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Help From Your Health Plan

Your health plan can be another resource to help you quit tobacco for good! Most health plans provide tobacco cessation support, including medications and counseling, that can be used in addition to the support provided by the Quitline.

MEDICAID

Your Medicaid health plan can provide additional benefits to help you quit tobacco allowing for repeated courses of treatment as long as they are consistent with FDA-approved use of medications.

Contact your health plan or review your member benefits handbook to determine any out of pocket cost such as deductible, co-payments or coinsurance.

Your Medicaid health plan covers the following FDA-approved medications:

  • Nicotine inhaler
  • Nicotine nasal spray
  • Nicotine patch
  • Bupropion SR (Zyban)
  • Varenicline (Chantix)
  • Combination therapy: Nicotine replacement therapy and Zyban; or nicotine patch and other nicotine replacement therapy

Each Medicaid health plan offers different counseling services. Call your health plan or review your membership package to learn what is covered.

MEDICARE

Medicare provides support in quitting tobacco, but depending on your health plan you may be responsible for part of the cost of the additional support.

Contact your health plan or review your member benefits handbook to determine any out of pocket cost such as, deductible, copayments or coinsurance.

Your Part D prescription drug plan or a Medicare Advantage plan should cover the following FDA-approved medications:

  • Nicotine inhaler
  • Nicotine nasal spray
  • Bupropion SR (Zyban)
  • Varenicline (Chantix)

Over the counter medications like nicotine gum or patches are not covered by Medicare.

Medicare covers up to eight in-person or group counseling sessions per year at 100% of the Medicare-approved amount when you receive the service from a participating provider. This means you pay nothing (no deductible or coinsurance).

Medicare Advantage Plans cover counseling without applying deductibles, copayments, or coinsurance when you see an in-network provider and meet Medicare’s eligibility requirements for the service.

PRIVATE HEALTH PLANS

Private health plans typically offer expanded quit services, such as NRT medications and counseling support. Call your health plan to see what services are covered under your plan.

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