I just started PrEP in August. I'm in the southeast US (North Carolina) with Cigna for insurance. $35 a month.
My PMD is very open. He has HIV positive patients, but didn't have anyone on PrEP. I was his first. I explained that I had read everything I could and talked to a few people, and wanted to go on it. He didn't even bat an eye. Said he needed to read up on and spent about 5 minutes doing that; then we talked about what he expected: HIV test every three months, baseline liver and kidney functions, repeat at 3 months, then every six months thereafter. He literally said, "You're an informed guy. If you want to do something in your healthcare, let me know. We'll make it happen." (I'm a healthcare professional myself.)
I actually suspect he might be gay, but can't confirm it. He's fantastic.