State Tobacco Cessation Coverage

Medicaid Coverage

The Connecticut Medical Assistance Program does not cover any cessation treatments:

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

Bupropion (Zyban)
Group Counseling
Individual Counseling

Provision of cessation medications are specifically excluded from coverage.

For more information, please call the Connecticut Medical Assistance Program office at 800-842-1508 or visit their website at http://www.ct.gov/dss/site/default.asp

View Medicaid Coverage Details

State Employee Health Plan Coverage

The Municipal Employees Health Insurance Plan covers:

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

Bupropion (Zyban)
Group Counseling
Individual Counseling
Phone Counseling

Co-pays of $3 or $6 are required for medications. Phone counseling may be provided by your health plan.

For more information, please call the State Comptrollers office at 860-702-3840, or visit their website at http://www.osc.state.ct.us/empret/index.html

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 Connecticut Quitline is open from 5AM to 9PM (Eastern Time). You can reach the Connecticut Quitline by calling 1-866-END-HABIT or 1-800-QUIT-NOW.

American Lung Association Resources

The American Lung Association of Connecticut 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 860-289-5401 or visit us online at http://www.alact.org

Medicaid Data Sources

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	No	Medicaid Provider Manual, Chapter 7 - Pharmacy, January 1, 2008.
NRT Patch	No	Medicaid Provider Manual, Chapter 7 - Pharmacy, January 1, 2008.
NRT Nasal Spray	No	Medicaid Provider Manual, Chapter 7 - Pharmacy, January 1, 2008.
NRT Lozenge	No	Medicaid Provider Manual, Chapter 7 - Pharmacy, January 1, 2008.
NRT Inhaler	No	Medicaid Provider Manual, Chapter 7 - Pharmacy, January 1, 2008.
Varenicline (Chantix)	No	Medicaid Provider Manual, Chapter 7 - Pharmacy, January 1, 2008.
Bupropion (Zyban)	No	Medicaid Provider Manual, Chapter 7 - Pharmacy, January 1, 2008.
Group Counseling	No	Medicaid Provider Manual, Chapter 7 - Pharmacy, January 1, 2008.
Individual Counseling	No	Medicaid Provider Manual, Chapter 7 - Pharmacy, January 1, 2008.

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	n/a
Lifetime limit on quit attempts	n/a
Annual limit on quit attempts	n/a
Prior authorization required	n/a
Co-payments required	n/a
Stepped-care therapy	n/a
Counseling Required for Medications	n/a
Dollar Limit	n/a
Other

Additional Data Sources
Preferred Drug List

State Employee Health Plan Data Sources

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	No
NRT Patch	Yes	Correspondence with Connecticut Office of Legislative Management
NRT Nasal Spray	Yes	Correspondence with Connecticut Office of Legislative Management
NRT Lozenge	No	Correspondence with Connecticut Office of Legislative Management
NRT Inhaler	Yes	Correspondence with Connecticut Office of Legislative Management
Varenicline (Chantix)	Yes	Correspondence with Connecticut Office of Legislative Management
Bupropion (Zyban)	Yes	Correspondence with Connecticut Office of Legislative Management
Group Counseling	No
Individual Counseling	No
Phone Counseling	Varies	Multiple sources. See Additional Sources below.
Online Counseling	Varies	Multiple sources. See Additional Sources below.
Quit Kit	Varies	Multiple sources. See Additional Sources below.

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	No	Correspondence with Connecticut Office of Legislative Management
Lifetime limit on quit attempts	No	Correspondence with Connecticut Office of Legislative Management
Annual limit on quit attempts	No	Correspondence with Connecticut Office of Legislative Management
Prior authorization required	No	Correspondence with Connecticut Office of Legislative Management
Co-payments required	Yes	Correspondence with Connecticut Office of Legislative Management
Stepped-care therapy	No	Correspondence with Connecticut Office of Legislative Management
Counseling Required for Medications	No	Correspondence with Connecticut Office of Legislative Management
Dollar Limit	No	Correspondence with Connecticut Office of Legislative Management

Additional Data Sources
Anthem, "Health Extras"
Health Net, Brochure, "It's Your Life - Wellsite"

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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