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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 you can 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.
  • The Basics of Medicare for Ryan White HIV/AIDS Program Clients Webinar
    (April 22, 2020)
    In this webinar, presenters give an overview of Medicare eligibility and enrollment for RWHAP clients, including Medicare eligibility pathways for people with HIV, what the different parts of Medicare (A, B, C, and D) cover, the enrollment process, dual eligibility, Medicare prescription drug coverage for people with HIV, and how the RWHAP can help clients pay for Medicare costs. 
  • Transitioning from Marketplace to Medicare Health Coverage  
    Learn how to help RWHAP clients navigate the transition from Marketplace to Medicare smoothly and efficiently using this helpful guide. The resource includes answers to frequently asked questions about this process.
  • Financial Help for Medicare
    Learn an overview of Medicare Savings Programs, the Extra Help program, and other sources of financial help for Medicare costs as well as eligibility criteria for these programs and how to support RWHAP clients to get help paying their Medicare premiums and out-of-pocket expenses. 
  • The ABCDs of Medicare Coverage
    Understand the different parts of Medicare (Parts A, B, C, and D) and the difference between Original Medicare and Medicare Advantage plans as they consider enrolling in Medicare.