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Medicare Coverage for People with HIV

These resources provide Ryan White HIV/AIDS Program (RWHAP) staff and program administrators with an overview of Medicare eligibility and coverage (including for prescription drugs) for RWHAP clients and other people with HIV.

  • The Basics of Medicare for RWHAP Clients 
    Learn about the common Medicare eligibility pathways for people with HIV; the different parts of Medicare, including their coverage and costs; how can you support RWHAP clients to enroll in Medicare; and how the RWHAP helps clients with Medicare costs.

  • Medicare Prescription Drug Coverage for RWHAP Clients
    Learn about how clients get Medicare prescription drug coverage; requirements for Medicare prescription drug coverage; coverage HIV medications; the  “donut hole” period for prescription drug coverage; and how the RWHAP, including its AIDS Drug Assistance Program (ADAP), help clients pay for Medicare prescription drug coverage.

  • How Medicare Enrollment Works
    Learn the difference between the Initial Enrollment Period, Special Enrollment Period, and General Enrollment Period for Medicare; when clients need to enroll in Medicare to avoid late enrollment penalties; what clients enrolled in a Marketplace plan should do when they enroll in Medicare; and how clients can make changes to their Medicare coverage.