The HIV prevention drugs, like PrEP, lower the risk of infection from sex by more than 90% and are viewed as a critical tool toward quelling the AIDS epidemic. Under the Affordable Health Care Act, the decision to rate PrEP as an effective preventive service means health insurers must cover the costs.
The rules were issued clarifying that health plans need to cover the costs of prescription drugs to prevent HIV infection, lab tests, and medical appointments, at no cost. The erroneous billing continues.