Objectives. This study determined the level of insurance coverage for smoki
ng cessation treatment and factors associated with coverage among health an
d welfare funds affiliated with a large labor union.
Methods. A self-administered written survey was mailed to fund and union of
ficials. Analyses were conducted by chi (2) tests.
Results. Twenty-nine percent of funds provided coverage for some type of sm
oking cessation treatment,with the odds of coverage significantly increased
among funds whose administrators reported having received members' request
s for smoking cessation treatment in the past year (odds ratio = 4.9, P = .
05).
Conclusions. Coverage for smoking cessation services is low, comparable to
coverage offered by other health insurers. Interventions with union members
and fund officials are needed to provide union members with access to affo
rdable and effective smoking cessation treatments.