Good Health Bonus: Members who complete an approved smoking cessation class at a participating facility are eligible for up to a $100 reimbursement. Members must pre-pay for the class, and submit the receipt upon completion.
Covered Tobacco Cessation Medication Therapy: Tobacco cessation products are now on the Physicians Plus drug formulary. This benefit applies only to those members who have prescription drug coverage, and the benefit requirements are listed below:
- Members must obtain a prescription from their primary care physician.
- Members are eligible to receive 3 consecutive months per calendar year of tobacco cessation therapy.
- The pharmacy will bill the insurance company directly, and members must pay their formulary Tier-1 generic or Tier-2 brand copay.
Covered products include Bupropion SR, Buproban, Nicotine Patches (over-the-counter and prescription), Nicotrol Nasal Spray, Nicotrol Inhaler, Nicotine gum (OTC), and Commit Lozenges.
Attending tobacco cessation classes is strongly recommended, but not required for prescription coverage.
Office-Based Counseling Provider Reimbursement: Physicians Plus reimburses healthcare providers for smoking cessation counseling.
GO-TO Healthy Choices: Breathe
Breathe™ is a smoking cessation program for smokers who feel ready to quit and identifies their primary motivations for quitting, the factors favoring their success, and their barriers to quitting. Participants receive a customized action plan and follow up newsletters to stay motivated throughout the quitting process.
