Table 2.

Tobacco Control Activities by Size of Health Plan, 2003 Addressing Tobacco in Managed Care Survey (N = 160)

Activity	≤250,000 Plan Members (N = 63), % Yes	>250,000 Plan Members (N = 97), % Yes	P Valuea
Plan has a written clinical guideline for smoking cessation	25.4	61.5	<.001
Plan provides full coverage for
NRT over-the-counter gum	5.1	9.3	.34
NRT over-the-counter patches	8.5	10.3	.71
NRT inhalers	20.3	18.6	.78
NRT nasal spray	20.3	18.6	.78
Bupropion (as Zyban)	37.3	24.7	.10
Bupropion (as Wellbutrin)	83.1	83.5	.94
Plan provides full coverage for
Telephone counseling	74.6	22.7	<.001
Face-to-face counseling	69.5	15.5	<.001
Group counseling or classes	28.8	16.5	.07
Individual counseling of pregnant women	32.2	51.5	.02
Self-help materials	32.2	53.6	.01
Plan has annual or lifetime limits on coverage for smoking cessation interventions	25.8	15.5	<.001
Plan allows patients to self-refer to smoking cessation services	50.9	47.0	.67
Plan is able to identify individual members who smoke	88.4	92.8	.56
Plan has a strategy to address smoking cessation
During adolescence	22.0	38.1	.04
During pregnancy	40.7	85.6	<.001
During postpartum visits (relapse prevention)	11.9	68.0	<.001
During pediatric visits (second hand smoke)	13.6	39.2	.001
After myocardial infarction	25.4	75.3	<.001
During treatment for other chronic illness	37.3	81.4	<.001
During hospitalizations	15.3	9.3	.26
Plan funds a tobacco control program staff position	22.4	12.4	.14

NRT indicates nicotine replacement therapy.

^aProportions were compared using the chi-square test; results were considered statistically significant at P ≤.05.