As the medications used in the PrEP and PEP are listed on the Pharmaceutical Benefits Scheme (PBS), your OSHC will subsidise the cost of treatment. You will be reimbursed up to $50 per approved prescription item, up to $300 per calendar year (single) or $600 (couple/family). The benefit paid will be for expenses exceeding the equivalent of the current PBS co-payment amount.
For instance, if you were prescribed Truvada, the average cost is $170 per 30 tablets. The maximum reimbursement for a prescription is $50 and your out-of-pocket expense is $120. The PREP course of treatment is between three to six months. The PEP course of treatment is one month.
For example, if your prescription costs $90, you will receive a benefit of $49 ($90 less the 2020 PBS co-payment of $41). If your prescription costs $150, you will receive a benefit of $50 (as $150 less the current PBS co-payment of $41 is higher than $50). Your maximum annual limit will remain at $300 per person per calendar year.
If you would like to be certain of the costs before the testing:
- The cost for HIV testing is roughly between $50 and $200 – some or all of this will be covered under your OSHC depending on what the charge is.
- Ask your GP or the pathology centre for the Medicare item numbers for the test and how much they will charge for the tests.
- Contact us and let us know the item number and the cost. We can tell you how much will be covered under your OSHC.
To get tested, you first need to visit a GP and ask for a pathology test. Once you have the pathology prescription, contact the pathology centre and ask for the Medicare item number and how much it will cost before you take the test. You can then contact us with this information and we can tell you how much we will reimburse you.
Each state and territory manage their own sexual health clinics independently. Whilst it is a free clinic for Australian citizens and permanent residents, there are some services available to international students if you fall in the priority list due to circumstances. You can reach out to them and they will assess your situation individually.
For the nearest sexual health clinic, click on your state
All clinical information contained in this article/on this page is intended for general information purposes only. The information should not be relied upon as medical advice and does not supersede or replace a consultation with a suitably qualified healthcare professional.