Your Experience is a Gift

We feature real stories from people who have chosen to use PrEP as one way to protect themselves from HIV. If you have used or are using PrEP, we invite you to share your PrEP experience via audio, video, or in writing. Send video or audio links and/or text to myprepexperience@gmail.com and we will post them here. You can include your name, or you may contribute your story anonymously. This blog also contains helpful information on PrEP for users, potential users, and providers. Look for the links in the sidebar.

We have not heard of any insurance company or any Medicaid program outright denying coverage of Truvada as PrEP. Some companies and programs are requiring prior-authorization, however, which requires paperwork to be filled out. And the type of insurance coverage you have, including prescription drug benefits, will determine the cost to you as the consumer. To date, we have seen the biggest barrier to obtaining PrEP from providers who are unwilling to write a prescription.

If you have trouble getting a prescription for Truvada as PrEP from your provider, or getting a PrEP prescription covered by insurance or Medicaid, we are happy to troubleshoot with you. Send us an email to myprepexperience@gmail.com.

Truvada Track - monitoring insurance and Medicaid coverage of Truvada for PrEP

Truvada Track - monitoring insurance and Medicaid coverage of Truvada for PrEP 

Get yourself prepared for going on PrEP with this handy chart on insurance and the various steps you need to take to begin this HIV prevention strategy Click here.

We are more than happy to help you advocate for access should you be denied a PrEP prescription from your healthcare provider or denied coverage from your insurance company or Medicaid.

Send us an email to myprepexperience@gmail.com with as much information as you can. If you can send a copy of the actual denial letter or any official communication - better!

We have found that the vast majority of denials are reversed by submitting an appeal. Don't take "no" for the final answer here. Sometimes a squeaky wheel is necessary to access PrEP. We can help.

7 comments:

  1. This is a great resource guys! Have been looking for this information as I will be shopping for health insurance soon and was wondering if they are covering it and how does it work. thanks!

    ReplyDelete
  2. Glad this is helpful! Keep us posted!

    ReplyDelete
  3. On the phone with Aetna as I type this trying to get our co-pay of $910/month each to something more affordable. This sight has given me some terminologies I can use to try to argue my point. Thanks!

    ReplyDelete
  4. I have a high deductible plan. After finally finding a doctor to prescribe the PrEP, I have to meet a $1300 deductible before it's covered. I live paycheck to paycheck so I can't even do one month to meet the deductible.

    ReplyDelete
  5. What doctors/agencies in NJ and surrounding area are prescribing PrEP?

    ReplyDelete

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