Cost & Coverage

COST & PAYMENT FOR MEDS

To find the best prices and most convenient pharmacies for your patients, visit goodrx.com and type in the drug’s name.

You’ll even find online coupons and discounts for extra savings.

INSURANCE COVERAGE

There are a number of ways that you, as a healthcare provider, can assist your patients to quit using tobacco. And insurance can help, too. The Affordable Care Act provides helpful benefits for patients who want to quit.

VETERANS

Smoking and tobacco use remain some of the Veteran Affairs’ (VA) biggest public health challenges as many veterans began using tobacco while they were in the military. To help veterans quit, the VA offers:

Screening for tobacco use during primary care visits
Individual counseling
Prescriptions for nicotine replacement therapy (patch, gum or other medications)
Participation in evidence-based smoking cessation programs
Veterans can contact the nearest VA healthcare facility to schedule an appointment. Call toll-free, 1-877-222-8387.

Click here for a list of clinics where veterans can receive services in Utah.

Veterans can also receive intensive personal coaching to help them quit through the Utah Tobacco Quit Line (1.800.QUIT.NOW). In-depth counseling includes up to five sessions lasting 20 minutes each. In addition, up to eight weeks of nicotine replacement therapy (patch or gum) is available to veterans enrolled in this program, and services are provided free of charge to Utah residents up to twice per year.

Utah Quit Line Fax Referral Form

Utah Quit Line Online Referral Form

MEDICARE

Individuals aged 65 years and older as well as some disabled individuals are eligible to be covered by Medicare. Cessation medications that are required for Medicare to provide include nicotine nasal spray, nicotine inhaler, bupropion and varenicline. Part D plans may opt to cover other medications. Medicare-insured individuals also can receive up to four sessions of individual counseling and up to two quit attempts per year. There is no cost-sharing for patients not showing symptoms of a tobacco-caused disease.

Medicare patients may also receive intensive cessation coaching through the Utah Tobacco Quit Line (1.800.QUIT.NOW). In-depth counseling includes up to five sessions lasting 20 minutes each. Up to eight weeks of nicotine replacement therapy (patch or gum) is available to those enrolled in this counseling program and the services are provided free of charge to Utah residents up to twice per year.

Utah Quit Line Fax Referral Form

Utah Quit Line Online Referral Form

MEDICAID AND PRIMARY CARE NETWORK (PCN)

CESSATION COUNSELING AND SUPPORT

All Medicaid and PCN enrollees are eligible for intensive tobacco cessation counseling through the Utah Tobacco Quit Line (1.800.QUIT.NOW). Intensive counseling includes up to five sessions lasting 20 minutes each. In addition, up to eight weeks of nicotine replacement therapy (patch or gum) is available to those enrolled in the program. These services are provided free of charge to Utah residents up to twice per year.

Utah Quit Line Fax Referral Form

Utah Quit Line Online Referral Form

CESSATION MEDICATIONS

To view the medication benefits for Medicaid and PCN clients, go to Utah Medicaid Benefits.

UTILIZING MEDICAID

All Medicaid clients are eligible for a variety of free services through the Tobacco Quit Line. For those who are ready to quit, intensive cessation counseling and nicotine replacement (patch or gum) are available. For more information, call 1.800.QUIT.NOW.

UTILIZING THE PRIMARY CARE NETWORK

In Utah, the Primary Care Network is part of the Department of Health. PCN clients tend to have higher smoking rates than average, so the Tobacco Prevention and Control Program (TPCP) partners with the PCN to offer quitting services to their clients. The program offers services through the Utah Tobacco Quit Line and includes coverage of tobacco cessation medications, as well as additional help for pregnant women. To learn more, contact TPCP at 1-877-220-3466.

PRIVATE

To determine what benefits are offered by Utah health insurance companies, please see below:

ALTIUS

For more information, call the customer service number listed on the back of your card.

BRIDGE SPAN HEALTH COMPANY

For more information, call 1-855-857-9956.

CIGNA

For more information, call 1-800-244-6224.

DMBA

For more information, call 1-800-578-5600.

HUMANA MEDICAL PLAN OF UTAH INC.

For more information, call 1-800-833-6917.

PUBLIC EMPLOYEES HEALTH PROGRAM (PEHP)

For more information, call 1-800-765-7347.

Medications:*

  • Patch
  • Gum
  • Lozenge
  • Nasal Spray
  • Inhaler
  • Bupropion
  • Varenicline

*Counseling required for medications

Counseling:

  • Phone counseling through PEHP Quit Line
  • Individual counseling
REGENCE BLUE CROSS BLUE SHIELD

For more information, call 1-866-QUIT-4-LIFE (1-866-784-8454).

SELECT HEALTH

For more information, call 1-800-538-5038.

UNITED HEALTH CARE

For more information, call the number listed on the back of your card.

U OF U HEALTH PLAN

For more information, call 801-587-6480.

This web page 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.

If cessation benefits are not offered through the patient’s health plan, they can receive intensive personal coaching through the Utah Tobacco Quit Line (1.800.QUIT.NOW). In-depth counseling includes up to five sessions lasting 20 minutes each. In addition, up to eight weeks of nicotine replacement therapy (patch or gum) is available to those enrolled in this intensive counseling program and services are provided free of charge to Utah residents up to twice per year.

UNINSURED

Uninsured patients may receive intensive cessation counseling through the Utah Tobacco Quit Line (1.800.QUIT.NOW). Intensive personal coaching up to five sessions lasting 20 minutes each. In addition, up to eight weeks of nicotine replacement therapy (patch or gum) is available to those enrolled in this intensive counseling program and services are provided free of charge to Utah residents up to twice per year.

Utah Quit Line Fax Referral Form

Utah Quit Line Online Referral Form

ASSOCIATION FOR UTAH COMMUNITY HEALTH (AUCH)

Uninsured community health center clients can receive up to 12 weeks of Zyban or 24 weeks of Chantix per year, free of charge, through participating Associations for Utah Community Health (AUCH). Patients receiving cessation medications through the program are referred to the Utah Tobacco Quit Line for counseling.

Click here for a list of community health centers.

 

Last updated: 12/20/2017