March 5, 2014:
On March 5, 2014, a letter was sent to Anthem Prescription Management on behalf of the Virginia ADAP Advisory Committee, requesting consideration for adding Stribild and Complera to the formularies of plans offered in Virginia through the federal marketplace. Click here to view letter.
January 21, 2014:
For frequent updates regarding Virginia ADAP plans for enrollment into ACA Insurance Plans, please visit the ADAP Updates page.
The Virginia Department of Health (VDH) AIDS Drug Assistance Program (ADAP) has selected certain plans offered through the federal marketplace (insurance exchange) under the Affordable Care Act (ACA) that can be supported through Virginia ADAP. ADAP will pay the premiums and medication costs (deductibles and copayments) only for these selected plans.
a. If a client lives alone (family size=1) and has an income between $11,491 and $28,725, the client must choose a Silver plan because the client may qualify for extra financial help. Otherwise, the client must apply for a Bronze plan. If the client’s family size is greater than 1 person, click here to see which plans the client can enroll in.
Call the VDH Medication Assistance Hotline at 1-855-362-0658 if you have any questions regarding plan selection.
Sign up for a plan and let ADAP know
To sign up, a client can find an enrollment site in her/his area or schedule an appointment with a site by calling the ADAP hotline at 1-855-362-0658. The client can also apply online. The client must have (or create) an email address. Go to www.HealthCare.gov. ADAP must be notified when the client enrolls so that ADAP can coordinate payment of the premiums and medication costs.
For a list of Insurance Enrollment Sites that can help ADAP clients enroll in insurance, click here.
For more detailed information about how to enroll and other program requirements, please click here.
In 1996, an ADAP Advisory Committee was created. The committee is comprised of HIV/AIDS medical providers, a pharmacist, and consumers. The committee advises VDH on changes to the formulary, changes in eligibility criteria, adherence issues, and educational concerns. The committee reviews data on ADAP utilization and assess budgetary implications of trends and program changes.
For more information about the committee, please see the ADAP Advisory Committee Scope.
Questions or comments?
Medication Eligibility Hotline 1-855-362-0658