurance verification and a confidential conversation about your path to recovery. 

Source: Substance Abuse and Mental Health Services Administration. (2025). National Substance Use and Mental Health Services (N-SUMHSS) 2024: Data on Substance Use and Mental Health Treatment Facilities (Publication No. PEP25-07- 013). 

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Reviewed By: Donnita Smart, LCDC Executive Director - Ennis
Donnita Smart is the Executive Director of Discovery Point Retreat with over a decade of leadership experience in addiction treatment and recovery services. She holds a Bachelor of Science in Social Work from the University of North Texas at Dallas and is a Licensed Chemical Dependency Counselor, with a proven track record in managing multi-site programs, regulatory compliance, and strategic growth. Donnita leads with compassion, accountability, and collaboration, driving programs that support lasting recovery for individuals and families.