Most insurances cover the medication. It really depends on how good your insurance is, in terms of how much of a copay you pay. There are resources available that offer copay assistance to even cover that for those patients. So, for the most part, patients that are insured are able to access PrEP through their insurance. There are medication assistance programs that even for patients that don’t have insurance, that allow coverage of the medication. Most patients will pay little or nothing to get access to PrEP.
Dr. Flash talks about the resources available to help pay for PrEP. Many people pay little or nothing for the HIV prevention pill.
PrEP is covered by most insurance plans, and should be covered by Medicare and Medicaid. There are various sources of payment assistance, both for people with insurance – to help cover copay and deductible costs – as well as for those who don’t have insurance, including:
- U.S. Department of Health and Human Services’ Ready, Set, PrEP Program
- Gilead’s Medication Assistance Program for PrEP
- Gilead’s Co-Payment Assistance Program
- Patient Advocate Foundation