We list 9 sliding scale rehabs in Hawaii, based on SAMHSA's FindTreatment.gov data, with the most in Kailua Kona (2), Honolulu (1), and Waianae (1). Compare services, insurance accepted and accreditation, or call for free help choosing.
Sliding Scale Fees: the basics
Sliding-scale rehab programs charge based on what you can afford, usually using your income and household size. The lower your income, the less you pay, and some people pay very little. Community health centers, nonprofit programs and publicly funded clinics often use sliding fees. You'll usually need to show proof of income. Read the full guide →
2026 rankings
Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank
Best for: Private-pay residential careJoint CommissionCARF
Why it made our list: Joint Commission and CARF accredited; offers detox, residential care, MAT, and dual diagnosis care; accepts private insurance, TRICARE, and self-pay.
Best for: Intensive outpatient careCARF
Why it made our list: CARF accredited; offers IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient careCARF
Why it made our list: CARF accredited; offers PHP, IOP, and outpatient care; accepts private insurance, Medicaid, and Medicare.
Best for: Intensive outpatient care
Why it made our list: Offers IOP, outpatient care, MAT, and dual diagnosis care; accepts private insurance, Medicaid, and Medicare.
Best for: Detox and residential care
Why it made our list: Offers detox and residential care; accepts Medicaid, self-pay, and sliding-scale fees.
Best for: Intensive outpatient care
Why it made our list: Offers IOP and outpatient care; accepts private insurance, Medicaid, and self-pay.
Kailua Kona, HI 96745
Joint Commission · CARF accredited
Levels of care
Payment accepted
Private insurance · TRICARE · Self-pay +1 more
“Get help” calls our free helpline, not this facility.
Keaau, HI 96749
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Waikoloa, HI 96738
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Kailua Kona, HI 96740
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Pahoa, HI 96778
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Hilo, HI 96720
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Kaneohe, HI 96744
Levels of care
Payment accepted
Medicaid · Self-pay · Sliding scale
“Get help” calls our free helpline, not this facility.
Waianae, HI 96792
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Honolulu, HI 96817
Levels of care
Payment accepted
Medicaid · Private insurance · Self-pay +2 more
“Get help” calls our free helpline, not this facility.
We list 9 sliding scale rehabs in Hawaii, based on SAMHSA's FindTreatment.gov data (updated October 2026).
The most listings are in Kailua Kona (2), Honolulu (1), and Waianae (1).
Look for state licensing and accreditation (The Joint Commission or CARF), the right level of care for your needs, evidence-based therapies, and insurance compatibility. Read our guide to choosing a rehab or call (833) 589-6933 to talk it through.
Most private plans and Medicaid cover substance use treatment when it's medically necessary, but benefits vary by plan and network. Call (833) 589-6933 for a free, confidential benefits check.
Source: SAMHSA FindTreatment.gov, data updated October 2026. Listings are not endorsements.
