Top 27 Alcohol & Drug Rehab Centers in South Carolina & Free Treatment Resources

Whether you go to an inpatient or outpatient program

If the facility has luxury amenities or special services

The duration of treatment.

If your insurance plan covers some or all of the costs

Where the rehab is located

Medicaid
Medicaid is a government insurance program that each state offers in partnership with the federal government. States administer programs individually, so there are differences from state to state. In South Carolina, the Medicaid program is called Healthy Connections.³
 
You may be eligible for Healthy Connections if your income is at or below the federal poverty level. You may also qualify if you are pregnant, caring for young children, or have certain disabilities or health conditions. South Carolina partners with insurance companies to administer Medicaid plans. The plans all cover rehab, but you will need to speak to your insurance provider to learn more about your benefits, including which facilities you can use.

Medicare
Medicare is a federal government health insurance program for people age 65 and older, people with certain disabilities, and people with certain health conditions. Medicare covers all aspects of mental and physical health care, including substance use disorder treatment.

For coverage of inpatient rehab, you will use the hospitalization benefit under Medicare Part A.4 You will be responsible for paying a co-pay, but the other costs will be covered by Medicare. You can use Medicare Part B for your outpatient rehab as part of the mental health benefits.⁵ If you have a Medicare Advantage supplemental plan, your coverage may be more expensive. Some Medicare Advantage plans have larger networks and can offer more choices of facilities.
 
You will need to find out if the rehab you want to attend accepts Medicare. If you call the rehab or call Medicare, someone will be able to tell you if the program is covered by your insurance or not. Out-of-network programs will be much more expensive for you, so it’s important to make sure your plan will help you pay for care.

Private Insurance
If you get insurance from an insurance company instead of a government plan, that is private insurance. Your employer may provide private insurance to you, or you might buy an individual plan for yourself or your family. You may get your insurance from a company such as Blue Cross Blue Shield, Humana, UnitedHealth, or Aetna.
 
Like government plans, private insurance plans must offer coverage for substance use disorder treatment. Not all insurance plans have comprehensive coverage. The amount insurance pays for rehab might depend on what program you go to. Your insurance company will have a network of facilities it works with, and it pays more of the cost for in-network care. Using a facility that isn’t part of your insurance company’s network will cost you a lot more. When looking for rehab, make sure you understand:
 

• What deductibles your policy requires
• What co-pays you will need to pay
• If your plan covers inpatient, outpatient, or both
• The additional costs if you choose an out-of-network program
• What, if any, exclusions apply

Holistic Programs

Holistic rehab programs are knowns for offering a combination of evidence-based addiction treatments and alternative treatments. They may use meditation, aromatherapy, yoga, or hypnotherapy to help patients work on their emotional well-being, as well as find a sense of spiritual and emotional balance. Programs may suggest dietary changes that could help with your recovery. Alternative treatments are best used as a complement to evidence-based addiction treatment, not a substitute.

Christian and Faith-Based Programs

If you want your faith to play a part in your recovery journey, it may be best for you to be treated in an environment that is supportive of your religious values. Faith-based rehab programs use evidence-based therapeutic methods for treating substance use disorders alongside spiritual support, guidance, and encouragement. These programs will also be able to support any dietary or behavioral standards that you follow. There may be opportunities for spiritual activities like worship, prayer, or counsel with a member of the clergy.

Luxury Treatment

Luxury facilities place emphasis on comfort and privacy. The facilities may be more like a fancy hotel or resort, with extensive grounds and private rooms for patients. They may be located in sought-after locations like the beach or mountains. Many luxury facilities have gourmet dining services. Luxury rehabs may offer special amenities like yoga, spa treatments, fitness rooms, and swimming pools.

Executive Facilities

Executive rehab programs are geared toward people who need to continue working while undergoing treatment. Those with family members to support financially or high-level decision-makers in an organization may opt for this kind of rehab. Executive programs are more likely to allow phone and computer access than you would get at a typical facility. You can schedule treatment around calls or deadlines for your work. Some executive programs may even let you travel for business during treatment under certain conditions.

Dual Diagnosis Care
During rehab, you should ask your treatment team to diagnose and address any co-occurring mental health conditions you may have. Conditions like anxiety, depression, or PTSD due to past trauma are common among people with substance use disorder. Treating mental health conditions can make managing addiction easier. You should look for a treatment center that has experience with dual-diagnosis treatment.
 
Your rehab may offer you medication to manage symptoms of depression, anxiety, or bipolar disorders. These medications aren’t addictive and won’t interfere with recovery. If you have a complex mental health condition such as PTSD or borderline personality disorder, you should find a treatment center that can set you up to manage the condition beyond your time in treatment. You may need ongoing, perhaps even lifelong, therapy and medication to help treat these conditions.

Methadone Maintenance Treatment (MMT): The FDA approves the use of this alternative opioid to satisfy physical addiction without the euphoric high of a harmful substance. You can continue on a steady dose for a long time and not notice a reduction in effects. Methadone programs are highly regulated by federal law. You will need to enroll at a licensed clinic to receive treatment. MMT clinics are usually outpatient programs, but many offer comprehensive coursing and support services as well.

How to Find a Suboxone Provider: Suboxone contains two medications: naloxone and buprenorphine. Naloxone blocks the euphoric effects of opioid substances and doesn’t cause a high. Buprenorphine is a partial opioid agonist, so it satisfies the physical dependence of opioids without the euphoric effects. Suboxone is helpful for reducing the effects of opioid withdrawal and limiting cravings for substances after detox. You will need a to find a certified medical provider or clinic to prescribe Suboxone treatment.

Naltrexone for Alcohol or Opioid Addiction: Naltrexone is an FDA-approved medication for managing alcohol and opioid addictions. When you take it, it prevents opioids or alcohol from causing a pleasurable high. Without the pleasant feelings from substances, you may be less likely to take them. You will need a doctor to give you a prescription for naltrexone.

Antabuse (Disulfiram) for Alcohol Addiction: Disulfiram, sometimes called by its brand name Antabuse, is a deterrent for people with alcohol addiction. When drinking alcohol after taking disulfiram, you will experience unpleasant symptoms such as nausea, vomiting, and skin flushing. You will need to see a doctor for a disulfiram prescription.

Acamprosate for Alcohol Use Disorder: Acamprosate is a medication that blocks cravings for alcohol.6 It works on your brain to diminish your need for substances. You may find it easier to refrain from drinking if your alcohol cravings are reduced. You will need to keep taking it long-term because the effects wear off if you stop taking acamprosate. You can ask your doctor if this is the right medication for you.

Standing Naloxone Order: South Carolina has a standing order allowing pharmacists to dispense naloxone without a prescription. Anyone can access naloxone at a participating pharmacy. You may have to pay for the naloxone.⁷

The South Carolina Good Samaritan Law: This law grants limited immunity from arrest if you call for help during an overdose.⁸ The police will not arrest you for possession or distribution if you call for help after experiencing or witnessing an overdose.

Drug Court Programs: There is a drug court program in South Carolina that offers alternate sentencing for certain crimes if you require addiction treatment.9 Successfully completing treatment can result in your criminal record being expunged.