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PrEP, the HIV prevention pill, must now be totally free under almost all insurance plans
Insurers have been advised that they shouldn’t be charging for Truvada and Descovy as HIV prevention and that associated clinic visits and labs must also be free.
"A prescribing physician, however, must persuade an insurer that Descovy in particular is medically necessary for any specific patient to qualify for zero cost sharing for that drug’s use as HIV prevention. "
"insurers have 60 days to comply with the mandate. The rule says insurers must not charge copays, coinsurance or deductible payments for the quarterly clinic visits and lab tests required to maintain a PrEP prescription.
Insurers were already required to stop charging out-of-pocket fees for the medication by Jan. 1, 2021, at the latest."
https://www.nbcnews.com/nbc-out/out-health-and-wellness/prep-hiv-prevention-pill-must-now-totally-free-almost-insurance-plans-rcna1470
Insurers have been advised that they shouldn’t be charging for Truvada and Descovy as HIV prevention and that associated clinic visits and labs must also be free.
"A prescribing physician, however, must persuade an insurer that Descovy in particular is medically necessary for any specific patient to qualify for zero cost sharing for that drug’s use as HIV prevention. "
"insurers have 60 days to comply with the mandate. The rule says insurers must not charge copays, coinsurance or deductible payments for the quarterly clinic visits and lab tests required to maintain a PrEP prescription.
Insurers were already required to stop charging out-of-pocket fees for the medication by Jan. 1, 2021, at the latest."
https://www.nbcnews.com/nbc-out/out-health-and-wellness/prep-hiv-prevention-pill-must-now-totally-free-almost-insurance-plans-rcna1470
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