Premium Assistance Program (PAP)

The Illinois Department of Public Health offers a health insurance premium payment program (or PAP) to assist people with HIV/AIDS. Coverage is available for those who have an ACA/Illinois Marketplace insurance plan, Off-Exchange plan (for individuals not eligible for the ACA), Medicare C, Medicare D, or Medicare Supplemental (only if they have active Part D). Plans may include Medical, Dental, and/or Vision. The Premium Assistance Program (PAP) helps to cover the costs of a plan for an enrolled individual. 

Who is eligible for PAP?

Enrolling in the Ryan White program through HIV Care Connect can provide access to ADAP/PAP services. Individuals must meet all of the following requirements: 

• Diagnosed with HIV or AIDS and supply viral load laboratory results prior to enrollment.
• Currently live in Illinois and have a legal home address (domicile) in Illinois. 
• Have anticipated gross annual income at or below 500 percent of the federal poverty level for household size. To view the current income levels, click here. 
• Verification of third-party payer sources, such as Medicaid, Medicare or other commercial/employer based insurance if appropriate.
• Have an Illinois marketplace plan, Medicare Part D, a Medicare supplemental plan, or other health insurance coverage that is not payroll-deducted and participates with the ADAP contracted pharmacy for dispensing and billing purposes.