Assisted Living Cost in San Antonio
The average cost of assisted living in San Antonio is $3,600/month in 2026. This guide covers room-type pricing, how San Antonio compares to the national average, Medicaid coverage through Texas STAR+PLUS (HCBS only), and the most affordable alternatives in the area.
San Antonio Assisted Living Costs at a Glance
Average (all types)
$3,600
per month
Memory Care
$4,800
per month
Skilled Nursing
$7,800
per month
Cost by Room Type in San Antonio (2026)
| Room Type | Monthly Cost | Daily Rate |
|---|---|---|
| Studio / Shared | $2,900 | $97 |
| 1-Bedroom | $3,800 | $127 |
| 2-Bedroom / Deluxe | $4,800 | $160 |
| Memory Care | $4,800 | $160 |
| Skilled Nursing (semi-priv.) | $7,800 | $260 |
* Costs are 2026 market averages. Actual fees vary by facility, level of care, and unit size.
How San Antonio Compares
San Antonio
$3,600/mo
Texas Avg
$4,000/mo
10% below avgNational Avg
$4,500/mo
20% below avgWhy Does Assisted Living Cost $3,600/Month in San Antonio?
- San Antonio is 10% below the Texas state average — one of the most affordable large metros in TX
- Large military retiree population (JBSA, Fort Sam Houston) creates a VA-focused senior care market
- Strong bilingual (English/Spanish) assisted living options throughout the city
- Lower real estate and labor costs vs. Dallas/Houston keep prices competitive
Medicaid Coverage for Assisted Living in San Antonio
TX Medicaid does not cover assisted living room & board
Texas Medicaid (STAR+PLUS) does NOT cover assisted living room and board. It covers in-home personal care services only. San Antonio is served by multiple STAR+PLUS managed care plans including Molina Healthcare and United Healthcare Community Plan. Contact HHSC at 211.
Texas Medicaid Guide →How to Afford Assisted Living in San Antonio
- South San Antonio and east side communities average 10–15% below the Stone Oak and Alamo Heights areas
- VA benefits: Audie L. Murphy Memorial VA Medical Center is in San Antonio — Aid & Attendance available
- San Antonio has an unusually large selection of bilingual assisted living communities
- Texas STAR+PLUS covers in-home personal care for Medicaid-eligible seniors
- Consider New Braunfels or Seguin (30 mi east) — 15–20% lower costs while in the I-35 corridor
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More Affordable Alternatives Near San Antonio
If San Antonio costs are too high, these nearby cities offer lower averages and similar access to family, healthcare, and amenities.
Frequently Asked Questions — Assisted Living in San Antonio
What is the average cost of assisted living in San Antonio, Texas?▾
The average cost of assisted living in San Antonio is approximately $3,600 per month in 2026, which is 10% below the Texas state average of $4,000/month. Costs range from $2,600/month for a basic studio to $5,200/month for a one-bedroom in a premium north San Antonio community.
Does Medicaid cover assisted living in San Antonio?▾
Texas Medicaid (STAR+PLUS) does NOT cover assisted living room and board in San Antonio. It covers in-home personal care services only. Seniors needing Medicaid coverage for room and board typically require nursing home placement. Contact Texas 211 for local referrals, or the Alamo Area Council of Governments Area Agency on Aging at 210-477-3275.
Are there bilingual assisted living communities in San Antonio?▾
Yes — San Antonio has one of the largest selections of bilingual (English/Spanish) assisted living communities of any US city. Many facilities on the west and south sides are majority Spanish-speaking and have staff, programming, food, and activities designed for Hispanic seniors. Contact the Area Agency on Aging at 210-477-3275 for culturally matched referrals.
What VA benefits are available for San Antonio veterans in assisted living?▾
San Antonio has exceptional VA resources — the Audie L. Murphy Memorial VA Medical Center (210-617-5300) and the South Texas Veterans Health Care System serve the area. VA Aid & Attendance pays up to $2,795/month for a single veteran or $3,312/month for a married veteran in assisted living. San Antonio also has the Domiciliary Care program at Fort Sam Houston for eligible veterans.
What does memory care cost in San Antonio?▾
Memory care in San Antonio averages $4,800 per month in 2026, ranging from $3,600 to $6,500/month. The highest concentration of memory care communities is in the north San Antonio/Stone Oak corridor and the northwest (Helotes, Leon Valley area).
How does San Antonio compare to Austin for assisted living costs?▾
San Antonio ($3,600/month) is significantly less expensive than Austin ($4,800/month) — about 25% lower. Both cities are within 80 miles of each other on I-35. San Antonio's lower real estate costs and larger existing senior care market contribute to the price difference. For Austin-area families, San Antonio's New Braunfels corridor offers good options at intermediate costs.
Looking for statewide data?
See the full Texas assisted living cost guide, Medicaid eligibility, and facility directory.
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