Medicaid Coverage

Healthy Connections covers:

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

Coverage varies by health plan. All plans cover patches and gum limited to 90 days of treatment for each quit attempt. Members should contact their health plan to find out what else is covered.

For more information, please call the South Carolina Department of Health and Human Services at 888-549-0820, or visit their website at http://www.dhhs.state.sc.us/dhhsnew/medicaid.asp

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 Employee Insurance Program covers:

  • yesNRT Gum
  • yesNRT Patch
  • noNRT Nasal Spray
  • yesNRT Lozenge
  • noNRT Inhaler
  • yesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • noGroup Counseling
  • noIndividual Counseling
  • yesPhone Counseling
  • variesOnline Counseling
  • noNo Tobacco Surcharge

One quit attempt is covered per year. Co-payments are required for bupropion and varenicline. Members of the State Health Plan and BlueChoice HealthPlan must enroll in the Quit for Life program to receive medications (http://www.freeclear.com/quit-for-life/). Members of Cigna must enroll in the Quit Today program to receive medications (http://mycigna.com). State employees who are tobacco users must pay $40 in addition ahealth insurance premiums per month for individual coverage and $60 per month for family coverage.

For more information, please call the South Carolina Employee Insurance Program at 803-764-0678 or 888-260-9430, or visit their website at http://www.eip.sc.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.scquitline.com

Hours: 8 AM - 3 AM Monday-Sunday

Eligibility to recieve counseling: All callers may enroll to receive a minimum of 1 counseling session (Single-Call Intervention). Readiness to quit is desirable, but not required. Must accept services and agree to call back. Pregnant, Youth, Uninsured, and Medicaid are eligible to receive Multi-Call Intervention (5 sessions); for medication: registered participants who lack health insurance.

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 of South Carolina 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 803-779-5864 or visit us online at http://www.alase.org.