State Tobacco Cessation Coverage

Medicaid Coverage

The Minnesota Medicaid program covers:

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

Bupropion (Zyban)
Group Counseling
Individual Counseling

Co-payments of $1 are required for generic medications, and co-payments of $3 are required for brand-name medications.

For more information, please call the Minnesota Department of Human Services at 651-431-2670 or 800-657-3739, or visit their website at http://www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&Redirected=true&dDocName=id_006254

View Medicaid Coverage Details

State Employee Health Plan Coverage

The State Employees Group Insurance Program covers:

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

Bupropion (Zyban)
Group Counseling
Individual Counseling
Phone Counseling

A minimal co-payment is required (Tier 1). Members are limited to 1 quit attempt per year, and medications are limited to 3 months of treatment per attempt.

For more information, please call the Minnesota Department of Management and Budget at 651-259-3637, or visit their website at http://www.doer.state.mn.us/index/Insurancebenefits.htm

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 Minnesota QUITPLAN HelpLine is open 7AM to 10PM (M-F), 8AM-5PM (SAT), 10AM-4PM (SUN) (Central Time). You can reach the Minnesota QUITPLAN HelpLine by calling 1-888-354-7526.

American Lung Association Resources

The American Lung Association's Freedom from Smoking® program is offered in many communities throughout the state of Minnesota, along with referral to the HelpLine and online programs. Not On Tobacco is offered in a limited number of areas throughout the state. For more information about program locations or schedules, please call 218-726-4721 or visit our website at http://www.alamn.org

Medicaid Data Sources

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	Yes	Minnesota Health Care Programs, "Drug Categories with Limited Coverage", June 25, 2007
NRT Patch	Yes	Minnesota Health Care Programs, "Drug Categories with Limited Coverage", June 25, 2007
NRT Nasal Spray	Yes	Minnesota Health Care Programs, "Drug Categories with Limited Coverage", June 25, 2007
NRT Lozenge	Yes	Minnesota Health Care Programs, "Drug Categories with Limited Coverage", June 25, 2007
NRT Inhaler	Yes	Minnesota Health Care Programs, "Drug Categories with Limited Coverage", June 25, 2007
Varenicline (Chantix)	Yes	Minnesota Health Care Programs, "Drug Categories with Limited Coverage", June 25, 2007
Bupropion (Zyban)	Yes	Minnesota Health Care Programs, "Drug Categories with Limited Coverage", June 25, 2007
Group Counseling	Yes	Minnesota Health Care Programs, Provider Manual, Physician and Professional Services (Chapter 6)
Individual Counseling	Yes	Minnesota Health Care Programs, Provider Manual, Physician and Professional Services (Chapter 6)

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	Yes	Minnesota Health Care Programs, "What Services are Covered?"
Stepped-care therapy	No
Counseling Required for Medications	No
Dollar Limit	No
Other

Additional Data Sources
Minnesota Department of Health, Breathing Space Respiratory Disease Newsletter, "Turning the Tide in Tobacco Use in Minnesota", March 2007

State Employee Health Plan Data Sources

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	Yes	MN Advantage Health Plan, Complete Formulary Document
NRT Patch	Yes	MN Advantage Health Plan, Complete Formulary Document
NRT Nasal Spray	Yes	MN Advantage Health Plan, Complete Formulary Document
NRT Lozenge	No	MN Advantage Health Plan, Complete Formulary Document
NRT Inhaler	Yes	MN Advantage Health Plan, Complete Formulary Document
Varenicline (Chantix)	Yes	MN Advantage Health Plan, Complete Formulary Document
Bupropion (Zyban)	Yes	MN Advantage Health Plan, Complete Formulary Document
Group Counseling	No	Minnesota State Employees Group Insurance Program, Minnesota Advantage Health Plan, "Summary of Benefits, 2008-2009"
Individual Counseling	No	Minnesota State Employees Group Insurance Program, Minnesota Advantage Health Plan, "Summary of Benefits, 2008-2009"
Phone Counseling	Yes	Minnesota State Employees Group Insurance Program, Minnesota Advantage Health Plan, "Summary of Benefits, 2008-2009"
Online Counseling	Yes	Minnesota State Employees Group Insurance Program, Minnesota Advantage Health Plan, "Summary of Benefits, 2008-2009"
Quit Kit	Yes	Minnesota State Employees Group Insurance Program, Minnesota Advantage Health Plan, "Summary of Benefits, 2008-2009"

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	Yes	MN Advantage Health Plan, Complete Formulary Document
Lifetime limit on quit attempts	No
Annual limit on quit attempts	Yes	MN Advantage Health Plan, Complete Formulary Document
Prior authorization required	No
Co-payments required	No	Minnesota State Employees Group Insurance Program, Minnesota Advantage Health Plan, "Summary of Benefits, 2008-2009"
Stepped-care therapy	No
Counseling Required for Medications	Yes	Minnesota State Employees Group Insurance Program, Minnesota Advantage Health Plan, "Summary of Benefits, 2008-2009"
Dollar Limit	No

Private Insurance Coverage Details

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

Type	Value	Data Source
NRT Gum	n/a
NRT Patch	n/a
NRT Nasal Spray	n/a
NRT Lozenge	n/a
NRT Inhaler	n/a
Varenicline (Chantix)	n/a
Bupropion (Zyban)	n/a
Group Counseling	n/a
Individual Counseling	n/a

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