[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-404487-105":59,"doc-detail-404487-en":131},{"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":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","prep-coverage-in-2022","PrEP coverage in 2022","","PrEP coverage in 2022 outlines how pre-exposure prophylaxis helps HIV-negative people prevent HIV acquisition, and emphasizes its high effectiveness when taken as prescribed. It explains which insurance plans must cover PrEP medication and related office visits and lab tests free of cost under rules effective January 1, 2022, including key covered services such as HIV, STI, hepatitis, kidney function, and pregnancy testing. It also clarifies exceptions for “grandfathered” plans, options for medication switches, and steps to take if billed unexpectedly.",{"@graph":69,"@context":123},[70,84,106],{"@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/prep-coverage-in-2022/404487/",{"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/prep-coverage-in-2022/404487.png","ImageObject",300,407,{"name":92,"@type":93},"Mafia Boss","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-29","2026-09-27",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is PrEP and how effective is it for HIV prevention?","Question",{"text":113,"@type":114},"PrEP (pre-exposure prophylaxis) is medication HIV-negative people can take to prevent acquiring HIV. When taken as prescribed, it is over 99% effective at preventing HIV transmission.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"As of January 1, 2022, do most employer insurance plans have to cover PrEP medication free of cost?",{"text":118,"@type":114},"Yes. Almost all employer-provided health insurance plans must cover at least one type of PrEP medication free of cost as of January 1, 2022.",{"name":120,"@type":111,"acceptedAnswer":121},"What should you do if you receive a bill for PrEP office visits or lab tests?",{"text":122,"@type":114},"Contact your care coordinator ASAP. They can help explain to the insurance plan that the services were for PrEP and should have been covered, and they can also coordinate with your provider regarding claim updates.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},404487,1790642859,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":39,"preview_page_count":4},962090760730,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","PrEP coverage in 2022  \nPrEP, or pre-exposure prophylaxis, is a type of medication that people who are HIV negative can take to prevent acquisition of HIV. When taken as prescribed, PrEP is over 99% effective at preventing HIV transmission. PrEP is appropriate for people of all genders and sexual orientations.  \nLearn more about PrEP.  \nVisit the San Francisco AIDS Foundation PrEP FAQ and Centers for Disease Control and Prevention PrEP FAQ.  \n(Note: Some parts of the CDC website use unaffirming language regarding trans people and HIV. The CDC is in the process of updating this language per their new Health Equity Guiding Principles for Inclusive Communication.)  \nExplore your benefits.  \n[includedhealth.com/member](includedhealth.com/member)  \nAbout Included’s LGBTQ+ Health   \nIncluded’s LGBTQ+ Health is a no-cost benefit that helps you get LGBTQ+ affirming care. Our queer and trans-led team can connect you and your loved ones with quality, affirming care. Included Health’s dedicated care coordinators guide their members through any questions about provider, insurance, and any other support related needs.  \nDoes my insurance plan have to cover my PrEP medication?  \nAs of January 1, 2022, almost all health insurance plans provided by employers must now cover at least one type of PrEP medication free of cost.  \nRight now, the only FDA-approved oral PrEP medications are generic Truvada (emtricitabinetenofovir disoproxil fumarate), name-brand Truvada, and name-brand Descovy.  \nAn injectable PrEP medication called Apretude was approved by the FDA in December 2021 and is expected to be available to patients in early 2022. As of December 2021, there is no specific guidance about whether plans must cover Apretude.  \nThe exception is “grandfathered” plans, which are not required to follow Affordable Care Act guidelines. Less than 15% of covered workers are covered by a“grandfathered” plan (KFF Employer Health Benefits 2020 Annual Survey) .  \nMy plan covers generic Truvada (emtricitabinetenofovir disoproxil fumarate), but I want to take name-brand Truvada. Does my insurance plan have to cover name-brand Truvada free of cost?  \nNo. Generic Truvada and name-brand Truvada are required by the FDA to have the same dosage, safety, effectiveness, strength, stability, and quality (FDA Generic Drug Facts) . Your plan does not have to cover name-brand Truvada if generic Truvada is covered. You may be charged a copay or coinsurance for name-brand Truvada, or name-brand Truvada maybe excluded from your formulary and not covered at all. We recommend talking to your provider regarding any changes to medications to understand the necessity of a change and any possible effects.  \nMy plan covers generic or name-brand Truvada free of cost, but I want to take Descovy, and my plan is charging me a copay or coinsurance for Descovy. Does my insurance plan have to cover name-brand Descovy free of cost?  \nMaybe. If your prescriber decides that generic or name-brand Truvada is not medically appropriate for you, your prescriber can submit paperwork to your insurance plan to show that you need to take Descovy instead. The insurance plan will review this paperwork and decide whether they will make an exception and cover Descovy at no cost to you. We recommend talking to your provider regarding any changes to  \nmedications to understand the necessity of a change and any possible effects.  \nYou may also qualify for medication cost assistance programs to lower the cost of your Descovy prescription. For more information, contact your Care Coordinator.  \nI’m interested in trying the new injectable PrEP medication called Apretude. Does my insurance plan have to cover Apretude free of cost?  \nThis is unknown. Apretude (injectable cabotegravir) was approved by the FDA in December 2021 and is expected to be available to patients in early 2022. As of December 2021, there is no specific federal guidance about whether plans must cover Apretude free of cost. State departments ","cbCaic95NQ2Mb8CM","https://ap.wps.com/l/cbCaic95NQ2Mb8CM","pdf",1477777,"English","# PrEP coverage in 2022\n## PrEP basics and eligibility\n## Covered PrEP medication and FDA approvals\n## Insurance requirements and exceptions\n## Coverage for visits and lab tests\n## Handling bills and care coordination","[{\"question\":\"What is PrEP and how effective is it for HIV prevention?\",\"answer\":\"PrEP (pre-exposure prophylaxis) is medication HIV-negative people can take to prevent acquiring HIV. When taken as prescribed, it is over 99% effective at preventing HIV transmission.\"},{\"question\":\"As of January 1, 2022, do most employer insurance plans have to cover PrEP medication free of cost?\",\"answer\":\"Yes. Almost all employer-provided health insurance plans must cover at least one type of PrEP medication free of cost as of January 1, 2022.\"},{\"question\":\"What should you do if you receive a bill for PrEP office visits or lab tests?\",\"answer\":\"Contact your care coordinator ASAP. They can help explain to the insurance plan that the services were for PrEP and should have been covered, and they can also coordinate with your provider regarding claim updates.\"}]","PrEP coverage in 2022 | PDF",1790548231]