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Is It Covered?

Search the A-Z list for a list of covered services. Your coverage and out-of-pocket costs may vary based on who you are and your health plan option.

Smoking Cessation Services

Through the Tobacco Cessation Program, TRICARE provides services, medications, and support to help you quit smoking. Benefits are available to all beneficiaries who are not eligible for Medicare. You don’t need to be diagnosed with a smoking-related illness to use smoking cessation benefits.

Counseling for smoking cessation is currently covered under Medicare Part B; therefore, Medicare-eligible beneficiaries must use Medicare for these types of services.

Smoking cessation services include:

  • Web-based Educational Materials:  Web-based educational materials, self-help support, self-paced quit program and live online chat sessions from tobacco cessation coaches 
  • Smoking Quitlines:  Access to 24-hour toll-free support in the United States
    • North: 1-866-459-8766
    • South: 1-877-414-9949
    • West: 1-888-713-4597
  • Counseling Services:  Smoking cessation counseling from a TRICARE-authorized provider in the United States
    • TRICARE will cover two quit attempts each year.
    • A third quit attempt in the same year may be covered with physician justification and pre-authorization.
    • Up to a total of 18 smoking cessation counseling sessions (combination of individual and group) may be allowed per quit attempt; Only four sessions per quit attempt may be individual sessions, with the remaining 14 sessions as group sessions.
  • Smoking Cessation Medications: Medications at no cost, including prescription and over-the-counter (OTC) medications
    • You must have a prescription from a TRICARE-authorized provider for any smoking cessation medication, including OTCs.
    • Smoking cessation medications are covered through the TRICARE Pharmacy Home Delivery or a military pharmacy. If you plan to fill your smoking cessation medication prescription at a military pharmacy, please call ahead to check its availability.
    • Smoking cessation medications are available in the United States to all beneficiaries age 18 and older (who are not eligible for Medicare).
    • Smoking cessation medications are also available to active duty service members and active duty family members enrolled in TRICARE Prime overseas at military pharmacies and through home delivery (where available), including U.S. Territories.
    • The smoking cessation medications covered by TRICARE are:
      • Varenicline tablets (brand name Chantix)
      • Bupropion SR tablets (brand name Zyban and generics)
      • Nicotine nasal spray (brand name Nicotrol NS)
      • Nicotine inhalation (brand name Nicotrol)
      • Nicotine transdermal (brand names Nicoderm CQ and Habitrol)
      • Nicotine Gum (brand names Nicorette, Nicorelief and generics)
      • Nicotine Lozenge (brand names Nicorette, Commit and generics)
    • TRICARE will cover two quit attempts each year. A third quit attempt may be covered in a year with physician justification and preauthorization. For smoking cessation medications, a quit attempt is 120 days of medication. If you also receive smoking cessation counseling that overlaps your covered medication use by at least 60 days, it is considered a single quit attempt.
Disclaimer:

This A-Z list of topics is not all inclusive. TRICARE covers most inpatient and outpatient care that is medically necessary and considered proven. However, there are special rules or limits on certain types of care, while other types of care are not covered at all.

Last Updated 1/28/2014