Medicaid Coverage

The Connecticut Medical Assistance Program covers:

  • yesNRT Gum
  • yesNRT Patch
  • yesNRT Nasal Spray
  • yesNRT Lozenge
  • yesNRT Inhaler
  • yesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • yesGroup Counseling
  • yesIndividual Counseling
  • noQuitline

Prior authorization required for nasal spray or inhaler. Group counseling covered only through behavioral health clinics and federally qualified health centers, and prior authorization required.

For more information, please call the Connecticut Medical Assistance Program office at 800-842-1508 or visit their website at http://www.ct.gov/dss/site/default.asp

Note: the Affordable Care Act requires all Medicaid programs cover all tobacco cessation medications beginning January 1, 2014. If a medication is marked here as not being covered, there is not yet evidence that Medicaid has complied with this requirement. Patients should call their Medicaid program and ask how to receive these medications. Also note: the coverage information above applies to traditional Medicaid. Coverage information for the Medicaid expansion population is still to be determined.

Health Insurance Marketplace Coverage

All plans in the Health Insurance Marketplace are required to cover tobacco cessation treatment. Specific coverage varies by plan. Check with your insurance plan to find out what is covered.

State Employee Health Plan Coverage

The Municipal Employees Health Insurance Plan covers:

  • yesNRT Gum
  • yesNRT Patch
  • noNRT Nasal Spray
  • yesNRT Lozenge
  • noNRT Inhaler
  • yesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • noGroup Counseling
  • noIndividual Counseling
  • variesPhone Counseling
  • yesNo Tobacco Surcharge

Co-pays of $3 (generic) or $6 (brand name) are required for medications. Quit attempts are limited to two 12-week courses per year. Phone counseling may be provided by your health plan.

For more information, please call the State Comptrollers office at 860-702-3840, or visit their website at http://www.osc.state.ct.us/empret/index.html

Private Insurance Coverage

This state does not require private health insurance plans to cover cessation treatments. Cessation coverage in private health insurance plans varies by employer and/or plan. Smokers with this type of health insurance should contact their insurance plan for information on cessation benefits.

This state does not mandate cessation coverage for private insurance plans.

Quitline

Contact Information: 1-800-QUIT-NOW; 1-800-END-HABIT; http://www.tobacco-ct.state.ct.us/index.shtml

Hours: 24 hours, Monday-Sunday

Eligibility to recieve counseling: CT resident, 13 years old and older; for medication: CT resident enrolled in multi-call counseling program. 18 years old and older

Medications provided:

  • yesNRT Gum
  • yesNRT Patch
  • noNRT Nasal Spray
  • yesNRT Lozenge
  • noNRT Inhaler
  • noVarenicline (Chantix)
  • noBupropion (Zyban)

(Source: North American Quitline Consortium, www.naquitline.org)

American Lung Association Resources

The American Lung Association of Connecticut provides smoking cessation services statewide. Options include Freedom From Smoking® Online, a program available 24/7 at http://www.ffsonline.org and the American Lung Association's Lung HelpLine (800-LUNG-USA). For further information, please call 860-289-5401 or visit us online at http://www.alact.org.