The Affordable Care Act, ADAP Medication Assistance and CHIC Premium Assistance

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The Affordable Care Act (ACA) enables people living with HIV to obtain health insurance through the Illinois Health Insurance Marketplace. The AIDS Drug Assistance Program (ADAP Medication Assistance Program, or MAP), Continuation of Health Insurance Coverage Program (CHIC Premium Assistance Program, or PAP), and Ryan White Part B can provide further assistance, beyond what the ACA does, to make health care and support services more accessible to people living with HIV.

If you enroll in an Illinois Marketplace plan and want to receive all the Ryan White Part B, ADAP-MAP and CHIC-PAP benefits for which you qualify, you must enroll in one of the plans approved by the Illinois Department of Public Health during the open enrollment period from Nov. 1 to Dec. 15, 2019.

Due to the ACA, insurance plans may no longer deny coverage to people living with HIV or with any other pre-existing conditions. The ACA also makes Medicaid coverage available to more Illinois residents and families, lowers Medicare prescription drug costs, and ensures the coverage of certain preventive health care services.

ADAP Medication Assistance Program, or MAP, provides FDA-approved medications to low-income HIV+ individuals. The formulary currently consists of 80 different drugs, including all anti-retroviral therapies. Learn more.

CHIC Premium Assistance Program, or PAP, helps low-income HIV+ persons in Illinois who have had to leave their employment (and therefore losing their employee health benefits) due to illness. CHIC Premium Assistance helps to cover the costs of a single or family plan available through COBRA or the marketplace by paying up to $750 toward your monthly health insurance premium. Some Medicare recipients may qualify for this program. Learn more.

Further Assistance for People Living with HIV

The Common Patient Assistance Program Application (CPAPA) allows individuals living with HIV and/or their providers/caregivers to use one application to apply for multiple patient assistance programs (PAPs).

Open Enrollment for the 2020 Illinois Insurance Marketplace Starts Nov. 1 and Ends on Dec. 15, 2019.

For information about open enrollment and the approved insurance plans, see the links below.

2020 Open Enrollment Letter – Insured

2020 Open Enrollment Letter – ACA Ineligible

ADAP Medication Assistance Program (MAP)/ CHIC Premium Assistance Program (PAP) hotline: