[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-402278-105":59,"doc-detail-402278-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","payment-options-for-pre-exposure-prophylaxis-prep","Payment Options for Pre-Exposure Prophylaxis (PrEP)","","Payment Options for Pre-Exposure Prophylaxis (PrEP) summarizes how individuals can access PrEP through private insurance, Medicaid, and New York State Department of Health sponsored programs, including PrEP Assistance Program (PrEP-AP). It explains eligibility rules, required approvals, covered services such as prescriptions, medical visits, and lab tests, and typical renewal intervals. It also lists medication assistance options like Gilead co-pay and Truvada assistance, Patient Advocate Foundation relief, and the Partnership for Prescription Assistance program, plus Gilead Advancing Access for matching patients to programs.",{"@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/payment-options-for-pre-exposure-prophylaxis-prep/402278/",{"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/payment-options-for-pre-exposure-prophylaxis-prep/402278.png","ImageObject",300,407,{"name":92,"@type":93},"Well Done","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-27",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does private insurance typically cover for PrEP, and what may vary?","Question",{"text":112,"@type":113},"Most private insurances cover PrEP, but coverage varies by plan. Deductibles and copayments may apply.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does Medicaid coverage for PrEP work in this guide?",{"text":117,"@type":113},"The guide states that PrEP prescription costs, medical appointments, and lab tests are covered under Medicaid. Prior approval is required and renewed every 3 months.",{"name":119,"@type":110,"acceptedAnswer":120},"Who is eligible for PrEP Assistance Program (PrEP-AP) and what services does it cover?",{"text":121,"@type":113},"PrEP-AP serves HIV-negative New York State residents who are uninsured or underinsured, with financial eligibility based on 435% of the Federal Poverty Level (FPL). It covers doctor visits and lab testing, and includes HIV testing, STI/STD testing, counseling, and supportive primary care consistent with clinical guidelines.","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},402278,1790632110,{"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":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"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":24,"preview_page_count":4},5909892210082,"https://ap-avatar.wpscdn.com/avatar/56001069da27c9f41e8?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789614185077863061","Payment Options for Pre-Exposure Prophylaxis (PrEP)  \n\n| Health Coverage and New York State Department of Health Sponsored Programs |  |\n| --- | --- |\n| Private Insurance | 􀁸 Most private insurances cover PrEP.\u003Cbr>􀁸 Coverage varies based on plan. There may be deductibles and copayments. |\n| Medicaid | Medicaid- (800) -541-2831 (Helpline)\u003Cbr>[www.health.ny.gov/diseases/aids/general/prep/truvada.htm](www.health.ny.gov/diseases/aids/general/prep/truvada.htm)\u003Cbr>􀁸 PrEP prescription costs, medical appointments, and lab tests covered.\u003Cbr>􀁸 Prior approval is required and renewed every 3 months. |\n| PrEP Assistance Program (PrEP-AP) | PrEP-AP- (800)-542-2437 (Hotline)\u003Cbr>[www.health.ny.gov/diseases/aids/general/resources/adap/](www.health.ny.gov/diseases/aids/general/resources/adap/)\u003Cbr>􀁸 PrEP-AP serves HIV-negative persons who are residents of New York State who are uninsured or underinsured. Financial eligibility is based on 435% of the Federal Poverty Level (FPL) .\u003Cbr>􀁸 Covers costs of doctor’s visits and lab testing for uninsured and underinsured individuals. Services include HIV, STI/STD testing, counseling, and supportive primary care services consistent with clinical guidelines for PrEP.\u003Cbr>􀁸 PrEP medication will be provided to uninsured or underinsured individuals through the manufacturer patient assistance programs (PAP) (listed below) .\u003Cbr>􀁸 Providers that are enrolled in the New York State Medicaid Program are eligible to enroll in PrEP-AP. Please contact the ADAP Provider Relations Section at (518) 459-1641 or email [damarys.feliciano@health.ny.gov](damarys.feliciano@health.ny.gov) for more information on becoming a PrEP-AP provider.\u003Cbr>􀁸 Providers are responsible for assisting patients with the PAP application to receive Truvada as indicated for PrEP.\u003Cbr>􀁸 PrEP-AP is available for all at risk individuals regardless of age. |\n| Medication Assistance Programs |  |\n| Gilead Co-Pay Coupon Card | Gilead Co-Pay Coupon Card –(877)-505-6986\u003Cbr>[www.gileadcopay.com](www.gileadcopay.com)\u003Cbr>􀁸 Covers up to $300/month in prescription co-payments.\u003Cbr>􀁸 Patient must have insurance.\u003Cbr>􀁸 Patient must NOT be enrolled in Medicare or Medicaid.\u003Cbr>􀁸 No income eligibility requirement.\u003Cbr>􀁸 Not available for patients under 18 years of age |\n| Gilead Truvada for PrEP Medication Assistance Program | Gilead Medication Assistance Program- (855)-330-5479 [www.start.truvada.com/individual](www.start.truvada.com/individual)\u003Cbr>􀁸 Covers prescription costs.\u003Cbr>􀁸 Patient must be uninsured or their insurance does not cover any prescription cost.\u003Cbr>􀁸 Patient must have annual income less than 500% FPL\u003Cbr>􀁸 Not available for patients under 18 years of age |\n\n\n| Patient Advocate Foundation\u003Cbr>Co-Pay Relief Program | Patient Advocate Foundation Co-Pay Relief Program- (866)-512-3861 [www.copays.org](www.copays.org)\u003Cbr>􀁸 Provides financial assistance to financially and medically qualified patients for co-payments, co-insurance, and deductibles.\u003Cbr>􀁸 Offers grant of up to $7,500 per year.\u003Cbr>􀁸 Patient must be currently insured and have coverage for the medication.\u003Cbr>􀁸 Patient must have annual income less than 400% FPL.\u003Cbr>􀁸 Available for all individuals regardless of age.\u003Cbr>􀁸 Patients, their medical providers, or their pharmacists may submit applications 24 hours a day via the Online Application Portal at [www.copays.org/gateway or Monday-Friday 8:30am](www.copays.org/gateway or Monday-Friday 8:30am) – 5:30pm EST via phone at (866) 512-3861. |\n| --- | --- |\n| Helpful Resources |  |\n| Partnership for Prescription Assistance (PPA) Program | Partnership for Prescription Assistance (PPA) Program-1-888-477-2669 [www.pparx.org](www.pparx.org)\u003Cbr>􀁸 Designed to help uninsured Americans get the prescription medicines they need at no or low cost.\u003Cbr>􀁸 Visit [www.pparx.org](www.pparx.org), enter the names of the medicines taken and answer a few questions to determine what options are available. Call the toll-free number if there is difficulty with the web site.\u003Cbr>􀁸 Ca","cbCaieiVUZ7pyRdu","https://ap.wps.com/l/cbCaieiVUZ7pyRdu","pdf",362836,"English","# Health Coverage and New York State Department of Health Sponsored Programs\n## Private Insurance\n## Medicaid\n## PrEP Assistance Program (PrEP-AP)\n# Medication Assistance Programs\n## Gilead Co-Pay Coupon Card\n## Gilead Truvada for PrEP Medication Assistance Program\n## Patient Advocate Foundation Co-Pay Relief Program\n# Helpful Resources\n## Partnership for Prescription Assistance (PPA) Program\n## Gilead Advancing Access","[{\"question\":\"What does private insurance typically cover for PrEP, and what may vary?\",\"answer\":\"Most private insurances cover PrEP, but coverage varies by plan. Deductibles and copayments may apply.\"},{\"question\":\"How does Medicaid coverage for PrEP work in this guide?\",\"answer\":\"The guide states that PrEP prescription costs, medical appointments, and lab tests are covered under Medicaid. Prior approval is required and renewed every 3 months.\"},{\"question\":\"Who is eligible for PrEP Assistance Program (PrEP-AP) and what services does it cover?\",\"answer\":\"PrEP-AP serves HIV-negative New York State residents who are uninsured or underinsured, with financial eligibility based on 435% of the Federal Poverty Level (FPL). It covers doctor visits and lab testing, and includes HIV testing, STI/STD testing, counseling, and supportive primary care consistent with clinical guidelines.\"}]","Payment Options for Pre-Exposure Prophylaxis (PrEP) | PDF",1790528725]