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Many Americans still paying high costs months after insurers were ordered to cover HIV preventive care

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Anthony Cantu, 31, counsels patients at a San Antonio health clinic about a daily pill shown to prevent HIV infection. Last summer, he started taking the medication himself, an approach called preexposure prophylaxis, better known as PrEP. The regimen requires laboratory tests every three months to ensure the powerful drug does not harm his kidneys and that he remains HIV-free.

But after his insurance company, Blue Cross and Blue Shield of Texas, billed him hundreds of dollars for his PrEP lab test and a related doctor's visit, Cantu panicked, fearing an avalanche of bills every few months for years to come."I work in social services. I'm not rich. I told my doctor I can't continue with PrEP," said Cantu, who is gay."It's terrifying getting bills that high.

Even as they push for broader enforcement, HIV organizations are taking one small victory at a time.On Feb. 16, Anthony Cantu received a letter from the Texas Department of Insurance informing him that Blue Cross and Blue Shield of Texas had reprocessed his claims for PrEP-related lab costs.

 

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