State Tobacco Cessation Coverage

Medicaid Coverage

TennCare does not cover cessation treatments:

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

Bupropion (Zyban)
Group Counseling
Individual Counseling

Smoking cessation products are specifically excluded from coverage.

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

View Medicaid Coverage Details

State Employee Health Plan Coverage

For state employees, Tennessee covers:

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

Bupropion (Zyban)
Group Counseling
Individual Counseling
Phone Counseling

Medications are limited to two 90-day course of treatment per lifetime. These quit attempts must occur in different years. Covered group counseling includes a six-week seminar, which is available in every county and every agency for state employees and their spouses. Webinars are also available to help employees 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

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 Tennessee Tobacco Quitline is open 7AM-10PM (M-F), 8AM-5PM (SAT), 10AM-5PM (SUN). You can reach the Tennessee Tobacco Quitline by calling 800-784-8669.

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

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

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	Yes	Benefits Administration, Department of Finance & Administration, "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.
NRT Patch	Yes	Benefits Administration, Department of Finance & Administration, "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.
NRT Nasal Spray	Yes	Benefits Administration, Department of Finance & Administration, "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.
NRT Lozenge	Yes	Benefits Administration, Department of Finance & Administration, "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.
NRT Inhaler	Yes	Benefits Administration, Department of Finance & Administration, "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.
Varenicline (Chantix)	Yes	Benefits Administration, Department of Finance & Administration, "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.
Bupropion (Zyban)	Yes	Benefits Administration, Department of Finance & Administration, "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.
Group Counseling	Yes	Benefits Administration, Department of Finance & Administration, "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.
Individual Counseling	No	Benefits Administration, Department of Finance & Administration, "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.
Phone Counseling	No	Benefits Administration, Department of Finance & Administration, "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.
Online Counseling	No	Benefits Administration, Department of Finance & Administration, "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.
Quit Kit	No	Benefits Administration, Department of Finance & Administration, "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.

Type of Barrier	State Has Barrier?	Data Source
Limits on duration	Yes	State of Tennessee, Department of Finance & Administration, State Plan Document, January 2009
Lifetime limit on quit attempts	Yes	State of Tennessee, Department of Finance & Administration, State Plan Document, January 2009
Annual limit on quit attempts	Yes	State of Tennessee, Department of Finance & Administration, State Plan Document, January 2009
Prior authorization required	No
Co-payments required	Yes	Benefits Administration, Department of Finance & Administration. "Policy Brief: Health Insurance Tobacco Quit Initiative", May 1, 2009.
Stepped-care therapy	No
Counseling Required for Medications	No
Dollar Limit	No

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

Stop Smoking

Lung HelpLine

E-Newsletter

Tennessee

Medicaid Coverage

State Employee Health Plan Coverage

Private Insurance Coverage

Quitline

American Lung Association Resources

Medicaid Data Sources

State Employee Health Plan Data Sources

Private Insurance Coverage Details

Type of Treatment	State Covers Treatment?	Data Source
MCO's Control Meds Coverage?
NRT Gum	No	Tenncare Medicaid, Policy Manual, 1200-13-13-.04 COVERED SERVICES
NRT Patch	No	Tenncare Medicaid, Policy Manual, 1200-13-13-.04 COVERED SERVICES
NRT Nasal Spray	No	Tenncare Medicaid, Policy Manual, 1200-13-13-.04 COVERED SERVICES
NRT Lozenge	No	Tenncare Medicaid, Policy Manual, 1200-13-13-.04 COVERED SERVICES
NRT Inhaler	No	Tenncare Medicaid, Policy Manual, 1200-13-13-.04 COVERED SERVICES
Varenicline (Chantix)	No	Tenncare Medicaid, Policy Manual, 1200-13-13-.04 COVERED SERVICES
Bupropion (Zyban)	No	Tenncare Medicaid, Policy Manual, 1200-13-13-.04 COVERED SERVICES
Group Counseling	No
Individual Counseling	No