Substance abuse is a problem worldwide and South Africans are not immune to this epidemic. Misuse and abuse of alcohol, prescription medication and illicit substances (street drugs) is a reality for every South African, irrespective of race, educational level or socioeconomic status. Often alcohol and drug rehabilitation is a necessity but it does not come cheap. State facilities are overburdened and semi-private or private rehabilitation can be very costly. Fortunately most medical aids in South Africa have a separate benefit for alcohol and drug rehabilitation undertaken by registered practitioners, counsellors and facilities.