Joint Agencies Issue FAQs Regarding Plan Coverage for HIV PrEP Treatment
… that the purpose of PrEP is to decrease the risk of HIV transmission to the identified high-risk individuals. Further, the USPSTF cites CDC guidance that PrEP is not just medications but a comprehensive intervention consisting of antiretroviral medicines and essential support services. These essential support services include medication self-management plans, adherence counseling, risk reduction strategies, and mental health counseling and therapy. Services also include clinical assessments necessary to ensure that a healthcare provider prescribes medications for PrEP to at-risk individuals who are not infected with HIV and who have no medical contraindications. Finally, plans should also cover …
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