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Paying for Alcohol Care Without Private Coverage
Without a private plan, alcohol care in Ohio may run through a board-funded program. In general, the sliding-scale fees are based on an individual's income.
People seeking a sliding scale payment option are usually asked how much they earn or what their family income is.
A person without private coverage in Ohio can look into several options.
- Apply for Medicaid or other health insurance.
- Look for a therapist who has low-cost rates for alcohol treatment. These may be called sliding-scale fees, which means the rate is adjusted based on income.
- Try to find a board-funded program. These provide services in many counties throughout Ohio.
Medicaid is a state and federally funded health insurance plan that covers the medically necessary services of people who do not have other means of payment.
Some Ohio alcohol rehabilitation facilities offer sliding-scale fees based on income.
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How County ADAMH Boards Fund Local Services
The boards serve 88 counties.
The continuum of care consists of prevention services; early intervention; treatment and rehabilitation for individuals whose lives have been disrupted by alcohol or drug addiction; and recovery supports which help sustain an individual in long-term abstinence.
The ADAMHS Board contracts with several agencies that provide addiction treatment, recovery support and prevention services.
Board funded care is provided by private agencies and organizations that contract with the board. Treatment may include:
- Detox programs
- Residential treatment
- Outpatient treatment
- Recovery support groups
Publicly-funded services include both inpatient and outpatient services.
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Getting Onto Ohio Medicaid
Someone applying for Ohio Medicaid coverage must meet specific eligibility requirements.
To apply for Medicaid benefits, complete an application online through the Ohio Benefits Self-Service Portal.
Ohio Medicaid membership can include behavioral health services such as: mental health counseling; family therapy or psychotherapy sessions; and medications to treat mental illness or substance use disorder.
The state provides two ways of accessing services through Ohio Medicaid:
- Through a managed care plan. Managed care plans provide behavioral health benefits, as well as physical health and dental care.
Ohio’s Medicaid program covers a broad range of medical services, including behavioral health treatment services.
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Who Local Board Funding Reaches First
Outreach language in the continuum points boards toward connecting with people who haven't been engaged or who can be better engaged.
To the extent resources are available, boards establish a continuum of care.
The Block Grant is a tool that helps local ADAMH/MHRS Boards achieve their statutory mission and provides a framework for allocating limited resources among all areas of priority service needs.
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Questions to Raise With a Program Ahead of Admission
Someone comparing alcohol programs before intake can ask program representatives these questions to help narrow down their choices:
- What are the costs, including room and board?
- What services are included?
- Is this a residential or outpatient treatment program?
- How long is this program? Are there variations based on needs?
- Will they provide follow-up support after the patient leaves?
A person weighing programs before admission often asks the following:
- How much does it cost? (This includes both covered and uncovered costs.)
- Is there an application fee or deposit for services?
Some centers have different fees for alcohol rehab without insurance or for those who are self-paying than for patients with insurance.
Who owns the treatment center or facility where the services will take place?
How are staff members paid? Are they paid by salary or commission?
Does the program have a sliding scale fee for lower-income people?
How many days will the program last? Is there flexibility in the length of stay?
What are the costs of treatment? The cost of addiction treatment varies considerably depending on the types of services needed. A patient’s level of care needs also varies, but in general:
Hospital-based programs and residential or inpatient facilities charge for each day of service.
Outpatient programs may bill by the week or month (with different rates depending on how many days per week a person attends sessions).
Individual providers are paid by each hour of time spent.
Treatment plans can vary from one program to another, as well as within different levels of care at the same facility.
Some people prefer to go to an addiction rehab center with others, even if it means being far from home. Others prefer to be close to friends or family members for support in their recovery, and may choose a treatment program closer to home.
Depending on the type of treatment program, it may take weeks or months to complete. This depends on the severity of an addiction and other factors that may affect one's recovery.
Treatment costs vary based on several factors: length of stay, intensity and complexity of care, location and program philosophy.
Some programs accept insurance. Others have sliding scales for patients who don't have insurance.
Cost is just one factor to consider when selecting a treatment center.