If you have HIV/AIDS, you may have questions about what benefits, and coverage are available to you under Medicare. It’s our job to make understanding Medicare and Medicare enrollment easy.
Pre-Existing Conditions and Medicare Eligibility
Eligibility for Medicare enrollment is based on factors such as United States citizenship and time spent paying into Social Security. Pre-existing medical conditions such as HIV or AIDS aren’t a factor for eligibility in Medicare. If you’re a U.S. citizen who is turning 65 years old, or younger than 65 and on disability, you are likely eligible for Medicare.
Original Medicare and HIV/AIDS Coverage
If you have HIV/AIDs and are eligible for Medicare, you are eligible for all the standard care that Medicare Parts A and B offer. There are some medical needs unique to those who have HIV/AIDS. Medicare covers annual HIV testing for all beneficiaries between the ages of 15 and 65. For beneficiaries outside of that age range (younger than 15 and older than 65), testing is covered if you are at increased risk for HIV/AIDS. Asking to be tested may be enough to qualify you for a covered test.
Medicare and Antiretroviral Therapy Prescriptions
Original Medicare doesn’t include coverage for prescription drugs. To get these benefits, you can enroll in a Medicare Prescription Drug Plan (Part D), or a Medicare Advantage Plan with prescription drug coverage (MAPD).
Medicare plans are currently required to cover all approved antiretrovirals (ARVs) as a protected drug class. You may be able to get assistance with prescription costs through Extra Help or the Ryan White AIDS Drug Assistance Program.
Additional Benefits with Medicare Advantage
Original Medicare (Parts A and B) doesn’t include coverage for dental, vision, or hearing. Medicare Advantage Plans are offered by private insurance companies and include all the coverage Original Medicare offers, often with additional benefits like fitness plans, medical transportation, over-the-counter benefits, and much more. Some of these plans may be available with $0 premiums, deductibles, and copays. In those cases, you would be able to receive additional benefits at no additional cost.
Annual Enrollment Period (AEP)
Medicare Annual Enrollment Period runs each year from October 15 to December 7. What is the Annual Enrollment Period vs. Open Enrollment Period?
Initial Enrollment Period (IEP)
Your Initial Enrollment Period generally surrounds your 65th birthday but may occur if you otherwise become eligible for Medicare for the first time.
Speak to a Licensed Insurance Agent Today
1-800-991-4407 / TTY 711
Mon-Thu 8am-11pm, Fri 8am-9pm EST
Aetna® Anthem® Cigna Healthcare® Humana® UnitedHealthcare®
e-TeleQuote Insurance Inc. (“e-TeleQuote”), an affiliate of Primerica, Inc., does business as easyMedicare® in all states other than California, Florida and New Mexico. e-TeleQuote is a duly licensed insurance agency appointed by Medicare Advantage HMO, PPO and PFFS plans and stand-alone prescription drug plans and insurance companies holding Medicare contracts approved by The Centers for Medicare & Medicaid Services (CMS). e-TeleQuote is not connected with or endorsed by the U.S. Government or the Federal Medicare Program. Enrollment in any plan for coverage is subject to insurance company approval. Enrollment in the plan depends on the plan’s contract renewal with Medicare. By using e-TeleQuote’s easyMedicare website, you understand and agree that in California, Florida and New Mexico, we operate as e-TeleQuote Insurance, Inc. (Your IP address and/or location coordinates may be gathered to verify your location.) Sales agents/producers may be compensated based on your enrollment in a health plan. Medicare Supplement plans are not connected with or endorsed by the U.S. Government or the Federal Medicare program. e-TeleQuote complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion. easyMedicare.com is a non-government site, powered by e-TeleQuote Insurance, Inc. e-TeleQuote provides a secure way to purchase Medicare insurance from the comfort of your home or workplace. We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800–MEDICARE to get information on all of your options. To send a complaint to Medicare, call 1-800-MEDICARE (TTY users should call 1- 877-486-2048), 24 hours a day/7 days a week). If your complaint involves a broker or agent, be sure to include the name of the person when filing your grievance.
Last Updated: November 1, 2022 MULTIPLAN_ETQEZMwebsite_0722_M