Top 20 Alcohol & Drug Rehab Centers in San Marcos, TX & Free Treatment Resources

 San Marcos Texas Drug Alcohol Rehab
San Marcos, TX, is in Hays County, about 45 minutes south of Austin. It's a college town, home to Texas State University. Like many communities in Texas, San Marcos has increasingly significant challenges with drug and alcohol use. In 2019, there were more than 100 DUI-related motor vehicle accidents in San Marcos.1 If you are looking for drug or alcohol rehab in San Marcos, TX, you can choose from a variety of accredited treatment and detox centers. Rehab programs in San Marcos offer both outpatient and inpatient services. The facilities accept private insurance as well as Medicaid. If you need free or low-cost services, you may have to travel to nearby Austin for care. Free programs through the Salvation Army or AA may also be able to serve your needs.

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View more listings near San Marcos or search by the letter of cities in Texas.

Alcohol and Drug Use Statistics in San Marcos, TX

Like many regions in the United States, San Marcos and Hays County have experienced addiction and challenges due to opioid use, as well as the use of alcohol and other drugs. Some statistics about drug and alcohol use in Hays County include:2,3,4

Levels of Care for Rehabs in Texas

The following types of substance abuse treatment offer various levels of care. Some Texans enter treatment at the most restrictive levels and move through the continuum of care, while others only require the least intensive interventions.

Alcohol and Drug Detoxification

Detox is the process of safely and comfortably removing drugs or alcohol from your system. This occurs under medical supervision in a hospital, residential, or outpatient setting, to manage withdrawal symptoms and allow Texans to transition into formal treatment services.

Residential or Inpatient

Residential or inpatient treatment involves living at the rehab facility and receiving 24/7 supervised care. A combination of treatment interventions is offered, including individual and group therapy, nutritional counseling, experiential therapies, and medication.

Partial Hospitalization Programs (PHPs)

PHPs allow Texans to live at home while attending treatment at a hospital. You may participate in many of the same treatment methods as inpatient care, but you can return home during non-treatment hours.

Intensive Outpatient Programs (IOPs)

A step down from a PHP, IOPs allow you to attend a few hours of counseling over several days each week. This allows you to spend the rest of your time at home, school, working, or fulfilling other obligations.

Standard Outpatient

The least intensive treatment option, standard outpatient care involves one to two hours of treatment per week. Highly motivated people with a strong support system tend to find this level beneficial.

Relapse Prevention

Relapse prevention, also known as aftercare, begins when you complete a rehab program. It involves ongoing encouragement through therapy, 12-step groups, non-12-step groups, sober living homes, and other types of support.

How to Pay for Addiction Treatment in San Marcos, Texas

Private Insurance

All insurance providers are required by law to provide coverage for substance abuse and mental health treatment services in some capacity. Coverage varies by plan, so Texas residents must contact their providers to learn about their specific coverage.

Texas Medicaid

The Texas Medicaid program offers health insurance for low-income residents. This includes various treatment services like inpatient drug rehab and outpatient substance abuse treatment. Most Medicaid services in Texas are delivered through managed care health plans under contract with the state. Before enrolling in a rehab program, individuals should confirm that the facility accepts Medicaid as a form of payment.

Texas Medicare

Texas Medicare is a federal program that provides healthcare coverage to residents with end-stage renal disease, those with certain disabilities, and those over the age of 65. Texas residents can use Medicare to cover the cost of drug addiction treatment services, including rehab. However, not all rehabs accept Medicare insurance. Texas offers a free helpline to guide residents through the complexities of Medicare coverage: 800-252-9240.

TRICARE in Texas

Texas TRICARE (West region) is a government program providing health insurance coverage to the U.S. Armed Forces military personnel, veterans, and their families. TRICARE coverage includes addiction treatment services, such as rehab and medication-assisted treatment.

Sliding Scale Rehabs

Sliding scale rehabs are income-based, charging only what Texans can reasonably afford based on how much they earn. To qualify for these programs, individuals must provide proof of income.

IHS-Funded Drug Rehabs

Drug rehabs funded by the Indian Health Service (IHS) provide free addiction treatment to Indigenous people in the U.S. and Alaskan Natives.

Traveling to and Within San Marcos, Texas

San Marcos, Texas, is located 31 miles south of Austin and 50 miles north of San Antonio. If you are planning to attend alcohol or drug rehab in San Marcos, TX, or visit a loved one undergoing treatment, here are some helpful travel tips:

  • The nearest airport to San Marcos, TX, is the Austin Airport. It’s about 45 minutes away by car.
  • You can reach San Marcos, TX, by car via Interstate 35.
  • There is no public transit in San Marcos, so you will need access to a car or ride-share app in order to get around town.
  • There are a large number of hotels in San Marcos, ranging from economy to mid-priced national chains. You can also find accommodations via apps like Air BnB.
  • There are dozens of restaurants in San Marcos. You can choose between national chains and local specialties.
  • There are a number of museums in San Marcos, including the LBJ Museum of San Marcos and the Calaboose African American Museum. There are a variety of live music, theater, and dance performances at Texas State University, as well as art shows and galleries on the campus. There are also live music performances at many local bars and restaurants.

Texas Alcohol and Drug Laws

Texas lawmakers have enacted the following laws regarding substance use:1,2,3,4

Texas Good Samaritan Overdose Prevention Statute: This law is designed to encourage Texas residents to seek emergency medical attention during an overdose situation. It protects individuals who call 911 for assistance with a suspected overdose from prosecution for possession of certain controlled substances (if they have not called 911 for an overdose in the preceding 18 months).

Sandra Bland Act: This law provides for rehab for individuals arrested or convicted of non-violent crimes. Per this statute, Texas criminal justice officials must work to identify people with suspected substance use concerns and divert these individuals to an appropriate treatment facility rather than incarcerate them.

Texas Protections for Employees Seeking Addiction Treatment: Under the Family and Medical Leave Act (FMLA), Texas employees who voluntarily seek alcohol and drug treatment may be eligible for time off work for this treatment. The Americans with Disabilities Act (ADA) also provides some protections for employees who seek addiction treatment

Marijuana Laws: Texas law is among the strictest in the country regarding marijuana. Recreational use and growth are illegal, and medical use is legal but heavily regulated. Penalties for use, growth, possession, or sale of marijuana range from 180 days in jail and a $2,000 fine to life imprisonment and a $50,000 fine.


  1. Texas Department of Transportation, (2019), DUI (Alcohol) Crashes and Injuries Cities and Towns.
  2. Texas Department of State Health Services. (No date). Opioid-Related Emergency Department Visits
  3. Texas Department of State Health Services. (No date). Drug Overdose Deaths.
  4. County Health Rankings. (No date). Texas Hays County.

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Medical Reviewer
Dr Matthew N. Parker, MD
General Practitioner Physician
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Dr. Matthew N. Parker is a native of Lubbock, Texas and now lives in deep East Texas. He was trained at the University of Texas Health Science Center at San Antonio and the Conroe Family Medicine Residency in Conroe, Texas. He's spent 20 years as a practicing physician, 15 of which have been spent treating patients with substance use disorders.