3615 Culebra Road, San Antonio, TX, 78228
Active
- Outpatient
- Detox
- Medication-assisted treatment
- Medicaid
City
8 options near Hondo, TX, nearest first. Compare services and locations, then call to check availability.
Call (888) 209-0266Ask about your optionsThis number connects to our central helpline, not directly to a listed facility.
Check which services are available for your needs.
Confirm payment options and any waiting time directly.
Ask what information the program needs from you.
A first visit to a methadone clinic usually starts with an intake appointment. You can expect to provide a medical history and talk about your substance use. The program will use this information to decide on a starting dose of methadone.
Many clinics offer this medication along with counseling. You may also be able to get help for co-occurring mental health conditions and, if needed, medically supervised withdrawal from opioids. It is a good idea to ask about the program's hours, fees, and any identification or documents you should bring on your first day.
Call (888) 209-0266
Most methadone treatment happens in an outpatient setting, because the medication requires supervised daily dosing, at least at the start. Some clinics connect patients to higher levels of care, like inpatient detox or residential programs, if needed, while others focus only on outpatient medication and counseling. A practical way to compare programs is to look at visit frequency, dosing hours, counseling options, and how the program handles travel, work schedules, or missed doses.
Asking these questions up front gives you a clearer picture of whether a program fits your daily life.
Call (888) 209-0266Check which services each program reports offering.
Consider travel distance and whether care is in person or remote.
Ask the program directly about payment and coverage.
Confirm how to contact the program and what to expect.
A first call to a clinic is your chance to learn how the program will fit your life. Practical questions include: What are the dosing hours? How does intake work and what documents do I need?
What does treatment cost, and what payment options are available? Is counseling included with medication? How do patients earn take-home doses?
What is the policy on missed visits or relapse? Clinics that answer these questions clearly and respectfully are giving you useful information about what treatment there would be like.
Payment for services at methadone clinics in Texas typically involves a mix of private insurance, public assistance, and direct payment. If you carry private health insurance, check whether the clinic is in-network, as out-of-network costs can be higher; your insurer’s customer service can list participating providers. For public coverage, Texas participates in Medicaid and Medicare, but not every clinic accepts these, and enrollment does not guarantee coverage for methadone maintenance—so you must confirm both the clinic’s participation and your plan’s benefits for substance use treatment.
Alternatively, many clinics feature income-based sliding-scale fees, which adjust your charge according to your financial situation, and they may also offer payment plans or reduced rates for uninsured patients. Self-pay is universally available, but daily or weekly rates vary, so ask for a clear price list upfront. Always verify current payment options with the specific methadone clinic you plan to attend, as policies change frequently across the state.
Start with the kinds of care relevant to your needs.
Check each program’s listed services, location and contact details.
Contact a program to confirm availability, costs and the next step.
A useful way to compare clinics is to make a short list of questions and call each one. Ask about dosing hours, how long intake takes, whether the clinic offers counseling or groups, and how take-home medication works as treatment progresses. Ask what the program costs and which payment options they accept.
Pay attention to how you are treated on the phone, because a respectful, direct answer is a good sign of how you will be treated as a patient. Choose the program that is both accessible and straightforward with you.
A first visit to a methadone clinic usually starts with an intake appointment.

If a situation feels life-threatening, call 911 immediately instead of waiting to see whether it passes. Emergency medical teams handle drug-related emergencies every day, and calling early improves outcomes. If you or someone close to you is thinking about suicide or self-harm, you can also call or text 988, the Suicide and Crisis Lifeline, which is available around the clock.
Having these numbers saved in your phone before a crisis makes them easier to reach when every minute counts.
If you or someone else is in immediate danger, call 911 now.
Call (888) 209-02663615 Culebra Road, San Antonio, TX, 78228
Active
3701 West Commerce Street, San Antonio, TX, 78207
Active
571 Spencer Lane, Suite 101, San Antonio, TX, 78201
Active
680 Stonewall Street, San Antonio, TX, 78214
Active
601 North Frio Street, Building 1, San Antonio, TX, 78207
Active
601 North Frio Street, Building 2, 2nd Floor, San Antonio, TX, 78207
Active
437 McCarty Road, Suite 600, San Antonio, TX, 78216
Active
8500 Village Drive, Suite 102, San Antonio, TX, 78217
Active
You can search by your city or ZIP code to see programs in your area. The directory includes clinics that offer medication for opioid use disorder, including methadone. You can review each program's details, such as location and the services they provide, to find one that fits your needs.
It is a good idea to bring a photo ID, your insurance card if you have one, and any relevant medical records. Many clinics will also ask you to complete an intake interview and may require a physical exam. You can call the clinic ahead of time to confirm exactly what they need for your first visit.
Methadone works by acting on the same receptors as other opioids, which prevents withdrawal symptoms and blunts cravings without producing the same intense effect. It is taken once a day at the clinic, usually under observation at first. Over time, many patients earn take-home doses and visit less often. The medication is one part of treatment, alongside counseling and medical monitoring.
Most people start with a visit every day, since methadone must be dispensed under supervision when treatment begins. As you show stability, the clinic can increase the number of doses you take at home, cutting trips down to every few days or even weekly. Federal rules set the framework, but each clinic applies them a bit differently. Ask what their specific expectations are for earning take-home doses.
There is no single price, because clinics charge differently and coverage rules differ. Some people pay little or nothing through Medicaid, while others pay out of pocket with income-based discounts or payment plans. The practical move is to call clinics near you and ask specifically about intake fees, monthly costs, insurance accepted, and sliding-scale options. Most clinics are used to these questions and will explain their fees directly.
Last updated