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Free PrEP in Minnesota

Minnesota has no state PrEP DAP, but robust public insurance — Medicaid (≤138% FPL) and MinnesotaCare (138–200% FPL) — covers PrEP at $0. Red Door Clinic in Minneapolis offers free PrEP to all ages 12+. A $600,000 Rural PrEP Initiative targets 76 rural counties. Minneapolis is a Fast-Track City. New HIV diagnoses hit a decade high in 2023.

No State PrEP DAP Medicaid Expanded MinnesotaCare (138–200% FPL) $600K Rural PrEP Initiative

Fastest Path to Free PrEP in Minnesota

1

If you have insurance

PrEP is covered at $0 under the ACA. Use the Gilead Co-Pay Coupon for any remaining costs.

2

If you qualify for public insurance

Medical Assistance (Medicaid, ≤138% FPL) has $0 copays. MinnesotaCare (138–200% FPL) has premiums up to $28/month. Apply at mnsure.org or call 855-366-7873.

3

In the Twin Cities

Visit Red Door Clinic — free PrEP and PEP for all ages 12+, regardless of ability to pay. Call 612-543-5555.

4

If you're uninsured

Start with MISTR for free PrEP. Also apply to Gilead Advancing Access (1-800-226-2056).

Minnesota PrEP Programs & Assistance

Minnesota Medical Assistance (Medicaid)

Expanded Medicaid covers adults up to 138% FPL. $0 copays for prescriptions including PrEP.

📞 855-366-7873

mnsure.org

MinnesotaCare

Covers adults 138–200% FPL with premiums up to $28/month. PrEP covered as preventive service.

📞 855-366-7873

mnsure.org

MDH HIV Prevention / Rural PrEP Initiative

State invested $600,000 in Greater Minnesota Rural PrEP Initiative targeting 76 rural counties. PrEP navigation services funded statewide.

📞 651-201-5414

health.state.mn.us

Gilead Advancing Access

Free Truvada/Descovy for uninsured individuals at ≤500% FPL. No immigration requirement.

📞 1-800-226-2056

gileadadvancingaccess.com

Clinics & Community Resources

Public Health

Red Door Clinic (Hennepin County)

Minnesota's largest STI/HIV clinic. Free PrEP and PEP for all ages 12+, regardless of ability to pay. MDH-funded PrEP navigation.

📍 525 Portland Ave, 4th Floor, Minneapolis 55415

📞 612-543-5555

reddoorclinic.org

Sexual Health

Family Tree Clinic

Sliding-scale sexual health. 78% of patients identify as LGBTQIA+. Stepped in to fill Rainbow Health's gap after its 2024 closure.

📍 1619 Dayton Ave, Suite 205, St. Paul 55104

📞 651-645-0478

familytreeclinic.org

Academic Medical

Hennepin Healthcare Positive Care Center

Comprehensive HIV care and PrEP services at a major academic medical center.

📍 915 S. 7th St, Minneapolis 55404

📞 612-873-2700

Public Health

Clinic 555 (Ramsey County)

MDH-funded PrEP navigation services serving the St. Paul area.

📍 St. Paul

Sexual Health

Planned Parenthood North Central States

PrEP available — confirm current availability at individual locations.

📍 Multiple Twin Cities locations

📞 1-800-230-7526

Telehealth PrEP Options

Online PrEP provider options

Compare telehealth services, local clinics, public programs, and assistance routes for your state or situation.

Compare providers →

Freddie

PrEP for men and transmasculine individuals. Available in Minnesota.

$0 for 90%+ of patients

gofreddie.com

Nurx

Available in Minnesota.

$0 with insurance; fees without

nurx.com

PlushCare

Nationwide telehealth. Not PrEP-specialized.

~$129/visit

plushcare.com

HIV & PrEP Data in Minnesota

~10,000
People living with HIV
324
New diagnoses (2023) — decade high
2/3
New cases among communities of color
2
Active HIV outbreaks (Hennepin/Duluth)

Minnesota reported 324 new HIV diagnoses in 2023 — a 24% increase from 2022 and the largest number in over a decade, with nearly 10,000 people living with HIV. Two-thirds of new cases affect communities of color. Hispanic Minnesotans comprised 22% of new diagnoses in 2023, up from a 14% average. Two ongoing HIV outbreaks — in Hennepin/Ramsey County (since 2018, among people who inject drugs) and Duluth (since 2020) — highlight continued vulnerability. Minneapolis is a Fast-Track City committed to 90-90-90 targets.

Know Your Rights

Insurance Coverage

Under the ACA, all private insurance plans must cover PrEP at $0 cost-sharing. Minnesota also offers MinnesotaCare for residents at 138–200% FPL.

LGBTQ+ Protections

Minnesota has no HIV-specific criminal statute and has enacted some of the nation's strongest LGBTQ+ protections, including the 2023 Trans Refuge Act. No gender-affirming care bans.

Minor Consent

Red Door Clinic offers free PrEP to ages 12+. Minnesota's minor consent laws support access to STI prevention services.

Undocumented Residents

Minnesota's 2023 MinnesotaCare expansion to undocumented adults was rolled back in 2025 budget negotiations. As of January 2026, undocumented adults lost MinnesotaCare eligibility. Children under 18 remain eligible. FQHCs serve regardless of status.

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