The Ryan White HIV/AIDS Programs and AIDS Drug Assistance Program
If I currently receive financial support from the Ryan White program or AIDS Drug Assistance Program (ADAP), will that support still be available?
The Ryan White HIV/AIDS Program or the AIDS Drug Assistance Program (ADAP) may still be able to help you. But they do not qualify as insurance under the Affordable Care Act (ACA). To continue to get help from Ryan White or ADAP, you must either obtain Medicaid (if you are eligible); enroll in a health plan in the health insurance marketplacein your state or sign up for other qualifying coverage.
If you are unable to afford insurance or qualify for Medicaid, or if your insurance has limits or gaps in its coverage, then Ryan White or ADAP may be able to help you. To learn more about Ryan White and ADAP services in your state, click here.
It depends. If staying with your current doctor is important to you, check to see if s/he is included in a health plan’s network before choosing a marketplace plan or when enrolling in Medicaid coverage. Most health plans offered in the marketplace and many Medicaid programs give beneficiaries a choice of health plans that have “networks” of hospitals, doctors, specialists, pharmacies, and other health care providers. Depending on the type of policy you buy, care may be covered only when you get it from a network provider. Each plan sold in the Marketplace must provide a link on the Marketplace web site to its health provider directory so you can find out if your doctor is included. If staying with your doctor is important to you, you should also check directly with your doctor to confirm that s/he is in the network of the plan you are considering.
The AIDS Drug Assistance Program (ADAP) is a component of the Ryan White HIV/AIDS Program that provides funding to states to purchase HIV and other medications for people with HIV. It also can help people with HIV pay for insurance premiums and copayments or coinsurance. ADAP does not qualify as insurance.
The Ryan White HIV/AIDS Program is a federal program that funds states, cities and HIV medical clinics across the country to provide various health and supportive services to people with HIV. Its largest program is the AIDS Drug Assistance Program (ADAP). Ryan White and/or ADAP provide HIV medical care, help people obtain HIV medications, pay copayments or cost sharing when people with HIV fill prescriptions or visit the doctor, and provide other services to help people receive regular medical care.
Ryan White and/or ADAP do NOT qualify as insurance though, so if you receive help from these programs, you will need to apply for coverage through Medicaid or the marketplace. If you are uninsured and still cannot obtain or afford coverage through the new ACA coverage options, Ryan White may be able to help you. If you have insurance now or are about to get it, Ryan White or ADAP may be able to help you with services that are not covered or with copayments or cost sharing that could be difficult for you to pay. Learn more about Ryan White in your state here.
Yes. The Ryan White HIV/AIDS Program pays health service fees for some people with HIV. Some HIV patients receive services from an arm of Ryan White called the AIDS Drug Assistance Program (ADAP). Ryan White and ADAP are NOT health insurance and do NOT meet the requirement to have insurance, known as the individual mandate.
Ryan White or ADAP may purchase insurance coverage for you or provide you with services today. But if you will be eligible for new coverage through the Affordable Care Act (or ACA) in the health insurance marketplace or through Medicaid, the services or financial support you receive from Ryan White or ADAP may change or be replaced by insurance. If you are receiving help from Ryan White or ADAP, it’s important that you contact the program to find out about new options.
If your insurance plan has limits or gaps in what it covers or charges cost sharing or copayments when you access services or fill a prescription, Ryan White or ADAP may be able to help you cover those costs. Ryan White may also be able to help connect you to new health coverage in your state. To learn about Ryan White and ADAP services in your state, click here.
If you are a person with HIV and you are ineligible for Medicaid or a marketplace health plan, Ryan White or ADAP may be able to help you as well.