ADAP & HICP

Our clinic can help clients who cannot pay for their prescriptions to access drug assistance programs if they meet financial eligibility guidelines.

Additionally, medication adherence assessments and medication education are available at each appointment.


AIDS Drug Assistance Program (ADAP):

The ADAP is a state administered program that provides HIV medications to lower income individuals living with HIV disease and who have absolutely no insurance coverage (except for Medicare).
ADAP is authorized under the Ryan White HIV/AIDS Treatment Modernization Act of 2006, and must be the payer of last resort.

Eligibility for ADAP:
  • HIV+
  • Currently reside in Barrow, Clarke, Elbert, Greene, Jackson, Madison, Morgan, Oconee, Oglethorpe or Walton county
  • Have an annual federal income equal to or below 300% of the current Federal Poverty Level (FPL)
  • Not currently receiving or eligible for Medicaid or other third party insurances

All clients enrolled in ADAP are responsible for re-certifying for the program every 6 months.


Healthcare Insurance Continuation Program (HICP):

The state assists qualifying individuals living with with HIV who are unable to pay their health insurance premiums.
Applications are reviewed by the State Department of Community Health.  Patients applying must pay the premiums until approval is obtained.

Eligibility for HICP:
  • Are not currently receiving or eligible for Medicaid
  • Have a gross income equal to or less than 300% of the poverty level
  • Currently reside in Barrow, Clarke, Elbert, Greene, Jackson, Madison, Morgan, Oconee, Oglethorpe or Walton county
  • Must have current health insurance under a group, individual or COBRA policy.

Patient Assistance Program (PAP):

Various pharmaceutical companies provide some level of assistance through a patient assistance program (PAP) for people who cannot afford their HIV medications. PAP’s are typically for patients without insurance who don’t qualify for Medicare, Medicaid or ADAP.

Qualifications and criteria vary by program and are based on a percentage of Federal Poverty Level (FPL).

Many companies also have co-pay assistance programs for those who have drug coverage through privately held insurance.  These programs may cover all or part of the drug co-pay up to a specified amount.
Certain restrictions and eligibility requirements apply (i.e. recipients of ADAP, Medicare and/ or Medicaid are not eligible).  Individuals can get the co-pay card directly from their provider, the manufacturer’s website or by calling a toll-free number provided on the application receipt.

For more information, please visit:  NeedyMeds.org