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Health & Fit PrEP Medications for HIV Prevention Now 100% Free If You Have Health Insurance

07:06  22 july  2021
07:06  22 july  2021 Source:   wellandgood.com

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PrEP , or pre-exposure prophylaxis, is an HIV prevention method in which people who don’t have HIV take HIV medicine to reduce their risk of getting HIV if they are exposed to the virus . PrEP can stop HIV from taking hold and spreading throughout your body. Currently, there are only two FDA-approved daily oral medications for PrEP . Your risk of getting HIV from sex can be even lower if you combine PrEP with condoms and other prevention methods. Is PrEP Right for You ? PrEP may benefit you if you are HIV -negative, you have had anal or vaginal sex in the past 6 months, and you

HIV prevention advocates hailed the new guidance as a game changer in the effort to promote PrEP among individuals at risk of HIV . “While we need state Medicaid authorities and departments of insurance to follow through on implementation, this memo from the federal government literally Robert Greenwald, a clinical professor of law at Harvard Law School, pledged to “work to enforce the new guidelines and ensure that the promise of this free preventive service to reduce the acquisition of HIV will be realized.” Truvada, which contains a pair of antiretroviral medications also used to treat

In a landmark move for healthcare, the Biden administration has issued a federal mandate requiring pre-exposure prophylaxis (PrEP) medications Truvada and Descovy to be covered by all health insurers at no additional cost. All associated lab tests and clinic visits will be free for people with insurance, too.

Insurers were already required to stop charging fees for the medication at the start of the new year. However, the HIV+Hepatitis Policy Institute began hosting "spot checks" over the past few months, revealing many insurers were not in compliance and still charging policy holders. This updated legislation requires insurance companies to comply with new guidance 60 days from July 19, 2021, ensuring coverage for all policy holders, or face legal recourse.

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The Health Insurance Marketplace—Established under the ACA, the Health Insurance Marketplace helps uninsured people find and apply for quality, affordable health coverage. Private plans in the Marketplace are required to cover a set of essential health benefits. If you do not have private health insurance —or you need help because your insurance doesn’t pay for the HIV care and treatment you need—there are Federal resources that may help you . Getting Help—Figuring out which programs and services you qualify for can be confusing.

PrEP is a way for people who do not have HIV but who are at substantial risk of getting it to prevent HIV infection by taking a pill every day. PrEP is less effective when not taken as prescribed. Since PrEP only protects against HIV , condom use is still important for the protection against other STDs.

a person in a blue shirt: free HIV prevention pill insurance © Photo: Stocksy /Sean Locke free HIV prevention pill insurance

“We are pleased that the federal government has issued this long-awaited guidance to insurers that will reduce barriers to PrEP and help prevent further HIV infections while advancing efforts to end HIV in the United States,” said Carl Schmid, executive director of the HIV+Hepatitis Policy Institute, per a press release. “It seems that insurers responded to our earlier analysis. However, now we must ensure all are fully complying with their legal requirements, including those spelled out in the new guidance, and federal and state regulators enforce them.”

When taken correctly by HIV-negative individuals, PrEP reduces the risk of contracting HIV from sex by 99 percent, according to the CDC. Currently available as a pill under the brand names Truvada and Descovy, PrEP is not a cure for HIV and it does not prevent transmission of any other STIs or STDs. (Research is ongoing for a PrEP injectable and an arm implant.) Nearly 1.2 million Americans live with HIV, with about 13 percent of those individuals unaware of their positive status.

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How does PrEP work? PrEP is available as the medication Truvada® which contains the HIV medications Tenofovir and Emtricitabine. Studies have shown that PrEP decreases the risk of getting HIV from sex by more than 90% when taken consistently. Facts: When people start taking PrEP but do Talk with your private healthcare provider or schedule an appointment with a Nurse Practitioner at Health Services to determine if PrEP is right for you . If you do not have a healthcare provider, do not feel comfortable talking to them about PrEP , or they do not feel comfortable with prescribing it, there

A woman who has unprotected vaginal sex with an HIV -positive man, for example, has only an 8 in 10,000 chance for each encounter. But if they have unprotected anal intercourse, their odds become much higher. Other things like sharing needles also increase the danger. But if you take a sip from the same glass as Although very rare, there have been reports of infection in both cases. This is because if there’s any blood in the infected person’s mouth, it can enter yours if you have an open wound. Have Safe Sex. Condoms are the best way to prevent HIV because the virus can't pass through the barrier.


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“While progress is being made, it is obvious that insurers and regulators must do more to ensure people with private insurance can obtain PrEP without cost-sharing. Additionally, transparency in how insurers display coverage of preventive medications such as PrEP needs further attention," said Schmid in the same statement.

The Biden administration's mandate is welcome news in the continued fight against HIV/AIDS, but it doesn't change any access to the drug for the uninsured, leaving millions of Americans still vulnerable. "We look forward to conducting additional plan reviews and holding all parties accountable for providing clear, transparent information to make it as easy as possible for people with insurance who need PrEP to access it," Schmid said.

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