Must be a Colorado resident, have HIV/AIDS, income under 400% FPL, and enrolled in the Colorado AIDS Drug Assistance Program (ADAP).
You must be eligible for medical insurance or a COBRA policy through which you would be able to access medications in an affordable manner.
If you are eligible for Medicaid, you must access your medications through that system. The ADAP system must be the payer of last resort.
If you are eligible for Medicare, you must receive assistance through the Medicare Part D assistance program (Bridging the Gap, Colorado, State Pharmaceutical Assistance Program).
The State of Colorado Ryan White Part B Program began a new program to assist Medicare Part D eligible People Living with HIV/AIDS to acquire and pay for medications through a Medicare Prescription Drug Plan (PDP) and Medicare Advantage Plans (HMO, PPO, Private Fee For Service).
Maximum premium assistance is $80.00 a month.
CURRENT ADAP Medicare Advantage (with Prescription Drug Benefits - MAPD) and Medicare Part D participants are eligible to apply for this program by submitting an application (see below).
If you qualify for the AIDS Drug Assistance Program (see Colorado ADAP page for eligibility) and are eligible for Medicare, you may receive assistance through the Colorado HIV specific State Pharmaceutical Assistance Program; Bridging the Gap, Colorado.
Bridging the Gap, Colorado "wraps around" MAPD and Medicare Part D coverage by paying for participants' premiums, copays, deductibles and coinsurance, including fees in the so-called "coverage gap." This allows participants to access the entire formulary of their prescription drug plan at significant cost savings.
Additionally, by paying these costs for the participants, Bridging the Gap, Colorado realizes a significant cost savings for the ADAP and for taxpayers.
Bridging the Gap, Colorado will assist with any Centers for Medicare and Medicaid Services- approved Medicare MAPD or Part D Plan as long as they will contract with the ADAP pharmacies.
In addition to regular Colorado ADAP pharmacies, Bridging the Gap, Colorado members may fill prescriptions at Kaiser Permanente network pharmacies in Colorado, many Walgreens locations, as well as at Colorado Pharmacy in Denver. Call 1-888-311-7632 to find the location closest to you.