Drug & alcohol rehab centers in Honolulu, HI

Seventeen facilities in Honolulu accept Medicare. Medicare covers a range of addiction treatment services, including medically supervised detox, inpatient and outpatient behavioral health care, and certain prescriptions for opioid use disorder under Part D.

People enrolled in both Medicare and Med-QUEST (dual eligibles) may find that combined coverage significantly reduces their share of costs. Call a facility's billing department before enrollment to confirm Medicare participation and get a written estimate of your cost-sharing responsibility.

Twenty-one facilities in Honolulu accept Med-QUEST, Hawaii's Medicaid program. Med-QUEST covers residential treatment, outpatient counseling, partial hospitalization, and medication-assisted treatment for opioid and alcohol use disorders, including buprenorphine, methadone, and naltrexone. Coverage is delivered through five managed care plans, each with its own provider network. Call your plan or reach Hawaii CARES at 808-832-3100 to confirm which facilities participate under your specific plan before scheduling an intake appointment.

Eleven facilities in Honolulu accept TRICARE. Active-duty service members and their dependents can access behavioral health services through TRICARE, including outpatient counseling, intensive outpatient programs, and inpatient treatment when medically necessary.

Tripler Army Medical Center provides on-base treatment services to TRICARE-eligible patients on Oahu. For veterans not on active duty, care through the VA Pacific Islands Health Care System is often the most appropriate starting point. Find rehab resources for veterans and service members tailored to the unique challenges of military service.

Twenty-four facilities accept private health insurance. Under the Mental Health Parity and Addiction Equity Act, most commercial insurance plans are required to cover substance use disorder treatment at parity with other medical care. Hawaii's primary carriers — HMSA (Hawaii Medical Service Association, the state's Blue Cross affiliate), Kaiser Permanente Hawaii, UHA (University Health Alliance), and HMAA (Hawaii Management Alliance Association) — each maintain their own networks of participating facilities. Calling your carrier's behavioral health line before selecting a program is the fastest way to confirm coverage and understand your cost-share before enrollment.

• HMSA
• Kaiser Permanente Hawaii
• UHA
• HMAA
• Aetna
• Cigna
• TRICARE
• Med-QUEST
• Medicare

Twenty-two facilities offer some form of financial assistance, and 9 offer sliding-scale fees based on income. These options are particularly valuable for people who earn too much to qualify for Med-QUEST but cannot afford full program costs out of pocket. Ask directly about financial aid options when you call to inquire about a program — many providers do not advertise the full extent of their assistance.

Sixteen facilities in Honolulu offer treatment at no charge to the client. These programs are typically funded through state contracts, federal block grants, or nonprofit sources, and access is usually coordinated through the Hawaii CARES system. Rehab scholarships through national and local sources are another avenue for people who need coverage but do not qualify for public assistance programs.

Medical detox provides around-the-clock clinical monitoring for people who need supervised withdrawal before beginning a longer treatment program. In Hawaii, people with severe alcohol dependence or long-term methamphetamine use often require this first step. Thirteen facilities in Honolulu offer this level of care. Learn more about medical detox and what the process typically involves.

Residential programs offer 24-hour care in a structured environment, typically for 28 to 90 days. People with a history of relapse, a severe substance use disorder, or an unstable home environment often benefit most from this level of care. Fifteen inpatient rehab programs are available in the Honolulu directory.

PHP involves multiple hours of structured treatment per day, usually five days a week, while the person lives at home or in a sober living environment. Two facilities in Honolulu offer this level of care, which sits between residential and standard outpatient treatment and is well suited for people stepping down from inpatient care. Read more about partial hospitalization programs.

With 40 outpatient clinics in Honolulu, standard outpatient care is by far the most accessible level of treatment in the directory. These programs allow people to continue living at home while attending therapy sessions several times a week. One intensive outpatient program (IOP) is also listed, offering a more structured schedule for people who need more support than standard outpatient care but do not require residential placement. Learn more about outpatient rehab.

Thirty-three facilities in Honolulu treat co-occurring mental health conditions alongside substance use disorder. Conditions like depression, anxiety, and PTSD are common in people seeking addiction treatment, and integrated care produces better outcomes than treating each condition separately. When you call to inquire about a program, ask specifically whether their dual diagnosis track addresses both conditions in the same treatment setting or refers out for mental health services.

Seven sober living residences in Honolulu provide a structured, substance-free environment for people transitioning out of residential treatment. They work best when paired with ongoing outpatient counseling and peer support. Learn more about aftercare and continuing care options that support long-term recovery.

• 988 / Hawaii CARES
  Phone: 988 or 808-832-3100
  Operated by the Hawaii Department of Health and CARE Hawaii, Hawaii CARES provides 24/7 crisis support, substance use referrals, and mobile outreach for Honolulu and Oahu residents. health.hawaii.gov/substance-abuse/cares
• SAMHSA National Helpline
  Phone: 1-800-662-4357
  Free, confidential treatment referrals and information available 24/7 in English and Spanish, for individuals and families facing substance use disorders. https://www.samhsa.gov/find-help/helplines/national-helpline

• 211 Hawaii / Aloha United Way
  Phone: 211
  Connects callers statewide to social services including mental health and substance use treatment, housing support, food assistance, and transportation. https://auw211.org/
• Hawaii Alcohol and Drug Abuse Division (ADAD)
  The state agency that funds and oversees publicly licensed treatment providers. The ADAD website hosts a current directory of state-contracted programs and information about the Hawaii CARES access system. https://health.hawaii.gov/substance-abuse/

• The Salvation Army Addiction Treatment Services (ATS)
  State-funded 66-bed residential program in Honolulu offering free treatment for adults. Funded by the Hawaii Legislature through ADAD and accredited by CARF; access is coordinated through the Hawaii CARES system. ats.salvationarmy.org

• VA Pacific Islands Health Care System
  Phone: 1-800-214-1306
  The Spark M. Matsunaga VA Medical Center at 459 Patterson Road in Honolulu provides outpatient substance use treatment, medication-assisted treatment, behavioral health counseling, and referrals to residential care for eligible veterans. va.gov/pacific-islands-health-care