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Taking Our Own Best Advice: A Tobacco-Free NIH

Tobacco Addiction Treatment Coverage by Insurance Plan

This chart was last updated September 3, 2008. Individuals interested in tobacco addiction treatment should verify coverage with their insurance provider.

Insurance Plan Tobacco Addiction Treatment Coverage Notes For More Information
Aetna HealthFund CDHP Smoking-cessation drugs and medication are not covered.   Phone: 800/537-9384
http://custom.aetna.com/fehbp/index.php External Web Site Policy
Aetna HealthFund HDHP Smoking-cessation drugs and medication are not covered. Phone: 800/537-9384
http://custom.aetna.com/fehbp/index.php External Web Site Policy
Aetna Open Access-Basic Smoking-cessation drugs and medication are not covered. Phone: 800/537-9384
http://custom.aetna.com/fehbp/index.php External Web Site Policy
Aetna Open Access-High Smoking-cessation drugs and medication are not covered. Phone: 800/537-9384
http://custom.aetna.com/fehbp/index.php External Web Site Policy
APWU Health Plan - CDHP Smoking Cessation is covered—Up to $100 for one smoking cessation program per member per lifetime.

Over the counter smoking cessation aids are not covered (e.g. patch or nicotine gum)

You may purchase Drugs and medicines, including those for smoking cessation, for use at home that are obtainable only upon a doctor's prescription
In-network 15% of the Plan allowance. Out-of-network: 40% of the Plan allowance and any difference between our allowance and the billed amount. Phone: 866/833-3463 Web site: http://www.apwuhp.com/ External Web Site Policy
APWU Health Plan - High Coverage is limited to smoking cessation—Up to $100 for one smoking cessation program per member per lifetime.

You may purchase: Drugs and medicines, including those for smoking cessation, for use at home that are obtainable only upon a doctor's prescription and listed in official formularies.

Over the counter smoking cessation aids are not covered (e.g. patch or nicotine gum)
  Phone: 800/222-2798
Web site: http://www.apwuhp.com/ External Web Site Policy
Blue Cross and Blue Shield Service Benefit Plan - Basic Covers Psychotherapy for smoking cessation

Drugs to aid smoking cessation that require a prescription by Federal law are covered. Limited to one course of treatment per calendar year.

Over the counter smoking cessation aids are not covered (e.g. patch or nicotine gum)
  Web site: http://www.fepblue.org/ External Web Site Policy
Blue Cross and Blue Shield Service Benefit Plan - Standard Covers Psychotherapy for smoking cessation

Drugs to aid smoking cessation that require a prescription by Federal law are covered. Limited to one course of treatment per calendar year.

Over the counter smoking cessation aids are not covered (e.g. patch or nicotine gum)
  Web site: http://www.fepblue.org/ External Web Site Policy
CareFirst BlueChoice Up to $100 for one smoking cessation program per member per lifetime, including all related expenses such as drugs.

Over the county smoking cessation aids are not covered (e.g. patch or nicotine gum)
Phone: 866/520-6099
Web site: https://member.carefirst.com/wps/portal/Member/MemberHome External Web Site Policy
Coventry Health Care of Delaware HDHP Smoking Cessation and drugs are not covered   Phone: 800/833-7423
Web site: http://chcdelaware.coventryhealthcare.com/ External Web Site Policy
Coventry Health Care of Delaware High Smoking Cessation and drugs are not covered. Phone: 800/833-7423
Web site: http://chcdelaware.coventryhealthcare.com/ External Web Site Policy
Foreign Service Benefit Plan Office visits, individual and group counseling and purchase of over the counter smoking cessation drugs and supplies up to a maximum payable of $100 for one program per person per calendar year.

Plan also covers prescription cessation drugs in the drug benefit plan.
No deductible up to $100 of coverage and all charges above $100.

Note: Prescription drugs are covered only under Prescription drug benefits not subject to the $100 limitation.

Note: Over the counter smoking cessation drugs and supplies you receive in conjunction with a smoking cessation program cannot be purchased with your drug card. You must file a claim for them.
Phone: 202/833-4910
Web site: http://www.afspa.org/External Web Site Policy
GEHA Benefit Plan HDHP Smoking cessation is covered up to $100 to aid in smoking cessation per person per lifetime. Included related expenses such as drugs.

not covered: Drugs to aid in smoking cessation except those limited to the $100 lifetime maximum as part of the smoking cessation benefit. You may not obtain smoking cessation drugs with your Medco prescription card or through Medco by mail. You must purchase these drugs and file the claim
  Phone 800/821-6136
Web site: http://www.geha.com/ External Web Site Policy
GEHA Benefit Plan High Smoking cessation is covered up to $100 to aid in smoking cessation per person per lifetime. Included related expenses such as drug.

Not covered: Drugs to aid in smoking cessation except those limited to the $100 lifetime maximum as part of the smoking cessation benefit. You may not obtain smoking cessation drugs with your Medco prescription card or through Medco by mail. You must purchase these drugs and file the claim
  Phone 800/821-6136
Web site: http://www.geha.com/ External Web Site Policy
GEHA Benefit Plan Standard Smoking cessation is covered up to $100 to aid in smoking cessation per person per lifetime. Included related expenses such as drugs.

Not covered: Drugs to aid in smoking cessation except those limited to the $100 lifetime maximum as part of the smoking cessation benefit. You may not obtain smoking cessation drugs with your Medco prescription card or through Medco by mail. You must purchase these drugs and file the claim
  Phone 800/821-6136
Web site: http://www.geha.com/ External Web Site Policy
Kaiser Permanente High 50% of smoking cessation charges is covered.

Provides on-line support and personalized plans to quit smoking.
  Phone: 301/468-6000
Web site: https://healthy.kaiserpermanente.org/html/kaiser/ index.shtml External Web Site Policy
Kaiser Permanente Standard FDA approved drug is covered. Limited to (2) 90-day courses per year.

Provides on-line support and personalized plans to quit smoking Free classes offered through the center. Call to register: 1-800-444-6696
  Phone: 301/468-6000
Web site: https://healthy.kaiserpermanente.org/html/kaiser/ index.shtml External Web Site Policy
M.D. IPA Some coverage provided for prescription smoking cessation medication with quantity limits and co-pay. Drugs prescribed are limited to (2) 90-day supplies within a 12 month period.

Over the counter cessation services are not covered.

Members' only classes up to $100 benefit limit—contact Mamsi for more information.
Offers a Tip line and Smoke Clinic Web site, see: http://www.smokeclinic.com/mamsi/newuser.asp External Web Site Policy Phone: 800/251-0956
Web site: http://www.mamsiunitedhealthcare.com/ w/index.jsp External Web Site Policy
NALC No charge for QuitPower program which includes counseling via telephone, online support, eight week supply of over-the-counter Nicotine replacement therapy.

Drugs for smoking cessation are not covered.
  Phone: 888/636-6252
Web site: https://www.nalchbp.org/nalc/portal External Web Site Policy
Panama Canal Area Benefit Plan In the US, no smoking cessation services are covered.

Up to $100 for 1 class per member per lifetime, including all drugs.
  Phone: 800/548-8969
Web site: http://www.healthnetworkamerica.com/ External Web Site Policy
SAMBA-High Coverage is limited to up to $100 for one smoking cessation program per member per lifetime, including all related expenses such as drugs PPO: 10% of the plan allowance and all charges after $100

Non PPO: 30% of the plan allowance and any difference between allowance and the billed amount and all charges after the plan has paid $100.
Phone: 800/638-6589
Web site: http://www.sambaplans.com/HomePage.aspx HomePage.aspx External Web Site Policy
SAMBA-Standard Coverage is limited to up to $100 for one smoking cessation program per member per lifetime, including all related expenses such as drugs. PPO: 15% of the plan allowance and all charges after $100

Non PPO: 30% of the plan allowance and any difference between allowance and the billed amount and all charges after the plan has paid $100.
Phone: 800/638-6589
Web site: http://www.sambaplans.com/HomePage.aspx External Web Site Policy
This page last reviewed on April 16, 2013

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