Finding affordable healthcare while being undocumented and exceeding certain income limits can be stressful. While many federal programs like the Ryan White HIV/AIDS Program or ADAP (AIDS Drug Assistance Program) have strict income caps (often between 300% and 500% of the Federal Poverty Level, depending on the state), there are several other avenues you can explore.

4. State-Specific "Safety Net" Programs
Some states have expanded their own health programs to include undocumented adults or offer specific "bridge" programs for those who fall just outside federal eligibility.

California (Medi-Cal): Now covers all low-income residents regardless of status.

Illinois & Washington: Have similar state-funded health programs for certain age groups regardless of status.

Local County Programs: In some areas (like NYC or Los Angeles), there are county-funded health plans (e.g., NYC Care) that provide low-cost care and prescriptions to all residents.

3. Federally Qualified Health Centers (FQHCs)
FQHCs (Community Health Centers) are required by law to provide care to anyone, regardless of immigration status or ability to pay.

Sliding Fee Scales: They offer services on a sliding scale based on income.

340B Drug Pricing: Because they are "safety net" providers, they can access significantly discounted medications (340B pricing), which they can pass on to you even if you don't qualify for Ryan White. You can find a local center via the HRSA Find a Health Center tool.

2. Charitable Foundations
Several non-profit organizations provide financial assistance for co-pays, premiums, and medications.

PAN Foundation: The Patient Access Network (PAN) offers grants to help with HIV treatment and prevention. They specifically state that U.S. citizenship is not a requirement.

HarborPath: This organization helps uninsured individuals get medications through a streamlined process. They are particularly helpful for those who may be over income for state ADAP but still struggle to pay retail prices.

Patient Advocate Foundation (PAF): Provides co-pay relief and helps navigate financial barriers to care regardless of status.