HIV: How Is PrEP Paid For?

Under the Affordable Care Act, PrEP must be free under almost all health insurance plans. That means you can't be charged for your PrEP medication or the clinic visits and lab tests you need to maintain your prescription.

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.