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10 Best Telehealth Addiction Treatment in San Antonio, TX (2026)

We list 18 telehealth addiction treatment in San Antonio, TX, based on SAMHSA's FindTreatment.gov data. Compare services, insurance accepted and accreditation, or call for free help choosing.

  • 18Treatment facilities
  • 4Offer detox
  • 3Inpatient / residential
  • 11Accept Medicaid

Telehealth: the basics

Telehealth addiction treatment delivers counseling, group therapy, medication management and even some prescriptions by video or phone instead of in person. It works well for outpatient-level care and for people with mild to moderate needs, busy schedules or few local options. It isn't a substitute for medically supervised detox or 24-hour care. Read the full guide →

2026 rankings

Top 10 telehealth addiction treatment in San Antonio, TX

Ranked by the StartDrugRehab Score: accreditation, levels of care, patient ratings and payment options. Featured or claimed status never affects rank. How we rank

  1. Blue Heron Recovery

    San Antonio, TX

    8.6ExcellentStartDrugRehab Score 8.6 out of 10
    4.8Google92 reviews

    Best for: Private-pay residential careJoint Commission

    Why it made our list: Joint Commission accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, TRICARE, and self-pay.

    View details
  2. Audie L Murphy Memorial Veterans Hospital – Serving South Texas

    San Antonio, TX

    8.6ExcellentStartDrugRehab Score 8.6 out of 10
    3.5Google760 reviews

    Best for: Veterans (VA care)Joint CommissionCARF

    Why it made our list: Joint Commission and CARF accredited; offers detox, residential care, PHP, and IOP; accepts private insurance, Medicaid, and Medicare.

    View details
  3. New Day Recovery Services

    San Antonio, TX

    8.4ExcellentStartDrugRehab Score 8.4 out of 10
    4.9Google68 reviews

    Best for: Intensive outpatient careJoint Commission

    Why it made our list: Joint Commission accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, TRICARE, and self-pay.

    View details
  4. Alamo Behavioral Health

    San Antonio, TX

    7.8Very goodStartDrugRehab Score 7.8 out of 10
    4.6Google35 reviews

    Best for: Private-pay residential careJoint Commission

    Why it made our list: Joint Commission accredited; offers detox, residential care, MAT, and dual diagnosis care; accepts private insurance, TRICARE, and self-pay.

    View details
  5. Positive Recovery LLC – San Antonio

    San Antonio, TX

    7.7Very goodStartDrugRehab Score 7.7 out of 10

    Best for: Intensive outpatient careJoint Commission

    Why it made our list: Joint Commission accredited; offers PHP, IOP, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  6. San Antonio Lifetime Recovery Inc – Lifetime Recovery Outpatient

    San Antonio, TX

    7.7Very goodStartDrugRehab Score 7.7 out of 10
    4.1Google31 reviews

    Best for: Intensive outpatient careCARF

    Why it made our list: CARF accredited; offers PHP, IOP, outpatient care, and dual diagnosis care; accepts private insurance, Medicaid, and self-pay.

    View details
  7. Eleanor Health

    San Antonio, TX

    7.2Very goodStartDrugRehab Score 7.2 out of 10
    4.1Google26 reviews

    Best for: Outpatient care with MATCARF

    Why it made our list: CARF accredited; offers outpatient care and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  8. River City Rehabilitation Center Inc

    San Antonio, TX

    7.1Very goodStartDrugRehab Score 7.1 out of 10

    Best for: Methadone treatmentCARF

    Why it made our list: CARF accredited; offers outpatient care and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  9. Metro Treatment of Texas LP – New Season Treatment Center

    San Antonio, TX

    7.1Very goodStartDrugRehab Score 7.1 out of 10
    3.4Google91 reviews

    Best for: Supervised detoxCARF

    Why it made our list: CARF accredited; offers detox, outpatient care, and MAT; accepts private insurance, Medicaid, and Medicare.

    View details
  10. Community Medical Services – San Antonio on McCarty

    San Antonio, TX

    7.0Very goodStartDrugRehab Score 7.0 out of 10
    4.2Google96 reviews

    Best for: Methadone treatmentCARF

    Why it made our list: CARF accredited; offers MAT; accepts private insurance, Medicaid, and Medicare.

    View details

See the best rehab centers in San Antonio, TX →

All telehealth addiction treatment in San Antonio, TX

8.6ExcellentStartDrugRehab Score 8.6 out of 10
3.5Google760 reviews

Joint Commission · CARF accredited

Setting
In/Outpatient
Operator
Public
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Hospital Inpatient
  • +6 more

Payment accepted

Medicaid · Medicare · Private insurance +4 more

“Get help” calls our free helpline, not this facility.

Blue Heron Recovery

San Antonio, TX 78217

8.6ExcellentStartDrugRehab Score 8.6 out of 10
4.8Google92 reviews

Joint Commission accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Hospital Inpatient
  • +5 more

Payment accepted

Private insurance · TRICARE · Self-pay

“Get help” calls our free helpline, not this facility.

Alamo Behavioral Health

San Antonio, TX 78239

7.8Very goodStartDrugRehab Score 7.8 out of 10
4.6Google35 reviews

Joint Commission accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Inpatient / Residential
  • Hospital Inpatient
  • +3 more

Payment accepted

Private insurance · TRICARE · Self-pay

“Get help” calls our free helpline, not this facility.

7.1Very goodStartDrugRehab Score 7.1 out of 10
3.4Google91 reviews

CARF accredited

Setting
In/Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Detox
  • Outpatient
  • Medication-Assisted Treatment
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

New Day Recovery Services

San Antonio, TX 78213

8.4ExcellentStartDrugRehab Score 8.4 out of 10
4.9Google68 reviews

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +3 more

Payment accepted

Private insurance · TRICARE · Self-pay

“Get help” calls our free helpline, not this facility.

7.7Very goodStartDrugRehab Score 7.7 out of 10

Joint Commission accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +2 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

“Get help” calls our free helpline, not this facility.

River City Rehabilitation Center Inc

San Antonio, TX 78214

7.1Very goodStartDrugRehab Score 7.1 out of 10

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +1 more

“Get help” calls our free helpline, not this facility.

7.7Very goodStartDrugRehab Score 7.7 out of 10
4.1Google31 reviews

CARF accredited

Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Partial Hospitalization
  • Intensive Outpatient
  • Outpatient
  • +2 more

Payment accepted

Medicaid · Private insurance · Self-pay +2 more

“Get help” calls our free helpline, not this facility.

6.7GoodStartDrugRehab Score 6.7 out of 10
5.0Google1 review

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Methadone Clinic
  • +1 more

Payment accepted

Self-pay

“Get help” calls our free helpline, not this facility.

7.0Very goodStartDrugRehab Score 7.0 out of 10
4.2Google96 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Medication-Assisted Treatment
  • Methadone Clinic
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +3 more

“Get help” calls our free helpline, not this facility.

Eleanor Health

San Antonio, TX 78217

7.2Very goodStartDrugRehab Score 7.2 out of 10
4.1Google26 reviews

CARF accredited

Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Telehealth

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

5.7FairStartDrugRehab Score 5.7 out of 10
1.0Google5 reviews
Setting
Outpatient
Operator
Private
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Medicare · Private insurance +2 more

“Get help” calls our free helpline, not this facility.

Beat AIDS

San Antonio, TX 78202

6.2GoodStartDrugRehab Score 6.2 out of 10
5.0Google23 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Offered

Levels of care

  • Outpatient
  • Medication-Assisted Treatment
  • Dual Diagnosis
  • +1 more

Payment accepted

State-funded

“Get help” calls our free helpline, not this facility.

5.6FairStartDrugRehab Score 5.6 out of 10
2.7Google6 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Dual Diagnosis
  • +1 more

Payment accepted

Medicaid · Self-pay · State-funded

“Get help” calls our free helpline, not this facility.

Alamo Area Resource Center Inc

San Antonio, TX 78207

5.4FairStartDrugRehab Score 5.4 out of 10
3.9Google80 reviews
Setting
Outpatient
Operator
Nonprofit
MAT
Not listed

Levels of care

  • Outpatient
  • Dual Diagnosis
  • Telehealth

Payment accepted

Self-pay · Sliding scale · State-funded

“Get help” calls our free helpline, not this facility.

Best Option LLC

San Antonio, TX 78201

5.8FairStartDrugRehab Score 5.8 out of 10
4.4Google21 reviews
Setting
Outpatient
Operator
Private
MAT
Not listed

Levels of care

  • Intensive Outpatient
  • Outpatient
  • Telehealth

Payment accepted

Medicaid · Self-pay

“Get help” calls our free helpline, not this facility.

More options in San Antonio, TX

Telehealth Addiction Treatment in other Texas cities

Frequently asked questions

How many telehealth addiction treatment are in San Antonio, TX?

We list 18 telehealth addiction treatment in San Antonio, TX, based on SAMHSA's FindTreatment.gov data (updated October 2026).

How do I choose the right program?

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.

Will my insurance cover treatment?

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.