The Short Answer
Yes, PrEP is free in 2026. Under the ACA, all private insurance and most Medicaid programs must cover PrEP — medication, lab work, and clinical visits — at $0 out-of-pocket. If you're uninsured, telehealth platforms like MISTR and manufacturer assistance programs provide PrEP at no cost.
What Changed
Ready, Set, PrEP ended (July 2025)
The federal Ready, Set, PrEP program, which provided free PrEP medication to uninsured people, ended in July 2025 when its funding wasn't renewed. Many websites still list it as active — it's not. Full details on what replaced it.
Gilead free Truvada PAP ended (January 2025)
Gilead's patient assistance program for Truvada specifically ended in January 2025. Their broader Advancing Access program continues for Descovy, Yeztugo, and generic PrEP.
Braidwood was upheld (June 2025)
The most important development: the Supreme Court ruled in Kennedy v. Braidwood Management that the ACA's preventive services mandate — including free PrEP — is constitutional. This means your insurance must cover PrEP at $0. No copays, no deductibles, no coinsurance for the medication, labs, or visits.
Every Way to Get PrEP for Free in 2026
| Your Situation | How You Get Free PrEP |
|---|---|
| Private insurance (employer or marketplace) | ACA mandate: $0 for medication, labs, and visits. If you're charged, file a complaint. |
| Medicaid | Covered at $0 in all expansion states. Non-expansion states vary. |
| Medicare | Part B covers PrEP at $0 since September 2024. Part D has $2,100 annual OOP cap. |
| Uninsured | MISTR (free everything), Gilead MAP (free medication), FQHCs (sliding-scale to $0) |
| Undocumented | MISTR, Gilead MAP (no SSN required), FQHCs, state DAPs in some states |
The fastest path to free PrEP
MISTR covers everything: consultation, labs, medication, and delivery — $0 for insured and uninsured patients in all 50 states, DC, and Puerto Rico.
ANDR735
Using this code at signup helps us achieve our mission of getting free PrEP out to all who need it.
What If You're Being Charged for PrEP?
If your insurance plan is charging you copays, deductibles, or coinsurance for PrEP, they may be violating federal law. Here's what to do:
- Call your insurer and cite the USPSTF Grade A recommendation for PrEP and the ACA Section 2713 preventive services mandate.
- File a complaint with your state insurance commissioner or the federal CMS if your state doesn't enforce.
- Use copay assistance in the meantime: Gilead's copay program covers up to $7,200/year for oral PrEP and $8,000/year for Yeztugo.
Free PrEP Comparison: What Each Option Includes
The key difference: MISTR and ACA insurance cover everything (medication + labs + clinical visits). Gilead's MAP covers medication only — you'd still need a provider for the prescription and lab work, which is where FQHCs or a telehealth platform come in.
Ready to start?
Get PrEP delivered to your door for free. MISTR handles the prescription, labs, and medication — nothing to pay, nothing to figure out.
ANDR735
Using this code at signup helps us achieve our mission of getting free PrEP out to all who need it.