Free PrEP in Vermont
Vermont has the lowest HIV diagnosis rate in the nation (~1.8 per 100,000) and the highest PrEP-to-Need Ratio nationally. Medicaid covers PrEP at $0 through Green Mountain Care. Vermont CARES provides community support, and PPNNE offers PrEP at remaining health centers — though 7+ locations closed in 2022-2025.
Fastest Path to Free PrEP in Vermont
If you have insurance
PrEP is covered at $0 under the ACA. Vermont covers all FDA-approved formulations.
If you're on Medicaid
Green Mountain Care/Vermont Health Connect covers PrEP at $0. Apply at portal.healthconnect.vermont.gov or call 1-855-899-9600.
If you're uninsured
Start with MISTR for free PrEP. Also apply to Gilead Advancing Access (1-800-226-2056).
In Burlington
Contact Vermont CARES at 802-863-2437 or PPNNE Burlington at 866-476-1321 for PrEP services.
Vermont PrEP Programs & Assistance
Green Mountain Care (Medicaid)
Early Medicaid expander. Covers PrEP at $0 including all FDA-approved formulations.
Gilead Advancing Access
Free Truvada/Descovy for uninsured at ≤500% FPL.
Clinics & Community Resources
Vermont CARES
HIV case management, syringe services, free testing. Also offices in Berlin, Rutland, St. Johnsbury.
📍 139 Bank St, Burlington 05401
PPNNE
PrEP and PEP services. Note: 7+ locations closed 2022-2025.
📍 Burlington, Barre, Rutland, Brattleboro + more
UVM Medical Center ID Program
Main HIV specialty hub for Vermont.
📍 Burlington
AIDS Project of Southern Vermont
HIV services for southern Vermont.
📍 Bennington and Brattleboro
Telehealth PrEP Options
Online PrEP provider options
Compare telehealth services, local clinics, public programs, and assistance routes for your state or situation.
Compare providers →HIV & PrEP Data in Vermont
Vermont has the lowest HIV diagnosis rate in the nation at approximately 1.8 per 100,000 with just 6-10 new diagnoses annually. Approximately 600-700 people live with HIV. The PrEP-to-Need Ratio is the highest nationally (~100-167), though this largely reflects an extremely small denominator. Chittenden County (Burlington) has the highest burden. The opioid crisis poses emerging IDU-related HIV risk.
Know Your Rights
Insurance Coverage
Under the ACA, all private insurance plans must cover PrEP at $0. Vermont covers all FDA-approved formulations through Medicaid.
LGBTQ+ Protections
Vermont has comprehensive LGBTQ+ nondiscrimination protections (first state for civil unions, 2000). Progressive minor consent laws for sexual health.
No HIV Criminal Laws
Vermont does not have HIV-specific criminal statutes — progressive approach.
Rural Access Challenges
The loss of 7+ PPNNE health centers in 2022-2025 has significantly worsened rural access. Telehealth is increasingly essential.