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In California, the amount you pay for PrEP depends on your insurance coverage and whether you qualify for financial assistance. Many people can access PrEP with low or $0 out-of-pocket costs. California also operates the PrEP Assistance Program (PrEP-AP), which can help eligible residents cover PrEP medication, lab testing and related medical visits.
If you have private insurance in California, you can check your coverage through a Freddie consult â more than 90% of Freddie patients pay $0 for PrEP.
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PrEP is recommended for people who are HIV-negative and want to reduce their risk of HIV. A clinician will review your health history, risk factors, and current medications to confirm whether PrEP is right for you.
- PrEP may be a fit if you have sex without condoms, have a partner living with HIV, have had a recent STI, or share injection equipment.
- A clinician also checks whether PrEP is safe for you based on your medical history and lab results.
- If PrEP isnât the right fit, a clinician can recommend alternative prevention options.
Medical requirements to start and stay on PrEP
Starting PrEP includes baseline testing and follow-ups to make sure itâs safe and effective. A clinician will confirm what testing is required and how often it needs to be repeated.
- Confirm HIV-negative status before starting PrEP
- Baseline health labs (including kidney function, and other routine sexual health labs as appropriate)
- Follow-up testing and renewals on a regular schedule while on PrEP
How long does it take to get PrEP in California?
How quickly you can start PrEP depends on completing the appropriate HIV testing and other baseline assessments for the type of PrEP you're prescribed. Some people can start within days once their eligibility and required testing are completed.
California also offers PrEP-AP Immediate Access, which can provide eligible residents with temporary PrEP or PEP assistance while they get connected to ongoing care. The program can provide up to a 30-day supply of medication after receiving a prescription.
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What labs are required to start PrEP in California?
You'll need an HIV test before starting PrEP. Depending on which PrEP medication you're considering, your clinician may also assess kidney function, hepatitis B status and other health factors. Screening for sexually transmitted infections such as gonorrhea, chlamydia and syphilis is also recommended.
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Can I switch PrEP medications later?
Yes. There are different PrEP options available, including daily oral and long-acting injectable medications. Your clinician can help you determine whether switching is appropriate based on your health history, preferences and the medical criteria for each option.
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What if I don't have insurance in California?
Freddie is unable to support patients without health insurance in California at this time, but uninsured Californians may have other options.
California's PrEP Assistance Program (PrEP-AP) can help eligible uninsured residents cover PrEP medication and related medical services. Eligibility includes requirements related to California residency, HIV status, income and existing coverage.
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Can I get PrEP online in California?
Yes. California residents can access PrEP through licensed telehealth providers. With Freddie, your consultation and prescription process can be handled remotely, although you'll still need to complete the HIV testing and other labs required for the PrEP option you're prescribed.
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Do I need a prescription to get PrEP in California?
Yes. PrEP requires a prescription. Before starting PrEP, a healthcare professional will need to confirm that you're HIV-negative, review your medical history and make sure you've completed the testing required for the medication you're prescribed.
California residents can access PrEP through telehealth providers, primary care clinicians, sexual health clinics and other HIV prevention services.
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Does insurance cover PrEP in California?
Most health insurance plans and Medicaid programs cover PrEP, although your exact coverage and out-of-pocket costs depend on your plan, medication and the services you receive.
Eligible California residents may also be able to use PrEP-AP to help with certain PrEP-related costs not otherwise covered.
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Can I get PrEP for free in California?
Some Californians can access PrEP with little or no out-of-pocket cost through health insurance or financial assistance programs.
For eligible residents who need additional help, California's PrEP-AP can assist with medication and related healthcare costs. The state also offers Immediate Access, which can provide temporary assistance with PrEP or PEP while someone gets connected to ongoing care.
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Where can I get PrEP in California?
PrEP is available throughout California through telehealth providers, primary care clinicians, sexual health clinics, community health centers and specialized HIV prevention programs.
California also maintains a network of PrEP-AP enrollment sites and clinical providers for residents who need help accessing or paying for PrEP.
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Can I get PrEP discreetly in California?
Yes. There are options for accessing PrEP privately in California, including telehealth services that allow you to complete much of the process without visiting a clinic in person.
If you're concerned about insurance statements, medication delivery or keeping your PrEP use private, learn more about how to get PrEP discreetly.
California's PrEP Assistance Program may also provide an option for eligible people who cannot use health insurance provided through a parent, spouse or registered domestic partner because doing so could compromise their confidentiality.
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