Your Questions, Expert Answers
Find clear and concise answers to common questions about sexual health, safety, and wellness. Empower yourself with reliable information to make informed decisions and support your overall wellbeing.
About HerMister
Hermister is a specialized telehealth platform focused on sexually transmitted disease(STD) prevention. We provide convenient, confidential access to PrEP, PEP, STI testing, and comprehensive sexual health care through licensed healthcare providers.
Hermister serves adults (18+) of all genders who are seeking professional sexual health care and sexually transmitted disease(STD) prevention including HIV prevention. Our platform is designed for individuals who value privacy, convenience, and quality medical care.
Currently, Hermister operates exclusively in Florida. Our licensed healthcare providers are specifically credentialed to serve patients throughout the state of Florida, ensuring compliance with all state medical regulations and licensing requirements.
Our streamlined process includes four simple steps: complete a secure online health assessment, consult with a licensed healthcare provider via video or phone, receive your personalized treatment plan and prescriptions, and get medications delivered directly to your address.
We specialize in PrEP consultations and management, PEP emergency treatment, comprehensive STI testing and treatment, sexual health consultations, ongoing medication management, and regular health monitoring for HIV prevention.
Yes. Hermister maintains HIPAA-compliant security standards with encrypted data transmission and storage. Your medical information is confidential and never shared without your explicit written consent.
Telehealth and TelePrEP
Telehealth delivers medical services remotely through secure video calls, phone consultations, and digital health platforms. This allows you to receive professional medical care from licensed providers without visiting a physical clinic.
TelePrEP is the remote delivery of Pre-Exposure Prophylaxis services through telehealth technology. This includes initial consultations, prescription management, lab monitoring, and ongoing care coordination—all conducted virtually for maximum convenience and privacy.
Clinical studies demonstrate that TelePrEP is equally effective as traditional in-person PrEP care. Our providers follow identical medical protocols and monitoring standards as brick-and-mortar clinics while offering enhanced accessibility and convenience.
TelePrEP candidates include HIV-negative adults who meet clinical criteria for PrEP and are appropriate for telehealth services. Our providers assess medical history, current health status, and risk factors to determine eligibility during your consultation.
Your TelePrEP consultation covers comprehensive risk assessment, medical history review, discussion of PrEP options and side effects, prescription management, lab work coordination, and development of your personalized monitoring schedule.
Following CDC guidelines, we schedule appointments every 3 months during your first year on PrEP, then every 6 months thereafter. These virtual check-ups include lab result reviews, adherence assessment, and ongoing medical supervision.
About PrEP
Pre-Exposure Prophylaxis (PrEP) is a daily medication regimen that prevents HIV infection in high-risk individuals. When taken consistently, PrEP is over 99% effective at preventing HIV transmission through sexual contact.
PrEP contains two antiretroviral drugs (tenofovir and emtricitabine) that prevent HIV from establishing infection in your body. These medications block the virus from replicating if exposure occurs, effectively stopping infection before it can develop.
? PrEP is recommended for HIV-negative individuals at substantial risk of HIV infection, including those with HIV-positive partners, multiple sexual partners, inconsistent condom use, recent STI diagnoses, or injection drug use history.
FDA-approved PrEP options include Truvada (brand and generic), Descovy, and generic tenofovir/emtricitabine combinations. Your Hermister provider will recommend the most appropriate option based on your health profile and medical history.
PrEP reaches maximum protection levels at different timeframes: approximately 7 days for receptive anal intercourse and 20 days for receptive vaginal intercourse and injection drug use. Consistent daily dosing is essential for optimal protection.
Most PrEP users experience no significant side effects. When side effects occur, they typically include mild nausea, headache, or gastrointestinal upset that resolves within 2-4 weeks. Serious side effects are rare but monitored through regular lab work.
Yes. PrEP can be discontinued when risk factors change and restarted when needed. When stopping PrEP, continue taking it for 28 days after your last potential HIV exposure to ensure complete protection.
About PEP?
Post-Exposure Prophylaxis (PEP) is a 28-day emergency medication regimen taken after potential HIV exposure to prevent infection. PEP must be initiated within 72 hours of exposure and is approximately 80% effective when used correctly.
PEP is indicated following high-risk HIV exposures including unprotected sexual contact with HIV-positive or unknown-status individuals, needle sharing, occupational exposures in healthcare settings, or sexual assault situations.
PEP effectiveness is time-dependent and must begin within 72 hours of exposure, ideally within 24 hours. Every hour of delay reduces effectiveness, making immediate medical consultation critical after potential exposure.
Contact Hermister immediately for urgent PEP consultation. Our providers offer expedited assessments for potential HIV exposures and can prescribe PEP medications with same-day pharmacy coordination for rapid treatment initiation.
PEP consists of taking 2-3 antiretroviral medications daily for exactly 28 days. Treatment includes baseline HIV testing, regular monitoring appointments, side effect management, and follow-up HIV testing at 6 weeks, 3 months, and 6 months.
PEP medications may cause nausea, fatigue, headache, diarrhea, and dizziness. These side effects are typically manageable and resolve after completing the 28-day course. Your provider can prescribe supportive medications if needed.
Billing & Insurance
Hermister is neither provider nor the biller to your insurance but it works with a contracted healthcare facility who accepts and works with major insurance plans including private insurance, Medicaid, and Medicare. We handle insurance verification, prior authorizations, and claims processing to maximize your coverage benefits.
Under the Affordable Care Act, most insurance plans must cover FDA-approved PrEP medications and related services with no patient cost-sharing. This includes consultations, lab work, and prescription medications.
For patients without coverage, Hermister provides access to patient assistance programs, manufacturer discount programs, state assistance programs, and sliding-scale payment options to ensure affordability.
Telehealth consultations are billed identically to in-person visits under insurance guidelines. Your claim is submitted directly to your insurance provider, and you're responsible only for applicable copays or deductibles.
Yes. Health Savings Account and Flexible Spending Account funds can be used for PrEP medications, consultations, lab work, and related medical services as qualified medical expenses.
Hermister accepts major credit cards, debit cards, HSA/FSA cards, and electronic bank transfers. We also offer payment plans for patients with out-of-pocket expenses to ensure treatment accessibility.
PrEP Cost & Insurance
With insurance coverage, PrEP is typically provided at no cost to patients under ACA requirements. Most plans cover brand-name and generic PrEP medications, consultations, and monitoring labs without copays or deductibles.
Without insurance, brand-name PrEP costs approximately $1,500-$2,000 monthly. Generic versions cost $30-$100 monthly. Patient assistance programs often provide free medications to eligible uninsured patients.
Yes. Available programs include Gilead's Advancing Access (free brand-name PrEP), state PrEP assistance programs, Ryan White HIV/AIDS Program funding, and pharmaceutical manufacturer patient assistance programs.
Hermister's patient advocates assist with assistance program applications, eligibility verification, and enrollment processes. We handle paperwork and coordinate with programs to minimize your out-of-pocket costs.
Yes. Insurance plans that cover PrEP must also cover required monitoring labs including HIV testing, kidney function tests, hepatitis screening, and STI testing as part of comprehensive PrEP care.
You can use family insurance plans for PrEP coverage while maintaining medical privacy. Insurance companies may send general service information to policyholders, but specific medical details remain confidential.
Labs
PrEP initiation requires HIV testing, hepatitis B screening, kidney function assessment (creatinine/eGFR), and comprehensive STI testing. Ongoing monitoring includes these same tests every 3-6 months.
Hermister offers convenient at-home testing kits delivered free to your address, or you can choose in-person testing at over 2500 nationwide locations. Both options provide accurate, timely results.
Our at-home kits include detailed instructions and collection materials for urine, blood (finger prick), and swab samples. The process takes under 15 minutes, and samples are returned via prepaid priority mail.
At-home test results are typically available within 2-3 business days after lab receipt. You'll receive email notification when results are ready.
If results indicate any concerns, your Hermister provider will contact you directly to discuss findings, treatment options, specialist referrals, or additional testing requirements. We ensure appropriate follow-up care coordination.
CDC guidelines recommend lab monitoring every 3 months during your first year on PrEP, then every 6 months if results remain stable. This schedule ensures medication safety and continued HIV prevention effectiveness.
While we recommend our streamlined lab services for convenience and coordination, you may use your primary care physician for required testing. Results must be shared with your Hermister provider for proper PrEP management.