The Adult DAC accepts all insurances that Upstate University Hospital currently participates with including: Medicaid, Medicare, ADAP Plus, Family Health Plus and Commercial insurances. The Adult DAC does not bill insurance companies directly. University Hospital does all billing, including co-pays, for the services provided by the DAC. Managed Care Medicaid and HMO insurance may require prior approval or referral from the patientâ€™s primary care physician. If your insurances require prior approval please contact your insurance before your first clinic appointment. If you have questions regarding your insurance coverage, our staff will assist you in answering these questions. If you are HIV+ and do not have insurance our Social Work staff will help you to apply for ADAP, Medicaid or Family Health Plus. If you have Medicare we can help you with enrolling in a Part D plan.