Medicaid Coverage

The Louisiana Medicaid Program covers:

  • variesNicotine Gum
  • variesNicotine Patch
  • variesNicotine Nasal Spray
  • variesNicotine Lozenge
  • variesNicotine Inhaler
  • variesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • variesGroup Counseling
  • noIndividual Counseling
  • yesQuitline

Co-payments of $.50 to 3.00 are required for medications. Pharmacies are not allowed to give refills of nicotine replacement therapy products; the patient must get a new prescription from their doctor each time they need more medication. Patients must receive counseling in order to receive nicotine replacement therapy medications.

For more information, please call the Louisiana Medicaid office at 225-342-9500, or visit their website at http://www.dhh.louisiana.gov/offices/?ID=92

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.

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

Group Benefits provides the following cessation treatment coverage:

  • yesNicotine Gum
  • yesNicotine Patch
  • yesNicotine Nasal Spray
  • yesNicotine Lozenge
  • yesNicotine Inhaler
  • yesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • noGroup Counseling
  • variesIndividual Counseling
  • variesPhone Counseling
  • yesNo Tobacco Surcharge

BlueCross BlueShield plans cover nicotine replacement therapies, bupropion, and varenicline. The Vantage HMO covers varenicline.

For more information, please call the Louisiana Office of Group Benefits at 225-925-6625 or 1-800-272-8454, or visit their website at https://www.groupbenefits.org/portal/page/portal30/SHARED/O/OGBWEB/EXPLORE_OGB.

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://quitwithusla.org/

Hours: 7:00 AM - 2:00 AM Monday-Sunday

Eligibility to recieve counseling: To receive counseling, the caller should be 13 years or older and indiciate a readiness to quit within 30 days. For medication: the caller should be 18 years or older, and should have no other contraindications to the medications; FDA approved tobacco cessation medications are available via Louisiana Tobacco Quitline.

Medications provided:

  • yesNicotine Gum
  • yesNicotine Patch
  • noNicotine Nasal Spray
  • noNicotine Lozenge
  • noNicotine 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 available at select sites throughout the state of Louisiana. 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 about program locations and schedules, please call 504-828-5864 or visit us at http://www.breathehealthy.org