HIV Prevention and Gender-Affirming Care: Costs, Solutions and Legalities of LGBTQ+ Health Care

Understand the financial and legal challenges in LGBTQ+ health care, including HIV treatment and gender-affirming surgery.

NerdWallet’s Sean Pyles and Sam Taube delve into the intricate financial and legal issues faced by the LGBTQ+ community regarding their health care. They start by exploring the struggle to prevent and treat HIV, focusing on the effectiveness and financial burden related to pre-exposure prophylaxis (PrEP) and highly effective antiretroviral treatment (HEART). Sam speaks with Tim Horn, a director of the public health systems team at the National Alliance of State and Territorial AIDS Directors, or NASTAD, about these drugs and available resources for those dealing with these expenses. The discussion isn't just about costs, but also shines a light on the barriers and shares resources.

Sam then discusses the high cost of gender-affirming care for transgender individuals. He speaks with Andrea Romero, a licensed financial advisor based in New Orleans, about how costs can start accumulating even before hormone therapy or surgery, including expenses related to therapy sessions, hair removal, binders or gaffs, and wardrobe changes. She also addresses the high costs of gender-affirming surgery, health insurance coverage, and resources and financial strategies that can help people manage these costs.

In their conversation, the Nerds discuss: LGBTQ+ health care costs, financial challenges, legal struggles, gender-affirming surgery, HIV prevention, treatment of HIV, pre-exposure prophylaxis drug assistance programs (PrEP DAPs), highly effective antiretroviral therapy (HEART), insurance coverage, patient assistance programs, copay assistance programs, state government programs, cost of transitioning, aesthetic treatments, hair removal, costs associated with gender-affirming care, trans health care costs, insurance coverage, and financial strategies.

To send the Nerds your money questions, call or text the Nerd hotline at 901-730-6373 or email podcast@nerdwallet.com.

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