Medicare can help older smokers kick the habit

Dear Savvy Senior,

Does Medicare offer any coverage that helps beneficiaries quit smoking?

New Beneficiary

Dear New,

If you’re ready to quit smoking, Medicare can indeed help. Medicare Part B covers up to eight face-to-face counseling sessions per year to help you kick the habit, and if you have a Medicare Part D prescription drug plan, certain smoking-cessation medications are covered as well. Here’s a guide to help you get started.

It’s never too late

According to the Centers for Disease Control and Prevention, 8.3% of Americans age 65 and older still smoke. Many older smokers indicate they would like to quit, but because of the nicotine, which is extremely addictive, it’s very difficult to do.

Tobacco use is the leading cause of preventable illness, responsible for an estimated one-fifth of deaths in the United States each year. But research shows quitting, even after age 65, greatly reduces your risk of heart disease, stroke, cancer, osteoporosis and many other diseases. It also helps you breathe easier, smell and taste better, and can save you money. An $8 pack-a-day smoker, for example, saves about $240 after one month without cigarettes and nearly $2,880 after one year.

How to quit

The first step you need to take is to set a “quit date,” but give yourself a few weeks to get ready. During that time you may want to start by reducing the number or the strength of cigarettes you smoke to begin weaning yourself.

Also check out over-the-counter nicotine replacement products — patches, gum and lozenges — to help curb your cravings (these are not covered by Medicare). And just prior to your quit day, get rid of all cigarettes and ashtrays in your home, car and place of work and try to clean up and even spray air freshener. The smell of smoke can be a powerful trigger.

Get help

Studies have shown you have a much better chance of quitting if you have help. So tell your friends, family and coworkers of your plan to quit. Others knowing can be a helpful reminder and motivator.

Then get some counseling. Don’t go it alone. Start by contacting your doctor about smoking cessation counseling covered by Medicare and find out about the prescription antismoking drugs (bupropion and varenicline) that can help reduce your nicotine craving.

You also can get free one-on-one telephone counseling and referrals to local smoking cessation programs through your state quit line at 800-QUIT-NOW or call the National Cancer Institute free smoking quit line at 877-44U-QUIT.

It’s also important to identify and write down the times and situations you’re most likely to smoke and make a list of things you can do to replace it or distract yourself. Some helpful suggestions when the smoking urge arises are to call a friend or one of the free quit lines; keep your mouth occupied with some sugar-free gum, sunflower seeds, carrots, fruit or hard candy; go for a walk; read a magazine; listen to music; or take a hot bath.

The intense urge to smoke lasts about three to five minutes, so do what you can to wait it out. It’s also wise to avoid drinking alcohol and steer clear of other smokers while you’re trying to quit. Both can trigger powerful urges to smoke.

For more tips on managing your cravings, withdrawal symptoms and what to do if you relapse, visit www.60plus.SmokeFree.gov. There also are a variety of helpful quit smoking apps you can download like EasyQuit, QuitNow and Quit Genius.

Send your questions or comments to questions@savvysenior.org or to Savvy Senior, P.O. Box 5443, Norman, OK 73070.