HIV/AIDS Related Health Benefits

Recertifying for Uninsured Care Programs for HIV/AIDS

Summary

There is no annual recertification process. Participants are asked to update information as their household situation changes.

Recertification Process

ADAP, ADAP PLUS, HIV HOME CARE, PREP-AP

Once an individual is enrolled in one of these programs, recertification is generally not necessary. Participants will remain in the program unless they subsequently move out of New York, are found eligible for full Medicaid or other insurance that covers related expenses, or voluntarily disenrolls.

Participants will be asked to update information on an as-needed basis.

APIC

Participants only need to recertify if their health insurance policy changes, such as when COBRA time limits are met and they must switch to a new policy, or after periodic rate increases by a health insurer.

APIC participants who need to change coverage, renew coverage, or make any other changes, will need to complete and submit a new APIC application so that UCP has all updated information (i.e., premium amount, address for premium payment, premium due date). Do not assume that UCP automatically has this information.

Sometimes even though the coverage stays the same, the payment amount increases, or the location where the check needs to be sent is different. If the applicant does not tell UCP of these changes, their health insurance can be terminated for non-payment.

Applicants who receive monthly invoices from the insurance company, (even though APIC is paying the premium), should send those invoices to UCP each month, so that UCP staff can check for any change in address or premium amount.

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