Medicaid Coverage

TennCare covers:

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

Prior authorization is required for some medications, and patients are required to try generic medications before brand-name. Counseling is available for pregnant women.

For more information, please call the TennCare Office at 800-342-3145, or visit their website at http://www.state.tn.us/tenncare/

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

For state employees, Tennessee covers:

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

Coverage of medications is limited to two quit attempts of up to 12 weeks each per year. Counseling coverage is limited to 12 sessions. State employees who smoke will not be allowed to enroll in the Partnership PPO (which has lower premiums than the standard PPO). Employees will be able to enroll in the Partnership PPO if they are willing to try to quit.

For more information, please call the Tennessee Benefits Administration at 615-741-3590, or visit their website at http://www.state.tn.us/finance/ins/ins.html

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: 1-800-QUIT-NOW; http://www.tnquitline.org

Hours: 7:00 AM - 10:00 PM Monday-Friday; 8:00 AM - 5:00 PM Saturday; 10:00 AM - 4:00 PM Sunday

Eligibility to recieve counseling: Tennessee residents over the age of 12 with a willingness to quit within 30 days.

Medications provided:

  • noNicotine Gum
  • noNicotine Patch
  • noNicotine Nasal Spray
  • noNicotine Lozenge
  • noNicotine 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 the state of Tennessee. In addition, Not On Tobacco will be offered this winter in high schools in several counties in Tennessee. 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 615-329-1151, or visit our website our website at http://www.midlandlung.org.