This chart was last updated September 3, 2008. Individuals interested in tobacco addiction treatment should verify coverage with their insurance provider.
| Insurance Plan |
Tobacco Addiction Treatment Coverage |
Notes |
For More Information |
| Aetna HealthFund CDHP |
Smoking-cessation drugs and medication are not covered. |
|
Phone: 800/537-9384
Web site: http://custom.aetna.com/fehbp/index.shtml |
| Aetna HealthFund HDHP |
Smoking-cessation drugs and medication are not covered. |
|
Phone: 800/537-9384
Web site: http://custom.aetna.com/fehbp/index.shtml |
| Aetna Open Access-Basic |
Smoking-cessation drugs and medication are not covered. |
|
Phone: 800/537-9384
Web site: http://custom.aetna.com/fehbp/index.shtml |
| Aetna Open Access-High |
Smoking-cessation drugs and medication are not covered. |
|
Phone: 800/537-9384
Web site: http://custom.aetna.com/fehbp/index.shtml |
| APWU Health Plan - CDHP |
Smoking Cessation is covered—Up to $100 for one
smoking cessation program per member per lifetime.
Over the counter smoking cessation aids are not covered
(e.g. patch or nicotine gum)
You may purchase Drugs and medicines, including those
for smoking cessation, for use at home that are obtainable
only upon a doctor's prescription |
In-network 15% of the Plan allowance.
Out-of-network: 40% of the Plan allowance and any difference
between our allowance and the billed amount. |
Phone: 866/833-3463
Web site: http://www.apwuhp.com/ |
| APWU Health Plan - High |
Coverage is limited to smoking cessation—Up to
$100 for one smoking cessation program per member per lifetime.
You may purchase: Drugs and medicines, including those
for smoking cessation, for use at home that are obtainable
only upon a doctor's prescription and listed in official
formularies.
Over the counter smoking cessation aids are not covered
(e.g. patch or nicotine gum) |
No charge |
Phone: 800/222-2798
Web site: http://www.apwuhp.com/ |
Blue Cross and Blue Shield
Service Benefit Plan - Basic |
Covers Psychotherapy for smoking cessation
Drugs to aid smoking cessation that require a prescription
by Federal law are covered. Limited to one course of treatment
per calendar year.
Over the counter smoking cessation aids are not covered
(e.g. patch or nicotine gum) |
|
Web site: http://www.fepblue.org/
|
| Blue Cross and Blue Shield Service Benefit Plan - Standard |
Covers Psychotherapy for smoking cessation
Drugs to aid smoking cessation that require a prescription
by Federal law are covered. Limited to one course of treatment
per calendar year.
Over the counter smoking cessation aids are not covered
(e.g. patch or nicotine gum) |
|
Web site: http://www.fepblue.org/
|
| CareFirst BlueChoice |
Up to $100 for one smoking cessation program per member
per lifetime, including all related expenses such as drugs.
Over the county smoking cessation aids are not covered
(e.g. patch or nicotine gum) |
|
Phone: 866/520-6099
Web site: http://www.carefirst.com/main/html/
HomePage.html
|
| Coventry Health Care of Delaware HDHP |
Smoking Cessation and drugs are not covered. |
|
Phone: 800/833-7423
Web site: http://www.chcde.com/ |
| Coventry Health Care of Delaware High |
Smoking Cessation and drugs are not covered. |
|
Phone: 800/833-7423
Web site: http://www.chcde.com/ |
| Foreign Service Benefit Plan |
Office visits, individual and group counseling and purchase
of over the counter smoking cessation drugs and supplies
up to a maximum payable of $100 for one program per person
per calendar year.
Plan also covers prescription cessation drugs in the drug
benefit plan. |
No deductible up to $100 of coverage and all charges
above $100.
Note: Prescription drugs are covered only under Prescription
drug benefits not subject to the $100 limitation.
Note: Over the counter smoking cessation drugs and supplies
you receive in conjunction with a smoking cessation program
cannot be purchased with your drug card. You must file
a claim for them. |
Phone: 202/833-4910
Web site: http://www.afspa.org/ |
| GEHA Benefit Plan HDHP |
Smoking cessation is covered up to $100 to aid in smoking
cessation per person per lifetime. Included related expenses
such as drugs.
not covered: Drugs to aid in smoking cessation except
those limited to the $100 lifetime maximum as part of the
smoking cessation benefit. You may not obtain smoking cessation
drugs with your Medco prescription card or through Medco
by mail. You must purchase these drugs and file the claim |
|
Phone 800/821-6136
Web site: http://www.geha.com/ |
| GEHA Benefit Plan High |
Smoking cessation is covered up to $100 to aid in smoking
cessation per person per lifetime. Included related expenses
such as drugs.
Not covered: Drugs to aid in smoking
cessation except those limited to the $100 lifetime maximum
as part of the smoking cessation benefit. You may not obtain
smoking cessation drugs with your Medco prescription card
or through Medco by mail. You must purchase these drugs
and file the claim |
|
Phone 800/821-6136
Web site: http://www.geha.com/ |
| GEHA Benefit Plan Standard |
Smoking cessation is covered up to $100 to aid in smoking
cessation per person per lifetime. Included related expenses
such as drugs.
Not covered: Drugs to aid in smoking
cessation except those limited to the $100 lifetime maximum
as part of the smoking cessation benefit. You may not obtain
smoking cessation drugs with your Medco prescription card
or through Medco by mail. You must purchase these drugs
and file the claim |
|
Phone 800/821-6136
Web site: http://www.geha.com/ |
| Kaiser Permanente High |
50% of smoking cessation charges is covered.
Provides on-line support and personalized plans to quit
smoking. |
|
Phone: 301/468-6000
Web site: http://members.kaiserpermanente.org/
kpweb/membershome/entrypage.do
|
| Kaiser Permanente Standard |
FDA approved drug is covered. Limited to (2) 90-day
courses per year.
Provides on-line support and personalized plans to quit
smoking
Free classes offered through the center. Call to register:
1-800-444-6696 |
|
Phone: 301/468-6000
Web site: http://members.kaiserpermanente.org/
kpweb/membershome/entrypage.do
|
| M.D. IPA |
Some coverage provided for prescription smoking cessation
medication with quantity limits and co-pay. Drugs prescribed are limited to (2) 90-day supplies within a 12 month period.
Over the counter cessation services are not covered.
Members' only classes up to $100 benefit limit—contact
Mamsi for more information. |
Offers a Tip line and Smoke Clinic Web site, see: http://www.smokeclinic.com/mamsi/
newuser.asp |
Phone: 800/251-0956
Web site: http://www.mamsi.com/ |
| NALC |
No charge for QuitPower program which includes counseling
via telephone, online support, eight week supply of over-the-counter
Nicotine replacement therapy.
Drugs for smoking cessation are not covered. |
|
Phone: 888/636-6252
Web site: http://www.nalc.org/depart/hbp/ |
| Panama Canal Area Benefit Plan |
In the US, no smoking cessation services are covered.
Up to $100 for 1 class per member per lifetime, including
all drugs. |
|
Phone: 800/548-8969
Web site: http://www.healthnetworkamerica.com/ |
| SAMBA-High |
Coverage is limited to up to $100 for one smoking cessation
program per member per lifetime, including all related expenses
such as drugs |
PPO: 10% of the plan allowance and all charges after
$100
Non PPO: 30% of the plan allowance and any difference
between allowance and the billed amount and all charges
after the plan has paid $100. |
Phone: 800/638-6589
Web site: http://www.sambaplans.com/ |
| SAMBA-Standard |
Coverage is limited to up to $100 for one smoking cessation
program per member per lifetime, including all related expenses
such as drugs. |
PPO: 15% of the plan allowance and all charges after
$100
Non PPO: 30% of the plan allowance and any difference
between allowance and the billed amount and all charges
after the plan has paid $100. |
Phone: 800/638-6589
Web site: http://www.sambaplans.com/ |
