Drug and Alcohol Rehab Centers in San Angelo, TX
This page lists the drug and alcohol treatment providers in and around San Angelo, Texas, including those serving Winters, Colorado City and Sweetwater. Scroll down to compare what each one offers, from assessment through to aftercare, and how to get in touch.
Listings for San Angelo are reviewed against records held by the Texas Health and Human Services Commission, SAMHSA, The Joint Commission and CARF International. Texas has not expanded Medicaid, so checking eligibility is worth doing before ruling anything out on price.
6 Drug and Alcohol Rehab Treatment Centers in San Angelo, TX
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Drug and Alcohol Rehabs in San Angelo, Texas
San Angelo sits in the Concho Valley of West Central Texas with around 100,000 residents, roughly midway between Abilene and the Permian Basin.
Goodfellow Air Force Base trains intelligence and firefighting personnel for all military branches, and Angelo State University enrolls about 10,000 students.
The city functions as the commercial and medical center for a large, thinly populated rural region.
Overdose figures are not broken out for counties this size, which means the statewide position is the more useful reference.
With no Medicaid expansion, Texas carries the nation’s highest uninsured rate at roughly 16 percent. Between 617,000 and 920,000 adults earn too little for Marketplace subsidies and fit no Medicaid category.
A point that catches many people: in Texas, no income level makes a substance use disorder alone sufficient for Medicaid. Qualification typically requires a severe mental health diagnosis with disability status, or parenthood on under roughly $4,000 a year.
Without cover, the practical first call is OSAR. The Outreach, Screening, Assessment and Referral program runs in each of the eleven Texas regions, answers day or night, and is reached on 211 or 877-541-7905.
Neighboring Winters, Colorado City and Sweetwater carry their own listings, with the wider picture across Texas.
Which Level of Care Do You Need
The figures below cover providers listed in San Angelo and the surrounding parts of Tom Green County. The nearest larger centers are two hours or more away in any direction.
Medically Supervised Detox
The withdrawal stage is managed medically in detox, a process usually taking three to seven days. Shannon Medical Center is the region’s main hospital and serves a wide rural catchment. Risk peaks in the opening seventy-two hours for alcohol and benzodiazepine withdrawal, and that is the reason clinical observation is worth arranging.
Inpatient Residential Treatment
Residential placement means staying at the facility full time, usually across thirty, sixty or ninety days. Residential capacity here is limited, and specialist tiers usually mean travel toward the metros or the Permian Basin.
Outpatient, IOP and PHP Treatment
Texas uses the American Society of Addiction Medicine framework for placement, meaning an assessment should end with a specific level rather than a vague recommendation. Much of the Concho Valley catchment is an hour or more from the city, so telehealth and compressed schedules are worth raising at assessment.
Dual Diagnosis and Co-Occurring Disorders Treatment
Dual diagnosis care treats an addiction and a mental health condition together rather than in sequence. MHMR Services for the Concho Valley is contracted as the local authority across Tom Green County. MHMR Services for the Concho Valley covers Tom Green and the surrounding counties.
Sober Living Homes and Transitional Living
Recovery housing offers a shared, substance-free place to live in the months after a program ends. The state’s NARR affiliate, TROHN, certifies recovery residences in Texas. Because certification is voluntary, an uncertified house is not necessarily poor but is worth questioning. Recovery housing across the Concho Valley is scarce, so ask well before treatment ends.
Addiction Treatment Cost and Insurance Coverage in San Angelo
San Angelo household incomes sit below the state median, and the surrounding agricultural counties lower still. Several providers are listed in San Angelo, enough to compare on level of care and payment rather than taking the first available. Tom Green County is small enough that annual overdose counts are not published separately, so the state picture is the better guide.
How Much Does Addiction Rehab Cost?
Typical Texas figures are $1,400 to $4,700 a week for detox, $5,900 to $24,500 a month for residential treatment, $6,900 to $13,300 for partial hospitalization, $2,550 to $8,800 for intensive outpatient and $1,220 to $4,900 for outpatient care.
Goodfellow Air Force Base brings TRICARE cover for service families, which is worth establishing first since it changes the options entirely.
| Level of care | Monthly | Daily |
|---|---|---|
| Medical detox (7–14 days) | $1,500 – $4,900 per week | $220 – $700 |
| Residential inpatient | $6,000 – $25,000 | $200 – $830 |
| PHP | $7,000 – $13,500 | $230 – $450 |
| IOP | $2,500 – $9,000 | $80 – $300 |
| Outpatient | $1,200 – $5,000 | $40 – $170 |
| Level of care | Monthly | Daily |
|---|---|---|
| Residential inpatient | $17,000 – $50,000+ | $560 – $1,650+ |
| PHP | $14,000 – $32,000 | $470 – $1,070 |
| IOP | $9,000 – $24,000 | $300 – $800 |
| Outpatient | $5,000 – $15,000 | $170 – $500 |
Does Insurance Cover Rehab?
Yes. Addiction treatment sits among the essential health benefits most plans are required to include. What a plan actually pays varies with the employer, the network and the level of care, so two people with the same insurer can face very different bills. Employer plans are present at the hospital and university, with TRICARE at Goodfellow. Texas Medicaid runs through STAR managed care, and ranching and service work frequently carries neither.
Coverage and approval are separate steps. Prior authorization is standard before detox and residential admission, and network status usually decides your share of the bill. Active-duty personnel should understand how a voluntary self-referral is handled before making it.
Free and State-Funded Addiction Rehab in San Angelo
With no Medicaid expansion, Texas carries the nation’s highest uninsured rate at roughly 16 percent. Between 617,000 and 920,000 adults earn too little for Marketplace subsidies and fit no Medicaid category. A point that catches many people: in Texas, no income level makes a substance use disorder alone sufficient for Medicaid. Qualification typically requires a severe mental health diagnosis with disability status, or parenthood on under roughly $4,000 a year. With more providers listed than most places of this size, comparison is genuinely possible here. It is worth asking two or three the same questions about waiting times, level of care and payment before deciding, rather than taking whichever answers the phone first.
Tom Green County falls under MHMR Services for the Concho Valley for publicly funded services. Without cover, the practical first call is OSAR. The Outreach, Screening, Assessment and Referral program runs in each of the eleven Texas regions, answers day or night, and is reached on 211 or 877-541-7905. The state operates through 39 local authorities in total, 37 mental health and two behavioral health, with OSAR generally housed within them.
Opioid settlement spending is directed by the Texas Opioid Abatement Fund Council within the Comptroller’s office. In September 2025 it made 109 awards worth $21.2 million, reaching all regions for the first time, and it has separately backed UTHealth Houston with up to $25 million for certified recovery housing and University Health in Bexar County with $25 million for naloxone. Four rounds of local disbursement since 2023 total more than $112 million.
More Help and Recovery Support
Shannon Medical Center serves San Angelo and the wider Concho Valley region.
Winters, Colorado City and Sweetwater carry further listings, with more across Texas.
Free and confidential, available now
Texas OSAR substance use referral line — 877-541-7905, free and 24 hours a day 988 Suicide & Crisis Lifeline — call or text 988
References and Citations
- Texas Health and Human Services Commission — Local Mental Health and Behavioral Health Authorities, and the Outreach, Screening, Assessment and Referral program across the eleven HHS regions.
- Texas Opioid Abatement Fund Council, Office of the Comptroller — grant awards September 2025, recovery housing award December 2025, and political subdivision disbursements 2023 to 2026.
- U.S. Census Bureau and Texas HHSC — health insurance coverage and the Medicaid coverage gap in Texas.
- CDC National Center for Health Statistics — VSRR provisional county-level drug overdose death counts, twelve months ending December 2021 and December 2025, data as of 5 July 2026.
- Rehab Seekers directory listings, San Angelo and San Angelo, August 2026, and market rate research, Texas, 2026. Ranges are indicative and vary by facility, length of stay and coverage.