The AIDS Drug Assistance Program (ADAP) Branch administers both ADAP for people living with HIV and AIDS in California, and the Pre-Exposure Prophylaxis Assistance Program (PrEP-AP) for HIV negative individuals for the prevention of HIV.
AIDS Drug Assistance Program
ADAP helps ensure that people living with HIV and AIDS in California who are uninsured or under-insured have access to medication. ADAP pays the prescription costs for medication on the ADAP Formulary (PDF) for eligible individuals.
Individuals who are enrolled in ADAP are eligible for the Office of AIDS Health Insurance Premium Payment Program (OA-HIPP) or the Medicare Part D payment program.
The OA-HIPP program is a subsidy program that pays monthly health insurance premiums for ADAP clients. Individuals that are enrolled in OA-HIPP are also eligible for the Medical Out-of-Pocket Cost benefit, which covers outpatient medical out-of-pocket costs that count towards the client's health insurance policy's annual out of pocket maximum.
The Employer Based Health Insurance Premium Payment (EB-HIPP) Program is a subsidy program that provides premium assistance for an ADAP client's portion of their employer based insurance premiums. Individuals that are enrolled in EB-HIPP are also eligible for the Medical Out-of-Pocket Cost benefit, which covers outpatient medical out-of-pocket costs that count towards the client's health insurance policy's annual out of pocket maximum.
The Medicare Part D Premium Payment Program pays Part D insurance premiums for individuals who are enrolled in ADAP and a Medicare Part D prescription drug plan.
PrEP Assistance Program (PrEP-AP)
The PrEP-AP provides assistance with PrEP-related medical out-of-pocket costs and access to medications on the PrEP-AP formulary for the prevention of HIV and treatment of sexually transmitted infections. The PrEP-AP will provide assistance to both uninsured and insured individuals at risk for, but not infected with HIV. Uninsured individuals are currently able to enroll in the PrEP-AP; however, clients with insurance, including clients with Medicare, will not be able to enroll until spring 2018.