According to SAMHSA, there are over 30 drugs and alcohol rehab in San Francisco. For example, this includes over ten detoxification programs, over 15 outpatient centers, and over ten long-term residential drug rehab centers. recommends long-term inpatient treatment as the most effective. However, every addiction and situation is different from the next. California Medicaid and private health insurance plans cover some of the costs associated with treatment.

Over 15 programs take Medicaid, and over 11 bay area drug rehab centers accept private health insurance plans. Contact one of our qualified addictions professionals for more information. We also offer an extensive directory listing of programs and services for the city and state.

TIPS: If you feel you're going to use

  • Find a peer support group: California 12-step meetings and other resources through the directory.
  • Stay active and distracted—California offers a diverse landscape to explore and endless community events.
  • Access counseling through the Department of Healthcare Services or contact California 2-1-1.
  • Find an activity—there is no shortage of fulfilling experiences and activities in California.
  • Avoid risky situations. Fentanyl and opioids remain the biggest drug threat in the state.

TIPS: If you want to help someone

  • Find local help through the Department of Healthcare Services.
  • Be aware of overdose risks—resources available through California Overdose Prevention Network and Overdose Prevention Initiative with the CDPH.
  • Assessment and screening are available through the Department of Healthcare Services.
  • Organize a family intervention with the help of a professional interventionist.
  • Avoid enabling the individual who is addicted to drugs or alcohol.

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Long Term Drug Rehab San Francisco

The professional opinion of is that long-term substance use treatment has proven to be the most effective for rehabilitation and life-long sobriety—here are some reasons why:

  • Your addiction is too severe for standard outpatient rehab in San Francisco, and long-term residential is a better fit.
  • You are chronically ill and need medical treatment during rehabilitation. Long-term programs provide more help.
  • Addressing underlying issues takes time. Long-term programs last 60 to 90 days or longer, and more is done to address trauma.

According to SAMHSA and N-SSATS:

Approximately 39% of all residential drug and alcohol treatment centers are classified as long-term residential in California. Within San Francisco, there are only 11 long-term residential substance use treatment programs. Below is a breakdown for specific demographics:

Long-Term Drug Treatment Options for Specific Demographics:

  • Five facilities in San Francisco help adult women specifically.
  • Six long-term programs provide help for adult men.
  • There are no long-term programs for adolescents.
  • Five treatment programs are tailored for seniors and older adults.
  • Seven treatment centers tailor programs for LGBTQ.
  • Two treatment programs specifically help pregnant and postpartum women.

Payment Options for Long-Term Drug Rehab:

  • Six long-term programs accept Medicaid.
  • Four treatment options take private health insurance.
  • Nine long-term programs are private pay or self-payment.
  • Two treatment programs offer a sliding fee scale for payment.

Overall, considering the city's ongoing substance use and addiction issues, there are limited long-term residential treatment options. also recommends considering other cities in California. Being in a different location for treatment does contribute to long-term success.

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List of Drug Rehabs in San Francisco, Colorado

Here is a list of the different San Francisco rehab centers in California. The list can be incomplete so please do not hesitate to contact one of our treatment specialists at 1-800-304-2219.

Drug Rehabs in San Francisco

Detoxification Programs

Drug and alcohol detox programs include outpatient and inpatient facilities offering withdrawal management. According to the SAMHSA directory, there are ten detoxification facilities in San Francisco. The most common detox options are medically supervised detox and clinical detox programs.

Short-Term Inpatient Treatment

Short-term residential drug and alcohol rehab generally lasts two to three weeks or less. According to SAMHSA, there are only six short-term residential rehab programs in San Francisco. Short-term drug rehab programs offer excellent counseling methods but are not always beneficial for severe cases of addiction.

Long-Term Residential Treatment

Long-term residential drug and alcohol rehab is the best option to treat addiction. Per the SAMHSA directory, there are 11 long-term residential programs in San Francisco. Lengthier inpatient substance use treatment provides more counseling options, onsite detox, and extensive aftercare support.

Outpatient Treatment

Outpatient drug and alcohol rehab is the most widely used form of substance use treatment. Per the SAMHSA directory, there are 19 outpatient programs in the city. The options include regular outpatient treatment, outpatient day treatment or partial hospitalization, and intensive outpatient treatment.

Cost of Treatment in San Francisco, California

The cost of drug and alcohol rehabilitation in San Francisco, California, varies and depends on several factors. Initially, Medicaid and private health insurance changes the cost of treatment. Outpatient and residential drug rehab are also different in cost.

Outpatient is often more affordable than inpatient drug rehab. In addition, the length of time a program lasts determines the cost of treatment. For example, long-term residential care is more costly than short-term residential treatment. 

According to SAMHSA:

  • There are 18 substance use treatment services that accept Medicaid.
  • Roughly 11 programs take private health insurance.
  • Over 22 substance use programs accept cash or self-payment options.
  • Over nine programs provide a sliding fee scale for payment options.

Paying for Treatment with Medicaid in San Francisco

California Medicaid covers some detox programs, outpatient drug rehab, and inpatient treatment. Medicaid is designed for low-income households and individuals who qualify. When you enter a treatment center using Medicaid, the payment is made directly to the facility. It is best to contact your Medicaid provider for more details.

Using Private Insurance to pay for Drug Rehab in San Francisco

Private health insurance is another option to consider. Private health plans cover residential drug rehab, detox programs, and outpatient treatment. Generally, health insurance companies have a network of rehabilitation programs they contract with and could also recommend out-of-network providers.

The extent of coverage depends on the health plan type. Most individuals have private health insurance through an employer. California’s state-run exchange, Covered California, is widely regarded as one of the most successful established under the Affordable Care Act.


The following insurers offer marketplace coverage in California:

  • Anthem Blue Cross of California
  • Blue Shield of California
  • Bright HealthCare (new for 2022)
  • Chinese Community Health Plan
  • Health Net
  • Kaiser Permanente
  • A. Care Health Plan
  • Molina Healthcare
  • Oscar Health Plan of California
  • Sharp Health Plan
  • Valley Health Plan
  • Western Health Advantage

Paying for treatment when uninsured

Paying for drug and alcohol rehabilitation without Medicaid or private health insurance is not always easy. However, there are numerous options to consider. For example, it is not uncommon for programs to offer payment plans or sliding fee scales based on income.

For more details, contact one of our qualified addictions professionals to discuss options. In addition, contact the drug rehab center directly from our extensive directory listing.

Source:'s Evaluation of San Francisco, California

After reviewing state statistics and options available for Drug and Alcohol Rehabilitation in San Francisco, discovered the following pros and cons:


  • California embraced the ACA’s Medicaid expansion in 2013, as then-Gov. Jerry Brown signed legislation that was expected to expand Medicaid coverage to over a million Californians.
  • There are ten drug and alcohol detoxification programs in San Francisco offering excellent withdrawal management services.
  • Over half of the drug rehab centers offer outpatient care, which is a good option for someone needing immediate help.
  • There are six federally-certified Opioid Treatment Programs.


  • Only three facilities are classified as transitional housing, halfway houses, or sober living homes, making aftercare support difficult for many people.
  • Long-term residential drug rehabilitation is limited, making it difficult to access lengthier treatment options.
  • Despite Medicaid expansion, just over half of the city's drug and alcohol rehab centers accept Medicaid.

Overall, there is decent access to well-rounded treatment. In addition, there are affordable options. However, aftercare support and follow-up care remain barriers for many people.


According to the Office of the Chief Medical Examiner:

  • Men accounted for 81% of all accidental overdose deaths in 2022.
  • Adults aged 55 to 64 made up the majority of these deaths.

According to local news reports in 2019:

  • San Francisco has more drug addicts than it has students enrolled in public high schools.
  • In 2019, it was estimated that there were about 24,500 injection drug users in the city.
  • Since 2012, it has been estimated that there has been an increase of 2,000 serious drug users.

According to the Hoover Institution:

  • San Franciscans face about a 1-in-16 chance of being a victim of property or violent crime each year. Unfortunately, most violent crimes are connected to drug use.


Marcel Gemme, DATS

Marcel Gemme, DATS


on April 20, 2022

More Information

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.