A Reader Asks: Are Insurers Required To Cover HIV Prevention Medication Recently Recommended By CDC? - ºÚÁϳԹÏÍø News /health-industry/michelle-andrews-on-hiv-prevention/ ºÚÁϳԹÏÍø News produces in-depth journalism on health issues and is a core operating program of KFF. Thu, 16 Apr 2026 04:44:16 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.5 /wp-content/uploads/sites/8/2023/04/kffhealthnews-icon.png?w=32 A Reader Asks: Are Insurers Required To Cover HIV Prevention Medication Recently Recommended By CDC? - ºÚÁϳԹÏÍø News /health-industry/michelle-andrews-on-hiv-prevention/ 32 32 161476233 A Reader Asks: Are Insurers Required To Cover HIV Prevention Medication Recently Recommended By CDC? /health-industry/michelle-andrews-on-hiv-prevention/ /health-industry/michelle-andrews-on-hiv-prevention/#respond Fri, 23 May 2014 05:25:58 +0000 http://khn.wp.alley.ws/news/michelle-andrews-on-hiv-prevention/ Q. Now that the federal Centers for Disease Control and Prevention recommends a daily pill to prevent infection with the virus that causes AIDS, will my insurer be required to cover the drug at no cost to me?

A. No, it won’t be required, not at this time. Earlier this month the CDC released new  recommending that people who are at substantial risk of becoming infected with HIV, the virus that causes AIDS, take a daily pill called Truvada. This “pre-exposure prophylaxis” approach can prevent HIV infection in more than 90 percent of cases.

Although insurance typically covers the drug, it’s expensive, with an annual price tag of at least $10,000, and that can mean high copayments for health plan members.

More From This Series Insuring Your Health

A Reader Asks: Are Insurers Required To Cover HIV Prevention Medication Recently Recommended By CDC?

Under the health law, most health plans are required to cover without any cost sharing those preventive services that are recommended by the .

The task force, a nonpartisan group of medical experts,  related to clinical preventive services and makes recommendations about their use.

At this time, the task force  for people aged 15 to 65. It doesn’t have a recommendation on preventive medications for HIV/AIDS, nor is any such , according to a spokesperson for the task force.

“The task force bases its recommendations on a thorough review of the current evidence. When making a recommendation, the task force considers the recommendations of other groups, including the CDC,” the spokesperson said.

Please send comments or ideas for future topics for the Insuring Your Health column to questions@kffhealthnews.org.

ºÚÁϳԹÏÍø News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about .

This <a target="_blank" href="/health-industry/michelle-andrews-on-hiv-prevention/">article</a&gt; first appeared on <a target="_blank" href="">KFF Health News</a> and is republished here under a <a target="_blank" href=" Commons Attribution-NonCommercial-NoDerivatives 4.0 International License</a>.<img src="/wp-content/uploads/sites/8/2023/04/kffhealthnews-icon.png?w=150&quot; style="width:1em;height:1em;margin-left:10px;">

<img id="republication-tracker-tool-source" src="/?republication-pixel=true&post=33808&amp;ga4=G-J74WWTKFM0&quot; style="width:1px;height:1px;">]]>
/health-industry/michelle-andrews-on-hiv-prevention/feed/ 0 33808
Comments on: A Reader Asks: Are Insurers Required To Cover HIV Prevention Medication Recently Recommended By CDC? /health-industry/michelle-andrews-on-hiv-prevention/ ºÚÁϳԹÏÍø News produces in-depth journalism on health issues and is a core operating program of KFF. Thu, 16 Apr 2026 04:44:16 +0000 hourly 1 https://wordpress.org/?v=6.8.5