PrEP is covered by most insurance plans and should be covered by Medicaid and Medicare.
There are also programs that provide PrEP for free or at a reduced cost.
Many organizations have PrEP navigators who can help connect patients to resources. Ask what options are available.
If you don’t have insurance, options are available to get PrEP. The U.S. Department of Health and Human Services’ Ready, Set, PrEP Program provides PrEP at no cost for people who do not have health coverage. For more information, and to apply for the program, visit GetYourPrEP.com or call (855) 447-8410.
In addition, depending on your income, you may be eligible to get PrEP at no cost as part of programs offered by its manufacturers. Gilead’s Advancing Access Program (1-800-226-2056) and ViiV Connect (1-844-588-3288). Programs may cover out-of-pocket expenses for PrEP, including copays, coinsurance, and deductibles. To determine if you are eligible, your medical provider needs to submit an application for you. Call for more information.
Another option for people who get their PrEP covered by their insurance, including Medicare, is the Patient Advocate Foundation, which provides up to $7,500 per year to help pay for costs related to the prescription. Approval is based on your income. If you earn less than 400 percent of the federal poverty level (or about $48,560 for an individual with no dependents) you may qualify for this program. For more information call (866) 512-3861 and select option 1.