…but how am I going to pay for it?
Covering the cost of PrEP
Is Prep Covered by Insurance?
In most cases, YES!
As a part of the Affordable Care Act (ACA) PrEP must be free under almost all health insurance plans. Including private plans obtained from employers or purchased yourself from HealthCare.gov or state-based Marketplaces, and many state led Medicaid plans.
This means no out-of-pocket costs to you for the:
PrEP medication
Clinic visit to discuss PrEP
Lab tests needed to maintain your prescription
…But what about Medicare?
How can you find out if PrEP is covered at no cost to you under your health plan?
If you have purchased private insurance or have coverage via an employer:
Call/check with your insurance company
Review the drug formulary/list online to find approved PrEP medication list
If you are on Medicaid:
Check with your benefits counsellor
If you purchased your health plan through Healthcare.gov OR a state-based Marketplace
If you are on Medicare
Find which plans cover PrEP medications
What if I do not have insurance or Medicaid?
There is also income based supports available through
Gilead’s Medication Assistance Program for Truvada and Descovy
For more information call (877) 505-6986
There is also funding available for the injectable form of PrEP
You may qualify for the Ready Set PrEP program. This is a national program that provides PrEP at no cost for people without prescription drug coverage.
Click on their logo to learn more and see if you qualify!
