State Tobacco Cessation Coverage

Medicaid Coverage

The Hawaii Med-QUEST program covers:

NRT Gum
NRT Patch
NRT Nasal Spray
NRT Inhaler
NRT Lozenge
Varenicline (Chantix)

Bupropion (Zyban)
Group Counseling
Individual Counseling

Coverage varies by health plan. Some treatments are available for fee-for-service members, as well as members of each Medi-QUEST plan except for the Summerlin plan. Contact your health plan for more information.

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

View Medicaid Coverage Details

State Employee Health Plan Coverage

The Hawaii Employer-Union Health Benefits Trust Fund covers:

NRT Gum
NRT Patch
NRT Nasal Spray
NRT Inhaler
NRT Lozenge
Varenicline (Chantix)

Bupropion (Zyban)
Group Counseling
Individual Counseling
Phone Counseling

Coverage varies by health plan. For members of the Hawaii Medical Service Association plan, NRT patch, bupropion, individual, group and phone counseling are covered. For members of the Kaiser Permanente plan, NRT inhaler, NRT gum, bupropion, varenicline and phone counseling is covered.

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/

View State Employee Health Plan Coverage Details

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

The Hawaii Tobacco Quitline is open from 5AM to 9PM (Hawaii Time). You can reach the Hawaii Tobacco Quitline by calling 1-800-QUIT-NOW.

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

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	Varies	Multiple sources. See Additional Sources below.
NRT Patch	Varies	Multiple sources. See Additional Sources below.
NRT Nasal Spray	Varies	Multiple sources. See Additional Sources below.
NRT Lozenge	Varies	Multiple sources. See Additional Sources below.
NRT Inhaler	Varies	Multiple sources. See Additional Sources below.
Varenicline (Chantix)	Varies	Multiple sources. See Additional Sources below.
Bupropion (Zyban)	Varies	Multiple sources. See Additional Sources below.
Group Counseling	Varies	Multiple sources. See Additional Sources below.
Individual Counseling	No	Multiple sources. See Additional Sources below.

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	Varies	Multiple sources. See Additional Sources below.
Lifetime limit on quit attempts	No	Multiple sources. See Additional Sources below.
Annual limit on quit attempts	Varies	Multiple sources. See Additional Sources below.
Prior authorization required	Varies	Multiple sources. See Additional Sources below.
Co-payments required	Varies	Multiple sources. See Additional Sources below.
Stepped-care therapy	Varies	State of Hawaii, Department of Human Services, Memorandum P07-05, March 16, 2007. "Smoking Cessation Products Access and Prior Authorization Criteria."
Counseling Required for Medications	Varies	Multiple sources. See Additional Sources below.
Dollar Limit	No	Multiple sources. See Additional Sources below.
Other

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	Varies	Kaiser Permanente, Hawaii Drug Formulary
NRT Patch	Varies	Hawaii Medical Service Association, Guide to Benefits, EUTF HMO
NRT Nasal Spray	No
NRT Lozenge	No
NRT Inhaler	Varies	Kaiser Permanente, Hawaii Drug Formulary
Varenicline (Chantix)	Varies	Kaiser Permanente, Hawaii Drug Formulary
Bupropion (Zyban)	Yes	Multiple sources. See Additional Sources below.
Group Counseling	Varies	Hawaii Medical Service Association, Benefit Summary
Individual Counseling	Varies	Hawaii Medical Service Association, Benefit Summary
Phone Counseling	Yes	Multiple sources. See Additional Sources below.
Online Counseling	Varies	Kaiser Permanente, Member Handbook
Quit Kit	No

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	No
Lifetime limit on quit attempts	No
Annual limit on quit attempts	No
Prior authorization required	No
Co-payments required	No
Stepped-care therapy	No
Counseling Required for Medications	No
Dollar Limit	No

Type	Value	Data Source
Cessation mandate on the books	No
Mandate applies to all insurance carriers	n/a
Mandate applies to all populations	n/a
State mandates wellness program including smoking cessation	No
Other stipulations	n/a

Stop Smoking

Lung HelpLine

E-Newsletter

Hawaii

Medicaid Coverage

State Employee Health Plan Coverage

Private Insurance Coverage

Quitline

American Lung Association Resources

Medicaid Data Sources

State Employee Health Plan Data Sources

Private Insurance Coverage Details