PrEP – Pre-Expo­sure Prophylaxis

PrEP is a medi­cal pro­tec­tion against HIV. Taken relia­bly, the drug ten­o­fo­vir / emtri­ci­ta­bine effec­tively pro­tects one from HIV, com­pa­ra­ble to the pro­tec­tive effect of con­doms. PrEP can be taken regu­larly or tem­po­r­a­rily. It is important that you keep to the pat­tern of intake and also have the regu­lar accom­pany­ing exami­na­ti­ons done.

PrEP will now be covered by the Ger­man public health insu­rance com­pa­nies for peo­ple with an increased risk of HIV infection!

The law came into effect on May 11th, 2019. Accor­din­gly, the drug and the neces­sary accom­pany­ing medi­cal exami­na­ti­ons are covered by the public health insu­rance com­pa­nies. As of Sep­tem­ber 1st, 2019 the public health ser­vice has an imple­men­ta­tion agree­ment, which regu­la­tes the pre­scrip­tion and bil­ling moda­li­ties for phy­si­ci­ans and patients.

Accor­ding to this agree­ment, PrEP can be pre­scri­bed for:
  • Men who have inter­course with men (MSM) or trans­gen­der per­sons who report having had anal sex wit­hout a con­dom within the past 3 to 6 months and / or are likely to have in the next few months or have had a recent STI (sexu­ally trans­mit­ted infec­tion) within the last 12 months.
  • Sero­dis­cordant cou­ples with a vire­mic HIV-posi­tive part­ner wit­hout anti­re­tro­vi­ral the­rapy (ART), a non-sup­pres­sive ART, or in the initial phase of ART (HIV RNA not less than 200 RNA copies / ml for 6 months)
  • After an indi­vi­dual and situa­tio­nal risk assess­ment, drug-injec­ting indi­vi­du­als wit­hout the use of ste­rile injec­tion materials.
  • After an indi­vi­dual and situa­tio­nal risk assess­ment, peo­ple who have inter­course wit­hout a con­dom with a part­ner who is likely to have undia­gno­sed HIV infec­tion (e.g. a part­ner from high-pre­va­lence count­ries or with high-risk sexual practices).

(Source: Agree­ment on the Pre­ven­tion of HIV Pre-Expo­sure for the Pre­ven­tion of HIV Infec­tion in accordance with § 20j SGB V, as amen­ded on 24.07.2019, effec­tive from 01.09.2019)

Ger­man pri­vate health insu­rance com­pa­nies fol­low the regu­la­ti­ons for the public health insu­rance com­pa­nies is nearly all cases. If in doubt, please con­sult your insu­rance company.

 

If you are con­side­ring PreP or just want to inform yours­elf, feel free to cont­act us! We would be happy to give you the infor­ma­tion you need to sup­port you in your decis­ion making. Addi­tio­nally, the con­ver­sa­tion with us is accepted by the pre­scrib­ing doc­tors in Hannover as a con­sul­ta­tion in accordance with the pre­scrip­tion policy.

For cur­rent infor­ma­tion on PrEP, you can visit the pages below:

The fol­lo­wing doc­tors in Hannover are curr­ently pre­scrib­ing PrEP:

    Coun­sel­ling on PrEP

    Jür­gen Maaß
    Phone: 0511 / 360 696 16
    j.​maass@​hannover.​aidshilfe.​de