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Arizona>AIDS

The Affordable Care Act (ACA) makes health insurance easier to get and more affordable for many people with HIV. It also removes barriers that may have kept you from being able to get coverage in the past because of your HIV status. Read on to find out about health insurance options in ARIZONA that may help with your care and treatment:


Health Insurance Marketplace

Name: Arizona’s Federally Facilitated Marketplace
Website: https://www.healthcare.gov/
Helpline:  1-800-318-2596
TTY: 1-855-889-4325

Health insurance marketplaces are new programs set up in each state to make it easier to buy coverage on your own, especially if you don’t have another source of insurance, such as through an employer, Medicaid or Medicare. You cannot be denied coverage or be charged more because of a pre-existing health condition, including HIV. Financial assistance may be available to pay for your monthly premiums and out-of-pocket costs.

To see if you may be eligible for financial assistance in the marketplace, click here to use the Kaiser Family Foundation subsidy calculator.

All plans sold through the marketplace must provide a minimum set of benefits – called Essential Health Benefits (EHB). These include benefits that may be helpful to your ongoing HIV care, like prescription drugs, doctor visits, hospital care, mental health care and certain preventive services.
For coverage in 2015, you must apply during the open enrollment period that runs from November 15, 2014-February 15, 2015. You must pay your initial premium to be covered.

FAQs:
Who is eligible to buy insurance through the marketplace?
What different types of plans are offered in the marketplace?
How do I know if I am eligible for financial support to help pay for a plan?

More FAQs>


Medicaid

Name: Arizona Medicaid
Website: http://www.azahcccs.gov/
Helpline:
In-State Toll Free: 1-800-654-8713 (Outside Maricopa County)
Out-of-State Toll Free:1-800-523-0231

Medicaid is the nation’s health insurance program for people with lower incomes who are U.S. citizens or legal residents for at least five years. ARIZONA is expanding Medicaid to cover more people. If you earn about $16,000 a year or less as a single person (or $21,000 or less as couple), you likely can get coverage under the program.

Also important for someone with HIV is that you no longer need an AIDS diagnosis or to be very sick or disabled to get coverage under this expanded program.

If you already have Medicaid, it is likely that nothing will change, and you will continue to receive all the same benefits.

FAQS:
What is Medicaid?
Who is eligible to get insurance through Medicaid? 

More FAQs>


Medicare

Website: http://www.medicare.gov/
Helpline: 1-800-633-4227

Medicare is the federal health insurance program for seniors and younger people with disabilities.

To be eligible, you must also be a U.S. citizen or legal resident for at least five years.
If you have Medicare, you do not need to do anything and may see some added benefits as a result of the Affordable Care Act. You can continue to rely on Medicare to help pay your hospital, physician and other medical expenses.

Medicare’s open enrollment period for existing policyholders (October 15-December 7) hasn’t changed. If you will soon become newly eligible for Medicare because of age, you can sign up during a seven-month period that starts three months before the month you turn 65 and ends three months afterwards. If you are under 65 and disabled, you can sign up for Medicare during the seven-month period that starts three months before your 25th month of getting benefits and ends three months after your 25th month of getting benefits.

FAQs:

If I already have insurance (including through Medicaid or Medicare), do I need to do anything or will anything change for me? 
If I have Medicare, does the Affordable Care Act provide any support for prescription medications? 

More FAQs>


Ryan White and the AIDS Drug Assistance Program

Ryan White Part B Resources
Website: http://azdhs.gov/phs/hiv/care/
Phone: 602-364-3628
Maximum Income: 300 percent of the federal poverty level, or about $35,010 a year for a single person

ADAP Program
Website: http://azdhs.gov/phs/hiv/adap/
Phone: 602-364-3628 or 1-800-334-1540
Maximum Income: 300 percent of the federal poverty level, or about $35,010 a year for a single person

The Ryan White HIV/AIDS Program, which includes the AIDS Drug Assistance Program (ADAP), is a program that provides financial assistance for healthcare services for people living with HIV.

Ryan White and ADAP have two missions. They help people with HIV who cannot get affordable health insurance pay for healthcare services. They also help boost the coverage available to people with HIV through their existing insurance–whether private, job-related, Medicaid or Medicare — by covering additional services or assisting with copays and cost sharing. Under the Affordable Care Act, there are new options for people with HIV to obtain insurance coverage that they have not had before, including purchasing coverage in the health insurance marketplace and expanded Medicaid.

Ryan White and ADAP will continue to be available, but some of the services these programs once covered may be replaced by your insurance. If you are currently receiving support for your HIV care and treatment from the Ryan White HIV/AIDS Program or the AIDS Drug Assistance Program (ADAP), you still need to get health insurance. If Ryan White or ADAP assist you with copays to help make your coverage affordable or even purchase your insurance coverage for you, they may be able to continue to help you in this way. Check with your Ryan White or ADAP program, as you may need to obtain new coverage through one of the Affordable Care Act’s new options.

FAQs:

If I receive Ryan White or AIDS Drug Assistance Program (ADAP), do I still need insurance? 
If I receive financial support to help cover my health care costs as a result of my HIV, such as under the Ryan White Program or AIDS Drug Assistance Program (ADAP), will that still be available?

More FAQs>

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We have made every effort to provide accurate information on this portal, but you should contact the marketplace or Medicaid agency in your state for guidance on your specific situation. Click here to find contacts in your state. All data on the site were updated April 2014 and are subject to change.

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