Medicaid Coverage

The New Jersey Medicaid program covers:

  • yesNRT Gum
  • yesNRT Patch
  • variesNRT Nasal Spray
  • variesNRT Lozenge
  • variesNRT Inhaler
  • variesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • noGroup Counseling
  • noIndividual Counseling
  • noQuitline

Limitations to coverage, including those on duration and number of quit attempts that are covered, vary by plan. Co-payments or prior authorization may be required.

For more information, please call the Division of Medical Assistance and Health Services at 800-356-1561, or visit their website at http://www.state.nj.us/humanservices/dmahs/dhsmed.html

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 State Health Benefits Program covers:

  • yesNRT Gum
  • yesNRT Patch
  • yesNRT Nasal Spray
  • yesNRT Lozenge
  • yesNRT Inhaler
  • yesVarenicline (Chantix)
  • yesBupropion (Zyban)
  • variesGroup Counseling
  • variesIndividual Counseling
  • noPhone Counseling
  • variesOnline Counseling
  • yesNo Tobacco Surcharge

All state employee members have coverage of medications above. Counseling options and coverages vary by plan. Co-payments are required and medication coverage is limited to 180 days per year.

For more information, please call the New Jersey State Health Benefits Program at 609-292-7524, or visit their website at http://www.state.nj.us/treasury/pensions/shbp.htm

Private Insurance Coverage

All private health insurance plans in New Jersey must cover an annual 'wellness' appointment with members' primary care physician to discuss smoking cessation (if applicable, among other things). If the physician determines that cessation treatment is medically appropriate, treatment is required to be covered up to a certain dollar amount: $125 for ages 20-39; $145 for men over age 40; $235 for women over age 40. This requirement applies to all plan members age 20 and over. For more information about how this requirement affects you, please contact your health plan.

Quitline

Contact Information: (866) 657-8677; http://www.njquitline.org/

Hours: 8 AM - 3 AM Monday-Sunday

Eligibility to recieve counseling: Resident of NJ, 18 years, Readiness to quit - set quit date within 30 days, Must be registered for Medicaid or currently Uninsured

Medications provided:

  • noNRT Gum
  • noNRT 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's Freedom From Smoking® program is widely available in community locations throughout New Jersey. In addition, Not On Tobacco is offered in select high schools. Additional 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 more information about program locations and schedules, call 1-800-LUNGUSA, or visit http://www.lunginfo.org.