How to Get PrEP for Free in Detroit in 2026
Wayne County — which includes Detroit — is an Ending the HIV Epidemic priority jurisdiction with some of Michigan's highest HIV prevalence. Michigan expanded Medicaid (the Healthy Michigan Plan), and between the Detroit Health Department's STD Clinic, Wayne State's HIV program, and telehealth PrEP, Detroiters have multiple pathways to $0 PrEP. Michigan's Drug Assistance Program (MIDAP) can also help cover costs for those between 138–500% FPL. Here's every option.
TL;DR
Three main free PrEP pathways in Detroit: Detroit Health Department STD Clinic (PrEP regardless of ability to pay, WSU partnership); Healthy Michigan Plan / Medicaid (PrEP covered as preventive service); and telehealth PrEP (free statewide, no clinic visit). MIDAP covers medication costs for uninsured/underinsured residents at 138–500% FPL. Gilead Advancing Access is available for those who don't qualify for MIDAP.
Detroit's HIV landscape
Wayne County is an EHE priority jurisdiction. Detroit accounts for a significant share of Michigan's HIV burden, with stark racial disparities — Black residents are disproportionately affected. The Detroit Health Department partners with Wayne State University to provide integrated STI/HIV prevention and treatment services. Michigan's Getting to Zero initiative coordinates statewide prevention efforts.
Three main pathways to free PrEP in Detroit
PrEP is covered at $0 under the ACA. Use the Gilead Co-Pay Coupon (1-877-505-6986) for any remaining costs.
PrEP is covered as a preventive service. Enroll at healthymichiganplan.org, visit MI Bridges (mibridges.michigan.gov), or call 1-855-789-5610.
The Detroit Health Department STD Clinic provides PrEP regardless of ability to pay. For medication costs, apply for MIDAP (Michigan Drug Assistance Program) if income is 138–500% FPL, or Gilead Advancing Access if under 500% FPL.
Free PrEP delivered to your Detroit address — consultation, labs, and medication at $0. No clinic visit required.
Detroit-area providers to know
Detroit Health Department — STD Clinic
PrEP, PEP, free STI/HIV testing, Hepatitis A/B vaccinations, free condoms. Services provided regardless of ability to pay. Immediate linkage with the WSU HIV treatment program. Walk-in friendly.
Covenant Community Care
Affordable primary care for the whole family on sliding scale. PrEP available through primary care services. Serves uninsured patients.
Detroit Community Health Connection
Community-based primary care serving all members of the community. Accessible, affordable healthcare including sexual health services.
State-level programs and links
Detroit residents benefit from Michigan's PrEP infrastructure. For state-level programs, MIDAP details, and statewide resources, see our Michigan PrEP guide or the complete state-by-state directory.
MIDAP details: Michigan Drug Assistance Program covers PrEP medication for residents with income between 138–500% FPL. Also covers Medicare premiums and copays. Apply online at michigan.gov/dap, by fax, or with help from a case manager. Call 1-888-826-6565 for assistance.
Plan First: Michigan's limited Medicaid benefit covering family planning services, including PrEP. An additional pathway for residents who may not qualify for full Medicaid.
Special populations in Detroit
If you're undocumented: FQHCs like Covenant Community Care serve patients regardless of immigration status. Gilead Advancing Access does not require SSN. MISTR is available without documentation.
If you're a minor: Michigan allows minors to consent to STI testing and treatment. The Detroit STD Clinic serves all ages. Contact providers directly about confidentiality protections.
If you're transgender: Michigan's Elliott-Larsen Civil Rights Act was amended in 2023 to include LGBTQ+ protections. Community health centers and the Detroit STD Clinic provide inclusive PrEP care.
Frequently asked questions
Can I get free PrEP in Detroit without insurance?
Yes. The Detroit Health Department STD Clinic provides PrEP regardless of ability to pay. MISTR delivers free PrEP statewide. Gilead Advancing Access provides free medication for eligible uninsured patients under 500% FPL. MIDAP covers medication costs for residents at 138–500% FPL.
What is MIDAP?
The Michigan Drug Assistance Program provides medication coverage for residents living with HIV or at risk. For PrEP, MIDAP can cover medication costs if your income is between 138–500% FPL. Apply online at michigan.gov/dap or call 1-888-826-6565.
Does Michigan Medicaid cover PrEP?
Yes. The Healthy Michigan Plan covers PrEP as a preventive service. Enroll at healthymichiganplan.org or through MI Bridges. Plan First, a limited Medicaid benefit, also covers PrEP as a family planning service.
Related guides
Information sourced from state and county health departments, CDC, NASTAD, AIDSVu, and verified provider websites. Last updated October 6, 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.