Before you begin PrEP you must get lab tests to confirm that you are HIV negative and have healthy kidneys. You’ll re-do these tests every three months after beginning PrEP. Our preferred testing option is home-based lab testing through our home testing partner, Molecular Testing Labs (MTL) (though please note that home testing is not yet available in New York state). We have worked hard to provide ease and cost transparency with our home testing option. The cash price for our home testing is:
$199 for comprehensive testing, which includes all of the necessary tests to get on PrEP + extra testing for sexually transmitted infections (STIs)
$129 for basic testing which includes all of the testing necessary to get on and stay on PrEP
If you have insurance we will bill your plan for the cost of lab testing, but your out-of-pocket expense will depend on what your specific plan covers and whether Molecular Testing Labs is in-network for your plan. If you would like to use insurance for lab testing your up-front cost will be $25 to cover the cost of the lab kit components, shipping and processing. Our lab partner will then bill your insurance for the lab services – and you will only be responsible for any out-of-pocket costs, like copays and deductibles, specific to your plan. If MTL is not in-network with your insurance we have a negotiated rate of $99 for lab testing which will be billed directly by MTL. It is important to note that if you have not yet met your deductible, you may be billed for the full price of lab testing at the negotiated rate between MTL and your insurance carrier, which is usually around $250-$300. If your deductible has been met then only standard co-pays will apply.
If you’d prefer not to do home testing you are welcome to have your labs done at a local lab like LabCorp or Quest. Once you have submitted your request for PrEP, simply message us and tell us that you would like lab testing at LabCorp or Quest. Pricing at local labs is dependent on your insurance coverage. We recommend calling your insurance company in advance to confirm whether LabCorp or Quest is the in-network laboratory.
If you contact your insurance company to clarify your coverage for laboratory testing, ask them the following questions:
Do I have to use an in-network lab for lab testing?
If yes: What laboratories are covered?
Is Molecular Testing Labs covered?
Do I have a deductible for lab testing?
If your insurance company ask, tell them these are the tests that will be ordered for PrEP: HIV 4th generation antibody/antigen test, serum creatinine, hepatitis B surface antigen (all required), and (optionally) syphilis, gonorrhea and chlamydia testing (rectal swab, throat swab, urine collection).