The AIDS Drug Assistance Program (ADAP) provides access to medications for people infected with HIV.
CAREAssist is Oregon's version of ADAP. CAREAssist helps people living with HIV or AIDS pay for medication and other medical care expenses. We are not health insurance, but we help individuals maintain and utilize health insurance by paying for insurance premiums, doctor visit copays and medication copays. It is our hope that by providing CAREAssist services, Oregonians living with HIV/AIDS are empowered to effectively manage their HIV disease and improve their overall health and quality of life.
The CAREAssist Member Handbook (Manual para los Miembros de CAREAssist
en Español) provides a comprehensive overview.
Am I eligible?
To become a member of CAREAssist, you must:
- Have a confirmed HIV status
- Reside in Oregon
- Currently have medical insurance or be in the process of applying for medical insurance. We can help you with this.
- Have income below 300% of the Federal Poverty Level (FPL). If you are applying for coverage effective January 1, 2014, income eligibilty will be expanding to 400% of the FPL. CAREAssist uses the Federal Poverty Levels (FPL) to
determine eligibility based on income. The FPL is based on income and
household size. To determine FPL, CAREAssist includes almost all forms
of income, including work income/wages/salaries, disability,
self-employment income, pension/retirement income, child support and
How do I apply?
All CAREAssist forms and instructions, including the application and a
Client Eligibility Review (CER) form are available on the Forms & applications
If you need immediate assistance with medications, the Bridge Program provides emergency assistance to help individuals obtain HIV
medications for up to 30 days. Assistance provided under this program is
intended to help persons meet their medication needs while applying and
enrolling in health insurance and CAREAssist.
How will CAREAssist help me?
Please see the CAREAssist Member Handbook for a full overview of the program and services.
What medications are covered?
Formulary is the term used to mean the list of prescription drugs that the CAREAssist program will cover at full price, in the event that your insurance policy does not pay a portion of the cost. Medications not listed on the CAREAssist Formulary must be covered by your insurance policy in order for CAREAssist to assist with the copay. Please view or download the program formulary for your reference.
What pharmacies can I use?
There are 2 ways you can get your medications:
By using the mail order pharmacy, all of your medications (both HIV and non-HIV medications) will be mailed to your home or other location that you choose. If you use the mail-order pharmacy, you will still be able to use a local pharmacy to get urgently needed medication (like a short-term antibiotic).
You can register for the mail-order pharmacy by calling WellPartner at 1-888-206-1605 or completing this form:
- WellPartner Order Form (English)
- WellPartner Order Form (En Español)
If you prefer to use a a store based pharmacy, you'll be able to collect your medications at an In-Network Pharmacy like Safeway. Please view the list of CAREAssist in network pharmacies, or to find the closest CAREAssist network pharmacy nearest you, use the Pharmacy Locator on the left side of the Ramsell webpage. Fill in your city, zip code and county, and hit the locate button. In-Network Pharmacies will be highlighted in red. For an urgently needed medication (like a short-term antibiotic), you may be able to use an Out of Network pharmacy that is closer to you.
Who will be my health insurance?
CAREAssist is happy to help pay premiums for most health care insurance plans, including OMIP, OHP, Medicare, Cobra, employee based insurance programs, and all Silver Level plans through Cover Oregon.
Will I have to pay anything to be a member of CAREAssist?
A cost-share is required of all members whose income is over 150% of the federal poverty level (FPL) (or about $1,436/month for one person). The cost-share amount is 2% of your family income (before taxes) and is paid monthly. Cost-share bills will start on the first full month of enrollment in CAREAssist. The CAREAssist program will send you a bill for your cost-share every month and payment will be due by the 21st day of that month. If your family income is less than 150% of the FPL, you will not have to pay a cost-share.
If you are a CAREAssist member who pays cost-share and your income drops by 25% or more, you may be eligible to apply for a cost-share adjustment. To apply for an adjustment, submit a Cost Share Adjustment Request form along with proof of your change in income (such as a lay-off letter or proof of unemployment). If your income increases, you do not need to tell us until your next Client Eligibility Review is due.
If you are paying your cost-share in person at our office in Portland, you can take your payment directly to the cashier's office on the 2nd floor.
800 NE Oregon Street,
Payment can be made by check, money order or cash (no coin change is available).
I would like to quit smoking.
Did you know that Oregonians living with HIV are 2 1/2 times more likely to smoke than adults statewide? CAREAssist members who smoke or chew tobacco and wish to quit are automatically eligible to receive additional, free services from the Oregon Tobacco Quit Line (1-800-784-8669). CAREAssist members are eligible for a variety of resources, including prescription medication and nicotine replacement to help you quit.
What other support services are available?
Some CAREAssist members may also have an HIV case manager. HIV case managers are located throughout the state. They know about the services and programs available in your area to help HIV-positive Oregonians and their families. They can help with information and referrals, adherence to HIV medications, and coordination between your health care providers. Case managers can help determine eligibility for various programs that can assist you. HIV case managers are found at community based organizations, health departments and health clinics.
You may qualify for help with:
- HIV case management
- Dental care
- Mental health therapy/counseling
- Drug and alcohol treatment/counseling
- Housing related assistance
- Other supportive services
All available services depend on current funding levels. They may vary from county to county. To find the HIV case manager nearest you, call the Oregon HIV/STD Hotline at 800-777-2437.
How do I get involved?
Make your voice heard. Check out the CAREAssist Advisory Group or join us on Facebook and Twitter for HIV related information, events and discussion. Tell us what you think!