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Author Topic: ADAP and Obamacare impact on hiv prescription  (Read 813 times)

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Offline rupke66

  • Member
  • Posts: 3
ADAP and Obamacare impact on hiv prescription
« on: August 28, 2018, 10:29:52 pm »
Hello there,
I moved to US 7 months back. As I was taking medication for 5 years. I got my medication from ADAP. I donít know if I will get anything covered like primary health care or some other normal proscription for normal sickness. So, I thought of buying Obamacare health care marketplace health insurance. But what I doubted is that if it makes me to buy my hiv prescription that is given free by ADAP on low income basis.I am not in position to copay or contribute for the time being. My concern is; if getting this health insurance will make any impact with my ADAP free medication??? I am really worried on this. Please suggest me something what shall I do? Your suggestion is appreciated.

Offline leatherman

  • Member
  • Posts: 7,515
  • Google and HIV meds are Your Friends
Re: ADAP and Obamacare impact on hiv prescription
« Reply #1 on: August 29, 2018, 05:37:30 am »
Talk to an ADAP case manager in your state about this issue. State ADAP programs can be slightly different in each state. In some states, ADAP will pay the premium for an ACA plan, enabling eligible clients (based on income level) to still receive meds while also providing coverage for other health care issues.
leatherman (aka mIkIE)

There's no rain, there's no storm, though the blue sky makes you wonder
Don't you fear what will come will come
And right now we're in the sun
Sure enough, seasons change
But don't let today get lost 'cause today the sun's on us
Today the sun's on us
- Sophie Ellis-Bextor

chart from 1992-2017
Tivicay/Prezcobix

Offline rupke66

  • Member
  • Posts: 3
Re: ADAP and Obamacare impact on hiv prescription
« Reply #2 on: August 30, 2018, 07:20:17 pm »
Thank you brother leatherman. I am new in this country, currently living in northern Virginia. And starting everything from the scratch. I am trying to figure out how this Healthcare system works. This seems so tricky and conniving sometimes. hopefully things will be little clear gradually.

Offline leatherman

  • Member
  • Posts: 7,515
  • Google and HIV meds are Your Friends
Re: ADAP and Obamacare impact on hiv prescription
« Reply #3 on: August 30, 2018, 08:28:00 pm »
I am trying to figure out how this Healthcare system works.
ah yes. our healthcare system.... well, it certainly is a mess. Luckily people living with HIV have better access to healthcare than most people through the Ryan White HIV/AIDS Program.

so not knowing what city you're near, nor knowing much about the Virginia system (I'm just a PLWH advocate volunteering with both North and South Carolina. I barely understand the systems here much less in another state. LOL), I can only offer a few more generic suggestions:

This link from poz.com might help you locate a provider (doctor) near you if you don't already have one. Many clinics that deal with HIV care also have case managers that know the system and could help guide you. Often there's a "Navigator" that handles figuring out the whole ACA thing. ;) If you already have a doctor, check there at the office. If they don't provide services dealing with ADAP or the ACA, they should be able to direct to an agency that can.
https://www.poz.com/directory

then there's always accessing the system through the state level. Here's the link to the Virginia ADAP program, also with info about Insurance Marketplace Assistance.
http://www.vdh.virginia.gov/disease-prevention/eligibility/
Quote
4. Health Insurance Marketplace Assistance Program (HIMAP): ADAP supports costs for insurance premiums and medication cost shares for clients who enroll in VDH approved plans under the federal Insurance Marketplace under the Affordable Care Act.  Please refer to the Affordable Care Act page for approved plans.

hopefully you can figure this all out, and figure it out easily. ;)
leatherman (aka mIkIE)

There's no rain, there's no storm, though the blue sky makes you wonder
Don't you fear what will come will come
And right now we're in the sun
Sure enough, seasons change
But don't let today get lost 'cause today the sun's on us
Today the sun's on us
- Sophie Ellis-Bextor

chart from 1992-2017
Tivicay/Prezcobix

 


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