CO| Colorado Division of Insurance Revised Bulletin B-4.112 clarifies that, effective January 1, 2025, all non‑grandfathered health benefit plans, including student health plans, must cover without cost sharing all USPSTF “A” or “B”-rated HIV pre‑exposure prophylaxis (PrEP) services—specifically all FDA‑approved oral and injectable PrEP formulations and associated baseline and ongoing monitoring tests—for sexually active adults and adolescents at increased risk, and it instructs carriers to update coding guidance, claims systems, and internal controls so that PrEP‑related preventive items and services are correctly identified, processed, and paid without inappropriate denials or cost sharing, with reference to federal FAQs on industry‑standard coding practices and contact information for the Division for further questions.
Home » Bulletins » Attention Colorado Carriers: Revamped PrEP Guidance Tightens Requirements for Preventive HIV Coverage