Q: Question: What's the difference between anonymous and confidential HIV testing?

A: Anonymous HIV testing means that absolutely no one besides you will have access to your test results since your name is never given or recorded at the testing site. Instead, you are given a unique identifier code, and you (the person being tested) are the only one who is ever made aware of the test results. This protects you from any risk of discrimination or adverse impact, especially in applications for insurance.
At-home "collection kits" are also anonymous. Each comes with a unique identification number. You do not give your name. Kits can be purchased over the counter or by mail. Home tests are generally quite accurate. However, you don't get the benefit of in-person counseling with at-home kits.
Confidential HIV testing, also called names reporting, does record your name. Confidentiality laws and regulations protect this information, but medical personnel and, in some states, the state health department will have access to your test results. Also, if you choose to sign a release form to have your personal physician notified, the information will become a part of your medical record. It may be seen by health care workers, insurers, or employers. Your status may become known if you make a claim for health insurance benefits, or apply for life insurance or disability insurance.