[simple_phrases]

Several insurance companies like UnitedHealthCare had to be sued into covering PrEP. Not many insurance companies are going to happily cover a medication that can cost ~$30,000+ a year to fill.

Even now, United is making it clear that they don't intend to cover new PrEP medication like Descovy even though the medication doesn't cause as much renal damage and failure as Truvada does: https://www.beckershospitalreview.com/payer-issues/unitedhea...

If you have a high deductible insurance plan, it is not going to be fun to pay for your first few months of PrEP entirely out of pocket. Many people are priced out of PrEP because of that, as are the uninsured and underinsured.

[dillondoyle]

The copay should be refunded by Gilead. but it shouldn't have to be that way and many can't just be out $1k for 60 days.