Some basics of the new mandated regulations re: tobacco treatment that, in theory, become law at the end of this week.
Health insurers are mandated to offer NRT, Chantix, Zyban or other approved treatments as well as 8- 30 minute treatment sessions for the insured who have prescription drug coverage in their plan(s). Co-payments or deductibles may be involved.
BUT IF THEIR PLAN HAS NO RX. COVERAGE, the insurer is not required to offer NRT but they must provide the counseling sessions.
Certain plans are NOT mandated to offer any treatment services:
- Self-insured plans
- Hospital confinement indemnity
- Disability income
- Accident only
- Longterm care
- Medicare supplement
- Limited benefit health
- Specified disease indemnity
- Sickness or bodily injury policies
- Other limited benefit policies
Those seeking treatment who are not qualified as above may still receive some treatment based on their individual plan and should call their insurer for specific guidelines.