Ryan White CARE
Act Coverage at C3ID
The Center for Comprehensive Care of Immune
Deficiency C3ID
provides a variety of HIV care services that are covered under the
Ryan White CARE Act for those who qualify.
What is Ryan White Coverage?
The Ryan White CARE Act was passed by Congress in
1990 to improve the quality and availability of care for
lower-income, uninsured and underinsured
individuals and families affected by HIV/AIDS. If you meet certain
eligibility requirements, you may qualify for many HIV care services
at no cost to you.
Am I Eligible?
Generally to be eligible, you must have no other
insurance or payer source for the covered service. No
insurance, no Medicare and no Medicaid coverage.
You also have to be HIV positive and have household income below 300 percent of the national poverty level. Currently the level is
$29,400 for a single individual and $39,600 for a household of two. Higher
limits apply for larger households. The value of property you own is
not considered in determining eligibility for this program.
What Does it Cover?
The CARE Act covers most medical
and social support services for the treatment of HIV-related
conditions if you have no other insurance
coverage. If you have insurance coverage for some of the services
listed but not others, you may be Ryan White eligible for those
uninsured services. For example, you may have medical insurance but
you might qualify for dental care or case management services through
the Ryan White program.
Here is a partial list of services that may be
covered:
- Outpatient medical and specialty care referrals
- Laboratory testing
- HIV-medications
- Case management
- Dental care
- Mental health counseling
- Substance abuse treatment
- Housing
- Emergency financial assistance
What Is Not Covered?
These services are not covered:
- Inpatient medical care
- Emergency room visits
- Treatment of medical conditions (including medications) unrelated
to HIV
- Routine mammograms
- Home health care
- Hospice and respite care
- Nutritional supplements
How Do I Apply?
At the time of your first visit to one of the C3ID
sites for medical care, your individual circumstances will be reviewed
by the medical counselor or case manager. They will determine
eligibility for Ryan White coverage or any other coverage or
assistance to which you may be entitled and direct you through the
process. You will be asked to provide
proof of income by providing check stubs, income
tax returns or other information. You must provide this information at
least annually
to continue to qualify. If you have already been enrolled through
another service agency, you will not have to repeat this process.
What If My Situation Changes?
If your circumstances change during the year of
eligibility, you must tell your case manager and medical provider as
soon as possible. If you marry,
move home with parents, start working, get insurance, qualify for
Medicare or Medicaid, this may affect your
eligibility. You may be back billed for any services that you received
when you were not eligible. Please tell
us immediately so that we may assist you.
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