- 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.
Fill out the Applicationfor HIV Uninsured Care Programs. Keep a copy of the form for your records and mail the original form and all documentation to: Uninsured Care Programs, Empire Station, PO Box 2052, Albany, NY 12220-0052.
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.
State covers some form of HCV drug therapies as part of their approved drug formularies: Yes
To learn more about what HCV drug therapies are on the drug formulary, please visit tiicann.org/co-infection-watch.html (go to page #7).