Effective September 18, 2021, Independence will cover the following services related to the administration of pre-exposure prophylaxis (PrEP) for individuals who are considered high risk for HIV infection. The coverage is in accordance with a jointly issued preventive coverage clarification issued by the Departments of Labor, Health and Human Services (HHS), and the Treasury.
The services are:
- HIV testing
- Hepatitis B and C testing
- Creatinine testing and calculated estimated creatine clearance (eCrCl) or glomerular filtration rate
- Pregnancy testing
- Sexually transmitted infection (STI) screening and counseling
- Adherence counseling
Please read the Medical Policy News Article for background, eligible procedure codes, and links to impacted policies.