[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-402277-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-402277-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","benefits-navigation-for-prep-tip-sheet-updated-october-2024","Benefits Navigation for PrEP - Tip Sheet - Updated October 2024","","Benefits Navigation for PrEP: Tip Sheet provides clinic-facing guidance for helping patients obtain PrEP with reduced or no out-of-pocket costs. It outlines first-step patient engagement and a suggested insurance/income/residency question script, then summarizes support pathways for uninsured, underinsured, Medicaid, and commercially insured patients. The tip sheet also lists key enrollment and assistance resources, provides PrEP-AP clinician and general applications, and includes templates for residency and proof-of-income letters for PrEP patient assistance programs.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/exam/","Exam",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/benefits-navigation-for-prep-tip-sheet-updated-october-2024/402277/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/benefits-navigation-for-prep-tip-sheet-updated-october-2024/402277.png","ImageObject",300,407,{"name":42,"@type":43},"Anna Hans","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","2026-09-27",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What should clinicians do at the beginning of the PrEP benefits navigation conversation?","Question",{"text":63,"@type":64},"Introduce yourself, share pronouns, and ask what brings the person in using open-ended questions. Use the suggested script to explain that questions about insurance status, income, and living situation are needed to get PrEP as close to free as possible.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What information should be collected when working with uninsured or underinsured patients?",{"text":68,"@type":64},"Ask whether the patient has insurance, what type of insurance it is, whether they have the insurance card, their income type and approximate amount, and what portion of income is reported. Also ask about New York State residency and household details.",{"name":70,"@type":61,"acceptedAnswer":71},"What templates are included for PrEP patient assistance applications?",{"text":72,"@type":64},"The document includes templates to establish residency and employment, including letters verifying residency without a lease or utility bill and a template for someone unemployed. It also provides a proof-of-income letter template stating the applicant is unemployed and has no income while living with family.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},402277,1791497043,{"code":4,"msg":82,"data":83},"success",[84,88,92,95,100,104,109,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":93,"slug":94},70,"exam",{"id":96,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},5,"Comic",60,"comic",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},"Technology",50,"technology",{"id":105,"doc_module":4,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},7,"Healthcare",40,"healthcare",{"id":110,"doc_module":4,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},8,"Research & Report",30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":96,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":33,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":55,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144,"preview_page_count":4},5909892332657,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Benefits Navigation for PrEP: Tip Sheet  \nUpdated October 2024  \n\n| *Much of this document was written from a New York City perspective; some information may not be applicable to your clinic setting. For more information about HIV prevention benefits navigation, review this short online course. |\n| --- |\n| First Steps\u003Cbr> Introduce yourself, share pronouns, and ask what brings the person in today – use openended questions\u003Cbr> Suggested script: “In order to make sure you can get PrEP for as close to free as possible, Iam going to have to ask you some personal questions about your insurance status, your income, and your living situation. If at any point you do not want to answer these questions just let me k now and I’ ll indicate you prefer not to answer. How does that sound?”\u003Cbr> Questions to ask:\u003Cbr> Do you presently have an insurance plan?\u003Cbr> If so, what type and do you have the card? ( Make a copy of the card)\u003Cbr> Do you presently have an income?\u003Cbr> If so, what type of work and approximately how much do you make?\u003Cbr> What of your income is reported? What isn’t? (If paystubs are possible, make a copy)\u003Cbr> Do you live in New York State? Do you live with others?\u003Cbr> If so, what is your relation to those people? Are any of them dependents? Are you a dependent of any of those people? |\n| Uninsured Patients\u003Cbr>Gilead Advancing Access for medicine\u003Cbr> Pays full cost of monthly medications\u003Cbr> For those who are \u003C500 Federal Poverty Level ( FPL)\u003Cbr> Covers brand Truvada or Descovy\u003Cbr>PrEP-AP for clinic visits (*this is a New York State program*)\u003Cbr> Covers the cost of the clinic visit at ADAP credentialed clinics only\u003Cbr> NYS residents only\u003Cbr> \u003C500 FPL\u003Cbr>Can use both of these programs even if you’ve applied for Medicaid and are waiting |\n\nBenefits Navigation for PrEP: Tip Sheet  \nUpdated October 2024  \n\n| Underinsured Patients\u003Cbr> Gilead Advancing Access for medicine\u003Cbr> Only if patient’s insurance doesn’t cover the medications – this requires Gilead to first do an investigation\u003Cbr> PrEP-AP for clinic visits (*this is a New York State program*)\u003Cbr> If your clinic doesn’t take their insurance OR if patient has a high deductible/catastrophic health plan\u003Cbr> Gilead copay cards\u003Cbr> Pays up to $7200 in copays, deductibles, and coinsurance for brand Truvada or Descovy\u003Cbr> No income requirements |\n| --- |\n| For Patients on Medicaid\u003Cbr> Most often only generic PrEP is covered\u003Cbr> No copays, deductibles, coinsurance, or explanation of benefits\u003Cbr> \u003C138% of FPL in NYS; check your state’s eligibility requirements here\u003Cbr> Can apply for Medicaid if currently unemployed even if previously had high income\u003Cbr> *Should not need Prior Authorization for Medicaid, including managed care |\n| For Commercially Insured Patients\u003Cbr> Gilead copay cards\u003Cbr> Prior Authorizations\u003Cbr> Some insurances require PAs to determine if they will cover brand medications\u003Cbr> Contact pharmacy to learn what patients need to do |\n\nResources  \n  Gilead Advancing Access:  \n  Enrollment Form  \n Copay Program  \n  ViiV Connect  \n Provides the option to enroll online or to download a form and enroll by fax or mail  \n Copay program  \n  PrEP-AP (*this is a New York State program*)  \n  General application  \n  Clinician application  \n  Cover My Meds (for help with PA process)  \n 2024 NYS Income Levels  \n  HIV Prevention Benefits Navigation free online CE-accredited training  \n  HIV BLUPrInt financial navigation tools  \nBenefits Navigation for PrEP: Tip Sheet  \nUpdated October 2024  \nTemplates for PrEP Patient Assistance Programs  \nEstablishing residency and employment  \nThe following templates can be used when applying for patient assistance programs for PrEP. They help establish residency when someone has no lease or utility bill, and for those without a permanent address. The third template is for someone who is unemployed.  \nDATE  \nRE: Patient’s Name  \nTo Whom It May Concern,  \nI,  , DOB  , verify that Patient’s Name, ( DOB) resides with me at the following address:  \n________","cbCait2plP3bhGbR","https://ap.wps.com/l/cbCait2plP3bhGbR","pdf",248887,"English","# First Steps\n# Uninsured Patients\n# Underinsured Patients\n# For Patients on Medicaid\n# For Commercially Insured Patients\n# Resources\n## Benefits program enrollment and tools\n# Templates for PrEP Patient Assistance Programs\n## Establishing residency and employment\n## Proof of income templates","[{\"question\":\"What should clinicians do at the beginning of the PrEP benefits navigation conversation?\",\"answer\":\"Introduce yourself, share pronouns, and ask what brings the person in using open-ended questions. Use the suggested script to explain that questions about insurance status, income, and living situation are needed to get PrEP as close to free as possible.\"},{\"question\":\"What information should be collected when working with uninsured or underinsured patients?\",\"answer\":\"Ask whether the patient has insurance, what type of insurance it is, whether they have the insurance card, their income type and approximate amount, and what portion of income is reported. Also ask about New York State residency and household details.\"},{\"question\":\"What templates are included for PrEP patient assistance applications?\",\"answer\":\"The document includes templates to establish residency and employment, including letters verifying residency without a lease or utility bill and a template for someone unemployed. It also provides a proof-of-income letter template stating the applicant is unemployed and has no income while living with family.\"}]","Benefits Navigation for PrEP - Tip Sheet - Updated October 2024 | PDF",1790528722,15]