Verification of Eligibility
The program provides assistance with payment for physician visits, laboratory, radiology/dental services, and medications for persons with HIV/AIDS who have an income of 300% of poverty or less, as indicated in the annually updated Federal Poverty Guidelines and no health insurance. These participants are billed for services on a sliding fee scale based on income and family size. Once eligibility is verified you will not be turned away for inability to pay. The program accepts Medicare, Medicaid, most private insurance plans and cash. Participants with health care coverage are billed according to health insurance benefits.
Misrepresentation of coverage or failure to provide proof of health care insurance is considered cause for termination of services.
- Participation in the Program is contingent upon verification by NHFHS that a patient is eligible under specific income guidelines.
- Patients will be assessed a fee for services on a sliding scale basis.
- Patients must provide documentation requested by NHFHS upon entry into the program and annually thereafter.
- Any false representation of income could lead to dismissal from the program.
The federal government has established a cap on annual, aggregate charges to recipients of Ryan White Program services. These charges include insurance premiums, payments to doctors, dentists, hospitals, pharmacies, and mental health clinicians and expenses related to private or public transportation that helps patients travel to and from medical appointments.
Caps on out-of-pocket expenses are determined by patient income.