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> Take, for example, PrEP for HIV prevention. Costs about 5,000 dollars a month - insurance is forced to cover it. Sure, you could say HIV is very expensive, bu
by chimeracoder 2y ago
> Take, for example, PrEP for HIV prevention. Costs about 5,000 dollars a month - insurance is forced to cover it. Sure, you could say HIV is very expensive, but few people at risk of HIV actually get it. If it were up to insurance companies, they'd rather just pay for HIV treatment or even better - just drop customers with HIV. The ACA prevents the latter, and the former was the case for 15 years since Truvada was introduced. Of course, now that's changed too, and they have to pay for Truvada.
Except, many (most?) insurers straight up ignore this requirement and charge people for PrEP, even though it's illegal. The ACA is very clear that preventive care is required to be covered in full with no cost-sharing or out-of-pocket cost to the patient, even if the deductible has not been met.
https://kffhealthnews.org/news/article/prep-hiv-prevention-costs-covered-problems-insurance/ https://kffhealthnews.org/news/article/prep-hiv-prevention-c...