to determine the access to healthcare for hiv patients and the associated costs in bogotá, we developed a protocol using a mixed design. the quantitative phase comprised a cross-sectional study with a convenience sample of 540 adults with hiv. for the qualitative phase, a phenomenological study with 20 individuals was undertaken. 95% of participants had health insurance, but we found many structural, operative and human failures that imposed barriers to comprehensive treatment, as well as a complicated process to guarantee the rights for health. the direct cost assumed by individuals with htv or their families was $65,000 cop monthly, representing 11-16% of their income. indirect costs were 2.2 times higher. access to healthcare influenced their medical condition as well as the burden of illness in terms of direct and indirect costs.