Medicaid Coverage

The Vermont Medicaid program covers:

  • yesNicotine Gum
  • yesNicotine Patch
  • yesNicotine Nasal Spray
  • yesNicotine Lozenge
  • yesNicotine Inhaler
  • yesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • noGroup Counseling
  • yesIndividual Counseling
  • noQuitline

All seven pharmacotherapy treatments and individual counseling are covered. All plans have an annual limit of two quit attempts per year with varying duration limits for each quit attempt. Prior authorization is required for the inhaler and nasal spray. Step therapy is required for the inhaler.

For more information, please call the Green Mountain Care Office at 800-250-8427, or visit their website at http://www.greenmountaincare.org/

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

State employee benefits in Vermont cover:

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

All seven pharmacotherapy treatments, individual counseling and phone counseling are covered. Copays apply.

For more information, please call the Vermont Department of Human Resources Employee Benefits Unit at 802-828-6700, or visit their website at http://humanresources.vermont.gov/benefits-wellness

Private Insurance Coverage

All health insurance plans in Vermont are required to cover all seven medications FDA-approved for tobacco cessation. Allowed treatment duration must be at least 3 months.

Quitline

Contact Information: 1-800-QUIT-NOW; 1-855-891-0018; http://802quits.org/

Hours: 5:00 AM - 1:00 AM Monday-Sunday

Eligibility to recieve counseling: Age; readiness. For medication: all Vermont smokers over the age of 18.

Medications provided:

  • yesNicotine Gum
  • yesNicotine Patch
  • noNicotine Nasal Spray
  • yesNicotine Lozenge
  • noNicotine Inhaler
  • noVarenicline (Chantix)
  • noBupropion (Zyban)

(Source: North American Quitline Consortium, www.naquitline.org)

American Lung Association Resources

The American Lung Association of Vermont 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 802-876-6500 or visit us online at http://www.lungvt.org.