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It outlines steps for leveraging public insurance options, comparing plans via the ACA Marketplace, and ensuring coverage of PrEP-related clinical visits and lab tests. It also addresses support when clients lack insurance, including sliding-scale clinics and telePrEP resources, and provides medication assistance program options when insurance is incomplete. Key tools and eligibility considerations are summarized.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/covering-costs-of-hiv-prep-e-learning-module-tips-and-resources-for-covering-costs-of-hiv-prep/400702/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/covering-costs-of-hiv-prep-e-learning-module-tips-and-resources-for-covering-costs-of-hiv-prep/400702.png","ImageObject",300,407,{"name":92,"@type":93},"River Wang","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-27",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What should you do first to help a client with insurance coverage for PrEP costs?","Question",{"text":112,"@type":113},"Check the client’s eligibility for public insurance and compare Medicaid and Medicare options, then compare private plans through the ACA Marketplace to confirm PrEP-related care is covered.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How can you help a client who has no insurance cover PrEP costs?",{"text":117,"@type":113},"Verify they are not eligible for public insurance and cannot afford private coverage, then connect them to local clinics with sliding scale fees, community health centers, Title X programs, and PrEP service finders; consider telePrEP options and assistance programs.",{"name":119,"@type":110,"acceptedAnswer":120},"Which medication assistance programs are available when insurance doesn’t cover PrEP costs?",{"text":121,"@type":113},"Options include Ready, Set, PrEP; Advancing Access Patient Advocate Foundation (PAF); Good Days; and Advancing Access Co-Pay Assistance, with eligibility and coverage limits described for each.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},400702,1790918764,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":39,"preview_page_count":4},1099514067438,"https://ap-avatar.wpscdn.com/avatar/100002539ee87300030?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780474512215547542","| COVERING COSTS OF HIV PREP: E-LEARNING MODULE\u003Cbr>Tips and Resources for Covering Costs of HIV PrEP |  |  | |\n| --- | --- | --- | --- |\n| How can you support your client to cover costs of PrEP? | Covering Clinical Visits and Lab Tests | Covering Medication Costs |  |\n| Help your client access affordable insurance to help with PrEP costs | u First: Check client eligibility for public insurance and compare your state’s Medicaid and Medicare options.\u003Cbr>u Then: Compare insurance plans using your state’s Affordable Care Act (ACA) Marketplace.\u003Cbr>u Note: ACA-governed insurance should cover PrEP-related care costs based on USPSTF’s Grade A recommendation and joint Guidance from federal agencies.\u003Cbr>u Use this infographic to ensure that your clients’ insurance covers everything they need. |  |  |\n|  |  |  |  |\n| Help your client with no insurance | u First: check that your client is not eligible for public insurance and cannot afford private insurance.\u003Cbr>u Conduct an environmental scan to identify and work with local clinics (develop your own list and relationships) .\u003Cbr>u Find clinics with sliding scale fees to help cover costs of clinical visits & lab tests.\u003Cbr>• Use community health centers (the HRSA finder can help)\u003Cbr>• Use clinical programs including Title X clinics\u003Cbr>• Use PrEP services finders:\u003Cbr>PleasePrEPMe and PrEP Locator\u003Cbr>u Use PrEP services finders: PleasePrEPMe, PrEP Locator\u003Cbr>u State-funded PrEP assistance programs may help.\u003Cbr>u Use a telePrEP service (such as state-specific  telePrEP programs, or commercial services such as MISTR, SISTR, Folx Health, and Nurx) . | u Apply for Ready, Set, PrEP (eligibility = no prescription drug coverage, with or without insurance) .\u003Cbr>u Apply for Advancing Access Patient Assistance (eligibility = based on income) .\u003Cbr>u Inform clients to talk to their providers about switching to a generic PrEP option to lower costs, if clinically appropriate.\u003Cbr>u Utilize a telePrEP service (see left); check telePrEP protocol for lab tests, clinic visits, and prescriptions.\u003Cbr>u Work with a clinic to help navigate medication cost assistance options. |  |\n\n| COVERING COSTS OF HIV PREP: E-LEARNING MODULE\u003Cbr>Tips and Resources for Covering Costs of HIV PrEP  |  |  |\n| --- | --- | --- |\n| How can you support your client to cover costs of PrEP? | Covering Clinical Visits and Lab Tests | Covering Medication Costs |\n| Help your client with insurance that doesn’t cover all the costs of PrEP | u Find clinics with sliding scale fees to help cover costs of clinical visits & lab tests.\u003Cbr>• Use community health centers (the HRSA finder can help)\u003Cbr>• Use clinical programs including Title X clinics\u003Cbr>• Use PrEP services finders:\u003Cbr>PleasePrEPMe and PrEP Locator\u003Cbr>u State-funded PrEP assistance programs may help.\u003Cbr>u Use a telePrEP service (such as state-specific  telePrEP programs, or commercial services such as MISTR, SISTR, Folx Health, and Nurx) .\u003Cbr>u Conduct an environmental scan to identify and work with local clinics (develop your own list and relationships) . | u Apply for Ready, Set, PrEP (eligibility = no prescription drug coverage) .\u003Cbr>u Help clients apply to Advancing Access, Patient  Advocate Foundation, and/or Good Days.\u003Cbr>u Use a telePrEP service (see left); check telePrEP protocol for lab tests, clinic visits, and prescriptions.\u003Cbr>u Advise clients to talk to their providers about switching to a generic PrEP option to lower costs, if clinically appropriate. |\n|  |  |  |\n| Help your client with comprehensive insurance | u Most private insurance should cover these services due to the 2019 USPSTF recommendation; file an insurance claim with the insurer if it does not cover it.\u003Cbr>u Use this infographic to ensure that your clients’insurance covers everything they need.\u003Cbr>u Check insurance plan details to ensure clients meet requirements (such as in-network services, time limits, etc) .\u003Cbr>u Clients may still visit clinical programs with a sliding scale. | u Help clients apply to the Ad","cbCain6PWO3cL9mh","https://ap.wps.com/l/cbCain6PWO3cL9mh","pdf",589051,"English","# How can you support your client to cover costs of PrEP?\n## Covering Clinical Visits and Lab Tests\n## Covering Medication Costs","[{\"question\":\"What should you do first to help a client with insurance coverage for PrEP costs?\",\"answer\":\"Check the client’s eligibility for public insurance and compare Medicaid and Medicare options, then compare private plans through the ACA Marketplace to confirm PrEP-related care is covered.\"},{\"question\":\"How can you help a client who has no insurance cover PrEP costs?\",\"answer\":\"Verify they are not eligible for public insurance and cannot afford private coverage, then connect them to local clinics with sliding scale fees, community health centers, Title X programs, and PrEP service finders; consider telePrEP options and assistance programs.\"},{\"question\":\"Which medication assistance programs are available when insurance doesn’t cover PrEP costs?\",\"answer\":\"Options include Ready, Set, PrEP; Advancing Access Patient Advocate Foundation (PAF); Good Days; and Advancing Access Co-Pay Assistance, with eligibility and coverage limits described for each.\"}]","COVERING COSTS OF HIV PrEP - E-LEARNING MODULE - Tips and Resources for Covering Costs of HIV PrEP | PDF",1790513368]