HIV: How Is PrEP Paid For?

The US Preventive Services Task Force issued a Grade A recommendation for PrEP. This means most private insurance and Medicaid programs are required to cover PrEP services without cost sharing, like copays or deductibles. Some insurance companies may require prior authorization.

In Wisconsin, BadgerCare Plus also covers PrEP.

If you do not have health insurance or have high copays or deductibles, there are programs that will help with the cost.

If you have health insurance:

Find out what your insurance plan covers. Some insurance companies require that you get a pre-authorization or see a specialist.

If you do not have health insurance:

You may be eligible for Wisconsin’s Medical Assistance program—BadgerCare Plus. There are agencies that can assist you with applying for BadgerCare Plus.

If you are not eligible for health insurance or BadgerCare Plus, or have high deductibles or copays:

This flow chart from the CDC (Centers for Disease Control and Prevention) can help show you how to get PrEP paid for.