PrEP – Prä-Expositions-Prophylaxe

PrEP is a medi­cal pro­tec­tion against HIV. Relia­bly taken, the drug ten­o­fo­vir / emtri­ci­ta­bine effec­tively pro­tects from HIV, com­pa­ra­ble to the pro­tec­tive effect of con­doms. The 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 paid by Ger­man health insu­ran­ces for peo­ple with an increased risk of HIV infec­tion, too!

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

Accor­din­gly, the 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 pro­ba­bly in the next few months or a recent STI (Sexual Infec­tious Infec­tious Dise­ase) 12 months
  • sero­dis­cordant con­stel­la­ti­ons 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 indi­vi­dual and situa­tio­nal risk assess­ment, drug-injec­ting indi­vi­du­als wit­hout the use of ste­rile injec­tion materials
  • after indi­vi­dual and situa­tio­nal risk assess­ment, per­sons with inter­course wit­hout a con­dom with a part­ner who is likely to have undia­gno­sed HIV infec­tion (eg one 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 (PDF, 2.0 MB)

Ger­man pri­vate health insu­ran­ces nor­mally fol­low these regu­la­ti­ons for the public health insu­rance. When in doubt pleas con­sult your insu­rance company.

If you are con­side­ring PreP or just want to inform yours­elf, feel free to cont­act us! We will give you the neces­sary infor­ma­tion to help you to sup­port your decis­ion. Inci­den­tally, the con­ver­sa­tion with us is accepted from the pre­scrib­ing Hano­ver­ian doc­tors as a con­sul­ta­tion accor­ding to the pre­scrip­tion policy.
Cur­rent infor­ma­ti­ons on PrEP you‘ll find on these pages:

The fol­lo­wing doc­tors in Hannover are curr­ently pre­scrib­ing PrEP:

  • Pra­xis Georgstraße
  • All­ge­mein­me­di­zin am Kröpcke
  • Pra­xis Dr. Zamani

  • Pra­xis Dr. Livia Stu­cke, Häge­wie­sen 93, 30657 Hannover, Tel.: 0511–601212

    Pra­xis Dr. Livia Stu­cke, Häge­wie­sen 93, 30657 Hannover, Tel.: 0511–601212Praxis

    Pra­xis Dr. Livia Stu­cke, Häge­wie­sen 93, 30657 Hannover, 0511–601212

    Pra­xis Dr. Livia Stu­cke, Häge­wie­sen 93, 30657 Hannover, Tel.: 0511–601212
  • Pra­xis Dr. Livia Stu­cke, Häge­wie­sen 93, 30657 Hannover, Tel.: 0511–601212
    raxis Dr. Livia Stu­cke, Häge­wie­sen 93, 30657 Hannover, Tel.: 0511–601212
    raxis Dr. Livia Stu­cke, Häge­wie­sen 93, 30657 

Coun­sel­ling on PrEP

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