TABLE 3 Potential Eligibility Criteria for People with HIV/AIDS, by Major Payor/Source

  Medicaid Medicare Private
Employer Individual Ryan White
Who Must be both low income and categorically eligible Seniors or under 65 disabled Job-based Individual market-based Low income and uninsured or underinsured
Income/asset test Yes No N/A—but costs involved N/A—but costs involved Yes
U.S. citizen Yes Yes Not necessarily Not necessarily No
Preexisting condition limit No No Some limits Yes, in most states No
State variation Yes No Yes Yes Yes
Capped funding No No Yes Yes Yes
HIV-specific program No No No No Yes

SOURCE: KFF, 2010e.



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