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

How to Coordinate ADAP Medication Assistance and CHIC Premium Assistance with the Affordable Care Act

An important message pertaining to the AIDS Drug Assistance Program (ADAP Medication Assistance) and the Continuation of Health Insurance Coverage Program (CHIC Premium Assistance).

If you are currently enrolled or are interested in enrolling in ADAP Medication Assistance or CHIC Premium Assistance, you may need to coordinate this coverage with an insurance plan available through the Affordable Care Act marketplace (GetCoveredIllinois.gov). The current enrollment period opened on Nov. 15, 2014 and will end on Feb. 15, 2015.

There are certain insurance plans that qualify for use with ADAP Medication Assistance and CHIC Premium Assistance. Please click the link below pertaining to your current coverage for additional information and instructions about what you are required to do:

I am currently uninsured

I am currently insured with a Humana marketplace plan

I am currently insured with an Aetna marketplace plan

I am currently insured with a plan that does not allow CVS to fill my medications

FAQ about the Affordable Care Act/Ryan White Program

The Affordable Care Act (ACA) enables people living with HIV to obtain health insurance (GetCoveredIllinois.gov). Insurance plans may no longer deny coverage to people living with HIV or with any other pre-existing condition.

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.

The AIDS Drug Assistance Program (ADAP Medication Assistance), Continuation of Health Insurance Coverage Program (CHIC Premium Assistance), 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.

ADAP Medication Assistance 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 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).

ADAP Medication Assistance/ CHIC Premium Assistance hotline:

800-825-3518

CDC campaign banner of Vernial, a person living with HIV since 1987: HIV Treatment Works. Get in Care. Stay in Care. Live Well. Hear his story at  cdc.gov/HIVTreatmentWorks. A photo shows Vernial playing a guitar.