Tobacco Cessation Programs

Free to all WV residents. It provides helpful tools to help you quit smoking, including:

Free nicotine replacement therapies (NRT), like patches, gum and lozenges.
Free calls with a trained cessation coach to create and carry out your personalized quit plan.
Free educational materials.

PEIA PPB Plans A, B & D provide benefits for participants who wish to quit smoking.
To access these benefits, simply visit your primary care provider. PEIA will cover an initial and follow-up visit to your physician or nurse practitioner.
Tobacco-cessation products, both prescription and non-prescription are available at no cost when prescribed by a physician and purchased at a network pharmacy. Both are deductible and copayment are waived.
PEIA will cover two 12-week cycles of drug therapy, even if more than one type of therapy is used. If extended therapy is required, the provider must submit a written appeal to the Director of PEIA with proof of medical necessity.
You can use the benefit (office visits and prescriptions) twice per year (rolling 12 month period). For pregnant participants, PEIA will provide 100% coverage for the tobacco cessation benefit during any pregnancy.
Tobacco cessation products covered under the ACA Preventative Services are:
- Bupropion HCl tab SR 12 hr 150 mg
- Chantix tab 0.5 mg and 1 mg
- Chantix tab 0.5 mg x 11 tabs and 1 mg x 42 pack
- Nicotine polacrilex gum 2 mg and 4 mg
- Nicotine polacrilex lozenge 2 mg and 4 mg
- Nicotine TD patch 24 hr 21 mg, 14 mg and 7 mg/24 hr
- Nicotrol inhaler system 10 mg
- Nicotrol NS nasal spray 10 mg/mL

Only those members who have been paying the Standard (tobacco user) premium are eligible for the Tobacco Cessation benefit. If you signed an affidavit claiming to be tobacco-free, you will be declined the Tobacco Cessation benefit.
Members who become tobacco-free during a plan year may apply for the discount when they have been tobacco-free for at least 6 months. PEIA has sixty days from receipt of the tobacco affidavit to process the request and implement the discount. The tobacco-free discount will apply only to future premiums, and will not be applied retroactively. No refunds will be granted based on tobacco status.
Newly hired insureds must have been tobacco-free for 6 months prior to their effective date of coverage to qualify for the discount, and must complete the tobacco affidavit online or on paper to receive the discount.

QuitGuide
- Free app that helps you understand your smoking patterns and build the skills needed to become and stay smoke free.
QuitSTART
- Takes the information you provide about your smoking history and gives you detailed tips, inspiration, and challenges to help you become smoke free.