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Real Stories
Betty "Cigarettes aren’t controlling me anymore."
Katrina "With the patch, I didn’t have to quit smoking alone."
Margaret "I’m tougher than cigarettes. "
Liz "With a good support system, if you fail, they will help you get up again."
Kathleen "The money I saved by quitting smoking put me in the driver’s seat... of my brand new motorcycle."
Clare "My friends support made all the difference."
Joanne "I am healthier now that I have quit. "
George "My counselor Trish, from the Quitline is a big reason for my success"
Representative Cory Atkins "Since quitting, my life is better in 1,000 ways."

Private health insurance quit-smoking coverage

Over 100 health insurance companies serve the residents of Massachusetts. The list below summarizes how some of the largest private health plans in the state help smokers quit. Health plan coverage often changes, so you should call the customer information phone number on the back of your health insurance member card to find out what kind of benefits you have that can help you quit smoking.

Many state employees and their families have health coverage through the Group Insurance Commission (GIC). You can download a chart of GIC quit-smoking benefits for each participating plan. Public health plans also help smokers quit. For example, MassHealth covers counseling for quitting and covers all quit-smoking medicines—all with copays of $1 to $3.

 

 

Blue Cross Blue Shield

  • Medications covered: Medications covered: Most Blue Cross Blue Shield of Massachusetts pharmacy plans cover nicotine replacement therapy (NRT) products, such as a nicotine patch, nicotine gum, and prescriptions like Zyban and Chantix. Coverage depends on individual benefit design and all applicable co-payments apply. To use your pharmacy benefit for smoking-cessation products (including over the counter aids), you should contact your doctor for a prescription. If you have questions about your pharmacy coverage, call Member Service at the number on your ID card from more information.
  • Counseling support covered: Blue Cross Blue Shield encourages members to use 1-800-QUIT-NOW (1-800-784-8669). The multi-session telephone counseling service has experienced counselors who will help set a date, prepare for quitting, and give helpful advice and support along the way. It also provides educational materials to those not quite ready to quit but working towards quitting. The service is provided by the Massachusetts Department of Public Health. Blue Cross Blue Shield of Massachusetts’ members can use MyBlueHealth through Member Self Service (MSS) on www.bluecrossma.com to access a variety of online wellness programs and resources including Ready Set Stop, a 6-week online smoking cessation module. The program reflects the latest clinical practice guidelines and relies heavily on the core principles of behavior change. Members and non-members can also use the smoking and tobacco resource center, an online resource with information to support you as you quit.
  • Which members are covered: Drug benefit coverage depends on your individual benefit design.
  • For more information: Ask your plan administrator or call Member Service at the phone number on your ID card for more information about your plan benefits. Visit Blue Cross Blue Shield’s website and click on "Living Healthy Smoke Free" at the bottom of the page.
  • Questions to ask your health plan

 

Fallon Community Health Plan

  • Medications covered: All Fallon Community Health Plan members can receive nicotine replacement therapy (NRT) products, such as a nicotine patch or nicotine gum, at a discounted price while participating in the Quit To Win program. The Quit To Win program offers weekly meetings or weekly telephonic support sessions. MassHealth members receive the patches (or gum) for free. Prescriptions to help stop smoking are covered for most members with commercial plans. Members participating in FCHP MassHealth should contact their Customer Service Department (1-800-868-5200 or TDD/TTY: 1-877-608-7677) with questions on prescription drug coverage.
  • Counseling support covered: Quit to Win, FCHP’s tobacco treatment program, offers support meetings where they will help you develop a personalized stop-smoking plan. Group counseling (support) sessions are available in four locations: Auburn, Leominster, Spencer, and Worcester. Phone counseling is also available.
  • Which members are covered: All members receive the counseling and NRT benefit. Prescription coverage varies by plan. If you are a MassHealth member, your benefit may be different; see information on the public insurance page of this website.
  • For more information: To learn more about your stop-smoking options and coverage, call (508) 368-9540 or (888) 807-2908, or email QuitToWin@fchp.org. More information is available online at www.fchp.org
  • Questions to ask your health plan

 

Harvard Pilgrim

  • Medications covered: Harvard Pilgrim Health Plan covers prescription stop-smoking medicines for members with prescription coverage. These covered medicines may include nicotine replacement therapy such as the nicotine patch (by prescription) and prescription medicines such as Zyban (bupropion) or Chantix (varenicline). Pharmacy co-pays apply with annual limitations.
  • Counseling support: Harvard Pilgrim’s website has information about quitting smoking and lists support groups and classes. Visit www.harvardpilgrim.org.
  • Which members are covered: Benefits vary based on individual plans. Contact Harvard Pilgrim Health Plan’s member services for information about your benefits. For more information: To learn more about your plan benefits, call member services at (888) 333-4742. You can email member services from Harvard Pilgrim’s contact page or browse their website for more information, at www.harvardpilgrim.org.
  • Questions to ask your health plan

Health New England

  • Medications covered: Members with a pharmacy benefit have coverage for nicotine patches, Zyban (90 days per 12 months), bupropion, Wellbutrin, and Chantix (60 tabs per 30 days, with a 90-day maximum per 12 months). A prior authorization (prescription) is required to receive this coverage.
  • Counseling support covered: Health New England will pay $50 towards a cessation (quit smoking) program for members with asthma, diabetes, cardiovascular disease, or who are pregnant. For more information and to obtain a voucher for a cessation program, call 413-787-4000 or 800-842-4464 ext. 3553. Some community-based support programs are listed at www.healthnewengland.com/healthydirections.
  • Which members are covered: Members with a pharmacy benefit qualify for medication coverage. Members with asthma, diabetes, cardiovascular disease, or who are pregnant qualify for the quit smoking voucher. Benefits vary based on individual plans. Contact Health New England’s member services for information about your benefits.
  • For more information: To learn more about your stop-smoking benefit, call 413-787-4000 or 800-842-4464 ext. 3553. More information is available online at www.healthnewengland.com.
  • Questions to ask your health plan

 

Neighborhood Health Plan

  • Medications covered: Neighborhood Health Plan covers stop-smoking medicines for members with prescription coverage. These covered medicines may include nicotine replacement therapy such as the nicotine patch or gum, and prescription medicines such as Zyban (bupropion) or Chantix (varenicline). Pharmacy co-pays apply.
  • Counseling Support covered: Neighborhood Health Plan offers free expert counseling on the phone or in-person for up to 90 days for its members; no prescription or referral is needed to participate.
  • Which members are covered: All members are eligible for free expert support (counseling). Members with prescription coverage are eligible for medication benefits. If you are a MassHealth member, your benefit may be different; see information on the public insurance page on this website.
  • For more information: To learn more about your plan benefits, call (617) 204-1447 or (800) 433-5556, extension 1447 anytime Monday through Friday from 8:30 a.m. to 4:30 p.m. You can also email QuitSmoking@nhp.org. More information is available at www.nhp.org.
  • Questions to ask your health plan

Tufts Health Plan

  • Medications covered: Members with a pharmacy benefit may be reimbursed for stop-smoking prescription medications, such as Chantix and Zyban Bupropion, if they can show proof of participation in a quit-smoking program. Coverage is limited to a maximum of a 12-week supply. Members also receive 40% off over-the-counter nicotine replacement therapy (NRT) products, such as a nicotine patch or nicotine gum, when they buy them online at www.HealthyRoads.com.
  • Counseling support covered: All Tufts Health Plan members receive 30% off smoking cessation (quitting) classes offered at participating hospitals. Present your Tufts Health Plan ID card when you register. A list of participating hospitals that may offer quit smoking classes is located at www.tuftshealthplan.com.
  • Which members are covered: Benefits vary based on individual plans. Contact Tufts Health Plan’s member services for information about your benefits.
  • For more information: For more information about your HMO, EPO, or POS plan benefits, contact member services at (800) 462-0224. For more information about your PPO plan benefits, contact member services at (800) 423-8080.
  • Questions to ask your health plan


Note: This information is meant to give you a basic idea of what your insurance might cover. Because benefits can change over time, and vary by product and employer, you should call your insurance company to get up-to-date information about your benefits. The information on this page is current as of November 15, 2007.
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