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The CAREAssist program (Oregon's AIDS Drug Assistance Program) provides people living with HIV or AIDS with assistance to pay for medical care expenses. The mission of the CAREAssist program is to improve the health of HIV+ Oregon residents through access to HIV/AIDS medical treatment by paying for insurance premiums and prescription/medical services co-pays.
Frequently Asked Questions
The CAREAssist program is Oregon's AIDS Drug Assistance Program (ADAP). The mission of the program is to provide access to HIV Antiretroviral medications and other prescription drugs for the treatment of opportunistic infections. CAREAssist requires that all clients use health insurance resources to help pay the cost of these medications and others that their doctors prescribe.
To become a client of CAREAssist the applicant must:
- Have HIV infection that the program can verify by licensed medical provider
- Live in Oregon
- Have income that is not over 300% of the federal poverty guidelines as defined in the year the application is received.
- Have assets consistent with program guidelines
A patient may enroll by submitting the completed application found on the CAREAssist website. Patients must attach all documents required as indicated in the enrollment instructions which includes documents to verify current income and previous years income. There are community based case managers that may be able to help you complete the application. Original applications must be mailed to the program as indicated on the program website.
To find applications and instructions click on the link below:
> CAREAssist Application and Instructions
CAREAssist clients are able to get all FDA approved antiretroviral medications and other medicines used for the treatment of Opportunistic Infections. The CAREAssist client's primary health insurance formulary dictates what other medications are eligible for CAREAssist help with copays and deductibles. There are a limited number of drugs that are available from the CAREAssist formulary when those drugs are not covered by the client's primary insurance.
The Formulary for Preferred Network can be found by clicking on the link below:
CAREAssist members must use a contracted In-Network Pharmacy for all maintenance prescription drugs received. Effective October 1, 2011 CAREAssist members are required to get all maintenance drugs such as HIV antiretrovirals from a contract pharmacy. Both urgent medications such as an antibiotics or pain management drugs and HIV and other long-term or non-urgent medications are covered at those pharmacies. To see a list of all pharmacies which are approved to dispense maintenance drugs click the locate button on the Pharmacy Locator below without entering any information in the fields.
Short-term medications such as an antibiotic or pain medication may be filled at other pharmacies if that pharmacy has signed up with Ramsell, which is CAREAssist's pharmacy benefits management contractor. To find a pharmacy that can fill short-term or urgent medications type the zip code, town name or county into the pharmacy locator on the left panel.
The CAREAssist website will provide you with the most up to date applications and information. There are links to other web pages that might help you find a community based case manager or other services in your community. To visit the CAREAssist website click on the link below:
> OR CAREAssist Website
To visit the HIV case management and community services website click on the link below:
> HIV Care and Treatment Website