Adult Day Care · San Antonio, Texas
Adult Day Care in San Antonio, TX
San Antonio's senior care network includes bilingual adult day programs, strong VA resources for veterans, and Texas STAR+PLUS Medicaid coverage for qualifying seniors.
$80–$120/day
San Antonio adult day care cost (2025)
STAR+PLUS
Texas Medicaid covers adult day care
Alamo AAA
210-477-3275 — local referral resource
San Antonio adult day care — key facts
Bilingual programs serve San Antonio's Hispanic community
Many San Antonio adult day centers have Spanish-English bilingual staff and offer programming in both languages — critical for seniors whose primary language is Spanish. Ask any prospective center about bilingual staff ratios, Spanish-language activities, and whether their cultural programming reflects Hispanic traditions.
STAR+PLUS is the key Medicaid pathway in Bexar County
Texas STAR+PLUS operates in Bexar County through managed care organizations. Your MCO assigns a care coordinator who approves and manages adult day services as a long-term services and supports (LTSS) benefit. Call 2-1-1 to start the STAR+PLUS eligibility process in San Antonio.
Strong military/VA resources for San Antonio veterans
San Antonio is home to the South Texas VA and SAMMC, making it one of the strongest VA markets in the country. Eligible veterans can access VA-sponsored adult day health care at no cost through community care partnerships. Contact Audie L. Murphy VAMC (210-617-5300) for referrals.
Alamo Area Agency on Aging coordinates local access
The Alamo AAA (210-477-3275) serves Bexar and surrounding counties, providing free information and referrals to adult day programs, home-based care, and caregiver support services. They can also help navigate STAR+PLUS enrollment.
Find adult day care in San Antonio
Our advisors can connect you with programs in San Antonio — including bilingual centers and programs that accept STAR+PLUS Medicaid and VA benefits.
Frequently asked questions — San Antonio
How much does adult day care cost in San Antonio?▾
Adult day care in San Antonio averages $80–$120 per day in 2025. Social programs typically run $75–$95/day; medical adult day health care with nursing services averages $105–$125/day. San Antonio costs are generally in line with or slightly below Houston, making it among the more affordable markets in Texas for adult day care. Several non-profit and faith-based centers offer sliding-scale rates.
Are there bilingual (Spanish-English) adult day programs in San Antonio?▾
Yes — San Antonio's large Spanish-speaking senior population is well-served by bilingual adult day programs. Many centers are staffed by bilingual caregivers and offer programming in both Spanish and English. When searching for a center, specifically ask about bilingual staff ratios and Spanish-language activities. The Alamo Area Agency on Aging (210-477-3275) can provide referrals to bilingual programs.
What military/veteran adult day resources are available in San Antonio?▾
San Antonio is a major military hub, and veterans have strong adult day care options. The South Texas Veterans Health Care System (Audie L. Murphy VA Medical Center, 210-617-5300) coordinates VA Adult Day Health Care services for eligible veterans. Brooke Army Medical Center (SAMMC) also serves active-duty dependents and retirees. Contact the VA Social Work department to start the eligibility screening process.
Does Texas STAR+PLUS cover adult day care in San Antonio?▾
Yes — Texas STAR+PLUS is the primary Medicaid pathway for adult day care in San Antonio and Bexar County. Eligible seniors are enrolled in STAR+PLUS through a managed care organization (Molina Healthcare, AmeriHealth Caritas, or UnitedHealthcare Community Plan). Once enrolled, adult day services are coordinated by your MCO's care coordinator. Apply through Texas HHSC (2-1-1) or the Alamo Area Council of Governments (AACOG).
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