47 Treatment Centers in San Antonio, TX

San Antonio crisis and helpline numbers

If you are in immediate danger, call 911. Otherwise, the following are free, confidential, and available 24/7 unless noted.

What rehab costs in San Antonio — and the Texas coverage gap

Texas has the highest uninsured rate in the country and did not expand Medicaid, so paying for treatment in San Antonio is harder than almost anywhere — making safety-net options essential.

The defining coverage fact in San Antonio is stark: Texas has the highest uninsured rate in the United States — more than 16% of residents in 2023 — and has not expanded Medicaid under the ACA. An estimated 617,000 to 920,000 Texas adults fall in the "coverage gap": too low-income for ACA marketplace subsidies, but without a qualifying Medicaid category. Many San Antonio adults without dependent children do not qualify for traditional Medicaid at all.

For those who do qualify, Texas Medicaid (STAR managed care) and CHIP cover substance-use treatment including outpatient care and medication for opioid use disorder. Behavioral-health services for the uninsured are coordinated locally through CHCS and the public providers above.

Commercial insurance is widely held among employed San Antonio residents — major payers include Blue Cross Blue Shield of Texas, UnitedHealthcare, Cigna, Aetna, and Community First Health Plans. Under the federal Mental Health Parity and Addiction Equity Act, commercial plans must cover substance-use treatment on par with medical care. Confirm in-network status before admission.

For uninsured residents, the realistic San Antonio paths are: CHCS (210-223-7233) for navigation and crisis help, nonprofits like Alpha Home for sliding-scale or state-funded treatment, University Health as the safety-net system, and FQHCs like CommuniCare. Self-pay rates at private residential programs in San Antonio typically run $15,000–$35,000 for a 30-day inpatient stay — ask each program about sliding-scale or scholarship beds.

Naloxone, harm reduction, and mutual-aid recovery in San Antonio

How to get naloxone in a restrictive-policy state, and how to plug into the hundreds of AA and NA meetings that run every week across San Antonio.

Naloxone is the most accessible harm-reduction tool in Texas: under a statewide standing order, any Texas pharmacist can dispense naloxone without a personal prescription, and over-the-counter naloxone is sold at major retailers (it can cost up to ~$100). Wider naloxone distribution is credited with San Antonio's 2024 decline in overdose deaths. Be aware that, unlike many states, Texas has not legalized statewide syringe services, and fentanyl test strips remain classified as paraphernalia under state law. For help finding free naloxone, call CHCS at 210-223-7233 or see Texas DSHS.

Getting naloxone for free

Beyond pharmacies, free naloxone is distributed through Texas Targeted Opioid Response grantees, San Antonio community organizations, and some hospital emergency departments after an overdose visit. CHCS (210-223-7233) can point you to current free-naloxone sources in Bexar County.

Mutual-aid recovery networks

The San Antonio Area AA (Central Service Office) maintains a searchable directory of hundreds of weekly Alcoholics Anonymous meetings across the metro — in-person, hybrid, and special-focus formats. Narcotics Anonymous meetings are listed through the San Antonio Area of NA. SMART Recovery and Refuge Recovery meetings also run weekly in San Antonio.

Peer & recovery community support

Texas has a certified peer-support specialist workforce embedded in many San Antonio treatment programs, hospital EDs, and recovery community organizations. Ask any provider or call CHCS (210-223-7233) about connecting with a peer recovery coach.

Sources and authority references

All statistics, legal citations, and provider details on this page trace to the primary sources below. Every link opens in a new tab and is not affiliated with RehabHive.

• Texas DSHS — Drug-Related Deaths (Texas Health Data)
• Texas DSHS — Overdose Data to Action
• Texas HB 1694 (Jessica Sosa Act) — bill history
• Hogg Foundation — Overdose Bystander Law explainer
• Texas HHS — Medicaid & CHIP
• Texas State Board of Pharmacy — PMP
• The Center for Health Care Services (CHCS)
• CDC — Overdose Prevention
• Mental Health Parity & Addiction Equity Act (DOL)
• HRSA Health Center Finder
• SAMHSA National Helpline / findtreatment.gov

Editorial review: This page is maintained by the RehabHive Editorial Team. Medical and legal claims were last reviewed on 2026-05-20. We do not provide medical advice. For clinical decisions, consult a licensed provider. For emergencies, call 911.