Anyone who requests a PrEP evaluation will be charged $25 for the medical consultation. This covers your online medical consultation and review of your lab test results, and includes unlimited messaging about PrEP with our medical team for 3 months until your next renewal — so you can ask questions about your lab tests or medication any time during that period. At this time, we do not submit claims to insurance for this consult fee. Each time you order a new test kit and evaluation for renewal of your prescription you will be charged $25 for the medical consultation.
Now that PrEP for HIV prevention is available in generic versions, the medication is less expensive than you may think.
If you have insurance, our team will bill your plan, and you’ll only be responsible for any copay. The copay for a 3-month supply of generic PrEP is usually inexpensive, or there may not be a copay, but we suggest you call your insurance company if you would like to confirm the exact amount.
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 partner lab, which is an option in every state we are available in except for New York. We are committed to providing a convenient and cost-effective home testing option for our PrEP patients.
For those paying without insurance:
$164 for comprehensive testing, which includes all of the necessary tests to get on PrEP + extra testing for additional sexually transmitted infections (STIs); OR $94 for basic testing which includes all of the testing necessary to get on and stay on PrEP. Both prices include free shipping both ways.
For those paying with insurance:
There is no cost for the test kit itself, which includes free shipping both ways. Once your tests have been processed by our partner lab, they will bill your insurance and you will be responsible for any out-of-pocket costs including copays and deductibles associated with your plan. Please contact MTL Client Relations directly at (360) 693-8850, or visit their website at https://moleculartestinglabs.com/pages/contact-us. They can help answer more specific questions about your insurance plan and the billing process.
PLEASE BE ADVISED: If you receive a bill, it will come directly from our lab partner, Molecular Testing Labs. Any Explanation of Benefits from your insurance company regarding the lab services will not list us, but rather Molecular Testing Labs or their affiliates.
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, we’d recommend asking 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 asks, 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).