Medicaid Coverage

The Florida Medicaid program covers:

  • yesNRT Gum
  • yesNRT Patch
  • noNRT Nasal Spray
  • yesNRT Lozenge
  • noNRT Inhaler
  • yesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • variesGroup Counseling
  • variesIndividual Counseling
  • variesQuitline

Medications coverage varies by managed care organization. All managed care plans are required to cover a smoking cessation program. Check with your health plan for more details. Fee for service coverage includes nicotine replacement patches, gum, lozenges, and bupropion, as well as individual counseling with a doctor (only if cessation counseling is not the only reason for the visit).

For more information, please call the Florida Medicaid office at 888-419-3456 or visit their website at http://www.fdhc.state.fl.us/Medicaid/index.shtml

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

myHealth covers:

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

All plans cover prescription cessation medication. Copayments may apply.

For more information, please call the Florida Department of Management Services at 850-488-2786 or visit their website at http://dms.myflorida.com/

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: 1-877-822-6669; http://www.tobaccofreeflorida.com

Hours: 24 hours Monday-Sunday

Eligibility to recieve counseling: Must be 11 years or older and Florida resident; for medication: Must be 18 years or older and pass a medical screening.

Medications provided:

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

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

American Lung Association Resources

The American Lung Association of Florida 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 800-LUNG-USA or visit us online at http://www.lungfla.org.