Medicaid Coverage

The South Dakota Medicaid program covers:

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

Bupropion and Chantix are covered. Individual counseling is limited to pregnant women. Copayments are required.

For more information, please call the South Dakota Division for Social Services at 605-773-3495, or visit their website at http://dss.sd.gov/medicaid/

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

The South Dakota Bureau of Personnel covers:

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

NRT inhaler, nasal spray, bupropion and Chantix are covered. Phone counseling is offered through the Quitline. There is a limit of five phone counseling calls to the Quitline.

For more information, please call the South Dakota Bureau of Human Resources at 605-773-3148 or 800-573-7347, or visit their website at https://benefits.sd.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: 1-866-SD-QUITS; http://sdquitline.com/

Hours: 7:00 AM - 11:00 PM Monday-Friday; 8:00 AM - 5:00 PM Saturday; closed Sunday

Eligibility to recieve counseling: Must be a South Dakota resident (have a South Dakota address and phone number); must be a current tobacco user ready to quit, or have quit within the past 30 days. For medication: must enroll and participate in counseling to receive free medications.

Medications provided:

  • yesNicotine Gum
  • yesNicotine Patch
  • noNicotine Nasal Spray
  • yesNicotine Lozenge
  • noNicotine Inhaler
  • yesVarenicline (Chantix)
  • yesBupropion (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 the state of South Dakota. 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 call 605-336-7222 or visit us at http://www.lungsd.org.