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Posted

I still have a few pills, but I don't think it'd be enough to protect me on the as needed dosing. I'm worried that should I get infected with HIV that I might have Truvada resistant HIV.. How many days after I stop taking PrEP can I have sex without fear of drug resistant HIV?

Posted (edited)

I still have a few pills, but I don't think it'd be enough to protect me on the as needed dosing. I'm worried that should I get infected with HIV that I might have Truvada resistant HIV.. How many days after I stop taking PrEP can I have sex without fear of drug resistant HIV?

Why cant you afford it? There are multiple assistance programs out there depending on state, and then there is the gilead assistance program?  Even if they initially deny you, or you think you don't qualify, you often just have to speak to someone about it. 

 

With that said the simple answer is you would probably want to be on a month after your last exposure, but other sources are saying about a week, as long as you were consistently dosed before. 

Edited by wood
Posted

I'm worried that I'll lose my Medicaid because I've had to see so many doctors that I'm afraid they'll put me on a "safe choices" bs program preventing me from seeing my ID Doc.

Posted

I'm worried that I'll lose my Medicaid because I've had to see so many doctors that I'm afraid they'll put me on a "safe choices" bs program preventing me from seeing my ID Doc.

BS. you cant "lose" medicaid if you qualify for it? what state are you in? 

 

Additionally even with medicaid you can go to any doctor that accepts it.  Remember you are in power with your doctor, and there is really no reason you even need to see an ID doc for PrEP. 

Posted

I live in Virginia and I can only see doctors within the managed care Medicaid plan. And the contracted insurance company has the legal option to restrict patients to one doctor and one hospital if it is determined you are unnecessarily using excessive resources, at least in Virginia. My PCP said that PrEP was "experimental" and that she didn't want to be liable, and only allowed me to see the ID doc after I asked for a second opinion.

Posted

I live in Virginia and I can only see doctors within the managed care Medicaid plan. And the contracted insurance company has the legal option to restrict patients to one doctor and one hospital if it is determined you are unnecessarily using excessive resources, at least in Virginia. My PCP said that PrEP was "experimental" and that she didn't want to be liable, and only allowed me to see the ID doc after I asked for a second opinion.

Again, call your doctor out, there is nothing experimental about PrEP, its a CDC approved, WHO recommended course of action.

 

All you need to do in a situation like this is bitch and complain for lack of a better way of stating it.   

Posted

I'm worried that I'll lose my Medicaid because I've had to see so many doctors that I'm afraid they'll put me on a "safe choices" bs program preventing me from seeing my ID Doc.

That is for people who are seeing the same type of doctors (ER, Pain Specialists) trying to get pain killers, not someone like you.  and they don't just take your medicaid away, you have rights if they were to even put you on that program.   I worked for the agency that administers medicaid in WA so I know a bit about how it works.  PrEP is not experimental, that doctors knowledge might be.  You need to be doing what you can to protect your health stand up for yourself and don't take no for an answer!  You always have what they call appeal rights, see if you can switch to a different managed care plan provider.  Here in WA we can choose from Amerigroup Columbia United Providers Community Health Plan Coordinated Care Molina Healthcare United Healthcare so I would hope Virginia gives you a little choice?

Posted

I live in Virginia and I can only see doctors within the managed care Medicaid plan. And the contracted insurance company has the legal option to restrict patients to one doctor and one hospital if it is determined you are unnecessarily using excessive resources, at least in Virginia. My PCP said that PrEP was "experimental" and that she didn't want to be liable, and only allowed me to see the ID doc after I asked for a second opinion.

I live in Virginia myself and I'm going through Optima Health and I've talked with them and they cover Truvada for PrEP and its procedures. I just talked with them today. Hell they even told me to talk to Gilead for the Assistance program to help pay for my Out of Pocket expenses. Unless you're going through Private insurance company, I don't see that on my end. I've yet to be stuck with one doctor. Then again this is my first year of being on my own health plan. I'll get back to you if any of that changes.

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