Smoking Cessation

Smoking Cessation

Montgomery County’s smoking Cessation Benefit was created to provide eligible employees and covered dependents 18 or older with assistance in quitting smoking and/or tobacco use that will be covered under the County’s health plan as described below.

Eligibility
Employees and covered dependents 18 years of age and older who are covered under the County’s healthcare plan.

Covered Services
(1) Doctor’s office visit – An office visit to discuss options for treatment will be covered in accordance with your plan benefit. For the Enhanced Plan an office visit requires a $10 co-pay, the Value Plan is subject to deductible and co-insurance.

(2) Prescription drugs for smoking and tobacco use cessation will be covered as brand formulary drugs in accordance with your prescription plan benefit for 30 day prescriptions only. Prescriptions are limited to three 30 day prescriptions per covered attempt. The mail order prescription benefit is not available for smoking cessation prescriptions.

(3) Counseling or therapy - Participants receiving treatment from a qualified program can receive up to 30 smoking and tobacco use cessation program visits per calendar year. The cost per visit will be in accordance with your plan benefit. The Enhanced Plan requires a $10 co-pay per visit. The Value Plan is subject to the deductible and co-insurance. Eligible participants are limited to one (1) covered smoking or tobacco use cessation attempt per calendar year.

(4) Over-the-counter (OTC) products for smoking and/or tobacco use cessation are not covered under this benefit. These products are eligible for reimbursement through your Flex spending Account. More information regarding OTC product reimbursement is available at www.AetnaFSA.com or 1-888-238-6226

How to Get Started
To locate qualified smoking cessation programs, check with your physician, contact the American Lung Association or search the internet for smoking cessation programs in the greater Dayton area or your community.

Once you have identified a specific program, contact Aetna Customer Service at (800) 348-3666 to determine how your plan benefits will be applied to your program. Have the specific details of your program available when your call Aetna so that the Customer Service Representative can provide you with comprehensive assistance.

Additional Resources
American Cancer Society / 1-800-227-2345 / www.cancer.org
The National Heart, Lung and Blood Institute / 1-301-592-8573 / www.nhlbi.nih.gov
National Cancer Institute / 1-800-422-6237 / www.nci.nih.gov
American Lung Association / 1-800-586-4872 / www.lunghsa.org

EmployeeCare, our Employee Assistance Program, for which all employees are eligible at no cost to employees or dependents, provides both individual and group programs to help you quit smoking utilizing hypnosis. EmployeeCare can be reached at 208-6626 or 1-800-628-9343.

Please note: While hypnosis and acupuncture have proven to be helpful in individual cases, they will be excluded from coverage under this benefit. The County has chosen to provide options with broader appeal and greater success rates.


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	Smoking Cessation Montgomery County’s smoking Cessation Benefit was created to provide eligible employees and covered dependents 18 or older with assistance in quitting smoking and/or tobacco use that will be covered under the County’s health plan as described below. Eligibility Employees and covered dependents 18 years of age and older who are covered under the County’s healthcare plan. Covered Services (1) Doctor’s office visit – An office visit to discuss options for treatment will be covered in accordance with your plan benefit. For the Enhanced Plan an office visit requires a $10 co-pay, the Value Plan is subject to deductible and co-insurance. (2) Prescription drugs for smoking and tobacco use cessation will be covered as brand formulary drugs in accordance with your prescription plan benefit for 30 day prescriptions only. Prescriptions are limited to three 30 day prescriptions per covered attempt. The mail order prescription benefit is not available for smoking cessation prescriptions. (3) Counseling or therapy - Participants receiving treatment from a qualified program can receive up to 30 smoking and tobacco use cessation program visits per calendar year. The cost per visit will be in accordance with your plan benefit. The Enhanced Plan requires a $10 co-pay per visit. The Value Plan is subject to the deductible and co-insurance. Eligible participants are limited to one (1) covered smoking or tobacco use cessation attempt per calendar year. (4) Over-the-counter (OTC) products for smoking and/or tobacco use cessation are not covered under this benefit. These products are eligible for reimbursement through your Flex spending Account. More information regarding OTC product reimbursement is available at www.AetnaFSA.com or 1-888-238-6226 How to Get Started To locate qualified smoking cessation programs, check with your physician, contact the American Lung Association or search the internet for smoking cessation programs in the greater Dayton area or your community. Once you have identified a specific program, contact Aetna Customer Service at (800) 348-3666 to determine how your plan benefits will be applied to your program. Have the specific details of your program available when your call Aetna so that the Customer Service Representative can provide you with comprehensive assistance. Additional Resources American Cancer Society / 1-800-227-2345 / www.cancer.org The National Heart, Lung and Blood Institute / 1-301-592-8573 / www.nhlbi.nih.gov National Cancer Institute / 1-800-422-6237 / www.nci.nih.gov American Lung Association / 1-800-586-4872 / www.lunghsa.org EmployeeCare, our Employee Assistance Program, for which all employees are eligible at no cost to employees or dependents, provides both individual and group programs to help you quit smoking utilizing hypnosis. EmployeeCare can be reached at 208-6626 or 1-800-628-9343. Please note: While hypnosis and acupuncture have proven to be helpful in individual cases, they will be excluded from coverage under this benefit. The County has chosen to provide options with broader appeal and greater success rates.