While paying for drug and alcohol rehab in Italy can be a large obstacle to overcome, self payment is often the only choice and most drug and alcohol rehab facilities in Italy acknowledge this reality. Many drug and alcohol addicted individuals don't have the luxury of private health insurance, because most end up losing such insurance because of substance abuse. These individuals will most certainly not be able to acquire any kind of health coverage, and will be forced to self pay for their services. Drug and alcohol rehab centers in Italy will often work with individuals when self payment is the only possibility, so inquire to see what help can be worked out to bring the cost of treatment down to a cost which can be easily taken care of. Families will work together to make pay for treatment if self payment is the only choice, and families may consult with rehab facilities in their area to see what assistance if any can be offered to enable drug or alcohol addicted people start rehab.