- Medical: HIV-infection or at risk of acquiring HIV infection consistent with the guidelines for Pre-Exposure Prophylaxis.
- Residency: New York State (U.S. citizenship is not required.)
- Financial: Financial eligibility is based on 435% of the Federal Poverty Level (FPL). FPL varies based on household size and is updated annually. Financial eligibility is calculated on the gross income available to the household, excluding Medicare and Social Security withholding and the cost of health care coverage paid by the applicant. Households cannot have liquid assets greater than $25,000. Liquid assets are cash, savings, stocks, bonds, etc. Liquid assets do not include car, home or federally recognized retirement accounts.
- Home Care: AIDS or HIV illness and chronic medical dependency due to physical or cognitive impairment from HIV infection.
Eligibility is based on financial and medical need. Along with a complete application, documentation of residency, income and assets is required. A separate medical application must be submitted by your doctor.
Applications submitted with all required documentation are processed within two weeks. Incomplete applications and applications without supporting documentation will delay receipt of your enrollment card and vital program information.
When you are approved, you will get an Eligibility Card and instructions on how to use it. You must present this card and a prescription at a participating pharmacy to receive covered medications at no charge. Show your card to participating health care providers to receive covered medical services at no charge. If you need them, you will receive home care services from an enrolled home health care agency at no charge ($30,000 maximum life-time benefit).