City Guide Published April 22, 2026 · 6 min read

How to Get PrEP for Free in Austin in 2026

Travis County is an EHE priority jurisdiction. Austin's HIV prevention is anchored by Kind Clinic (their flagship location), ASHWell, and Austin Public Health's STI Clinic. Here's every pathway to $0 PrEP in Austin.

TL;DR

Free PrEP in Austin: Texas Medicaid has limited eligibility; telehealth PrEP (free statewide, no clinic visit); and Gilead Advancing Access (free medication for uninsured, ≤500% FPL). See our Texas PrEP guide for complete state-level details.

Pathways to free PrEP in Austin

1
If insured (private)

PrEP is covered at $0 under the ACA — medication, labs, and visits. Use the Gilead Co-Pay Coupon (1-877-505-6986) for any remaining costs.

2
Texas has not expanded Medicaid

Texas Medicaid has limited eligibility. Many low-income adults fall into the coverage gap. FQHCs, MISTR, and Gilead Advancing Access are your best options if uninsured.

3
If uninsured — use MISTR or Gilead Advancing Access

Texas has no state PrEP-DAP and has not expanded Medicaid. Apply for Gilead Advancing Access for free Descovy or Yeztugo if you earn under 500% FPL. Call 1-800-226-2056.

4
Use telehealth PrEP

Free PrEP delivered to your Austin address — consultation, labs, and medication at $0. No clinic visit required.

Compare PrEP access options

Telehealth providers, local clinics, state programs, Medicaid, and manufacturer assistance can all be valid routes. Compare cost, lab method, medication options, location, privacy, and follow-up instead of defaulting to one provider.

Compare providers and programs →

Austin-area providers to know

Kind Clinic Austin — flagship

LGBTQ+ Health Clinic

Kind Clinic's original location. Walk-in PrEP, STI testing, doxy-PEP, gender-affirming care. Sliding-scale fees — most patients pay $0. Top PrEP prescriber in Texas. kindclinic.org

ASHWell Sexual Health & Wellness Center

ASO

Free HIV/STI testing and PrEP navigation. LGBTQ+ focused. ashwelltx.org

Austin Public Health — STI Clinic

City Health Department

Free and low-cost STI/HIV testing. PrEP referrals and navigation.

CommUnityCare Health Centers

FQHC

Multiple Austin locations. PrEP and primary care. Sliding-scale fees for uninsured patients. communitycaretx.org

State-level programs and links

Austin residents benefit from Texas's broader PrEP infrastructure. For state-level programs, eligibility details, and additional providers, see our Texas PrEP guide or the complete state-by-state directory.

Special populations in Austin

If you're undocumented: FQHCs serve patients regardless of immigration status. Gilead Advancing Access does not require SSN. MISTR is available without documentation.

If you're transgender: Community health centers and LGBTQ+ providers in Austin offer trans-affirming PrEP care. See our Texas guide for specific trans-affirming providers.

Frequently asked questions

Can I get free PrEP in Austin without insurance?

Yes. MISTR provides free telehealth PrEP delivered to any Austin address. Gilead Advancing Access provides free medication for uninsured patients under 500% FPL. Local FQHCs serve patients on sliding-scale fees.

Does Texas Medicaid cover PrEP?

Texas has not expanded Medicaid. Texas Medicaid has limited eligibility — many low-income adults may not qualify. Use MISTR, Gilead Advancing Access, or a local FQHC instead.

Related guides

Sources & last updated
Information sourced from state and county health departments, CDC, NASTAD, AIDSVu, and verified provider websites. Last updated April 22, 2026.

FreePrEP.org is an independent public health resource. We maintain editorial independence from providers, affiliates, and potential sponsors. Information on this page is for educational purposes and is not medical advice. Always consult a licensed healthcare provider about PrEP.