Medicaid Coverage

The Hawaii Med-QUEST program covers:

  • yesNRT Gum
  • yesNRT Patch
  • variesNRT Nasal Spray
  • variesNRT Lozenge
  • variesNRT Inhaler
  • variesVarenicline (Chantix)
  • variesBupropion (Zyban)
  • variesGroup Counseling
  • variesIndividual Counseling
  • variesQuitline

All managed care organizations and fee for service require nicotine replacement gum and patches. Coverage of other medications and counseling varies by plan. Fee for service and some plans require nicotine replacement therapy to be used first; some plans may require co-payments, counseling, and prior authorization on certain medications. All are limited to two quit attempts per year.

For more information, please call the Med-QUEST program at 808-524-3370 or 800-316-8005, or visit their website at http://www.med-quest.us/index.html

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 Hawaii Employer-Union Health Benefits Trust Fund covers:

  • yesNRT Gum
  • yesNRT Patch
  • noNRT Nasal Spray
  • variesNRT Lozenge
  • variesNRT Inhaler
  • variesVarenicline (Chantix)
  • variesBupropion (Zyban)
  • variesGroup Counseling
  • yesIndividual Counseling
  • yesPhone Counseling
  • variesOnline Counseling
  • yesNo Tobacco Surcharge

Coverage varies by health plan. Some plans limit duration of treatment and have copays.

For more information, please call the Employer-Union Health Benefits Trust Fund at 808-586-7390 or 800-295-0089, or visit their website at http://eutf.hawaii.gov/

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; http://www.clearthesmoke.org/

Hours: 24 hours Monday-Sunday

Eligibility to recieve counseling: Age (18 or older); readiness to quit; for medication: Enroll in the Multiple Call Program. Insured & Medicare participants are eligible for 2 weeks of free patches or gum. Medicaid participants are eligible for 4 weeks of free patches or gum. Uninsured participants are eligible for up to 8 weeks of free patches or gum.

Medications provided:

  • yesNRT 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's Freedom from Smoking® program is widely available in community locations throughout Hawaii. Not On Tobacco is available for all schools. Additional resources 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 more information on program locations and schedules, please call (808) 537-5966, or visit us at http://www.ala-hawaii.org.