Medicaid,
Primary Care Network (PCN), and Medicare Tobacco Cessation
Benefits
|
| Medicaid
and Primary Care Network (PCN) Benefits |
 |
Cessation
Counseling and Support |
| |
All
Medicaid and PCN enrollees are eligible for intensive
cessation counseling through the Utah Tobacco Quit Line
(1-888-567-TRUTH). Intensive counseling includes up to
five sessions lasting 40 minutes each. Up to eight weeks
of nicotine replacement therapy (patch or gum) is available
to those enrolled in this intensive counseling program.
|
|
Cessation
Medications |
| |
To
view the medication benefits for Medicaid and PCN clients
go to:
http://www.tobaccofreeutah.org/medpcnbenefits.pdf
(PDF 20.1KB)
|
| Medicare
Benefits |
|
Cessation
Counseling and Support |
| |
Smoking
cessation (non medication) falls under Medicare Part B
(medical). Cessation is covered if a doctor orders it.
It covers counseling for counseling for two attempts during
a 12-month period IF the person is diagnosed with a smoking-related
illness or is taking medication that may be affected by
tobacco use. Counseling for each attempt includes up to
four face-to-face visits.
Co-insurance (usually 20%) and Part B deductible may apply.
|
|
Cessation
Medications |
| |
Any
medication that Medicare covers would be under Medicare
Part D. There are ~54 Part D plans, and a person must
have one of the plans that covers cessation medication.
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| |
This
webpage is for informational purposes only.
The accuracy, reliability, or completeness of any of the
information cannot be guaranteed. If you wish to obtain
information about your benefits, contact your health plan
directly.
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