Are you planning to quit smoking? Congratulations. That’s the first step toward putting the habit behind you for good. And while quitting smoking is far from easy, it’s definitely possible: 3 out of 5 American adults who ever smoked have quit.*

For your best shot at quitting successfully, you need a good plan — don’t wing it. With that in mind, here’s a road map for what you can do in the days before your quit date. Plus, we offer advice on how to navigate your first smoke-free month.

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7 to 14 days before you quit

This is the time to mentally prepare to quit smoking. You’ll also want to get your support system and supplies in place.

• Set your quit date. Choose a date to quit smoking and circle it on the calendar. It shouldn’t be more than two weeks into the future. It should also be as low-stress a day as possible. In other words, don’t quit on the same day you’re moving to a new home or interviewing for a job.
   
• Tell your friends and family about your plan to quit. Getting support from loved ones can help you stay on track. They want to help you, so be sure to let them know what you need.
  
  For example, do you want them to check in and ask how it’s going? Do you want to do things together to help take your mind off smoking, such as going for a walk or watching a movie? Or do you just need their patience for those times you might get grumpy?*
   
• Write down your reasons for quitting. Take this time to put the reasons you want to quit on paper, says Anne Roupas, LCSW. She’s a tobacco treatment specialist with the No Smoker Left Behind program at the University of Chicago Medicine.
  
  Carry a copy of your reasons wherever you go. Leave another copy in a noticeable place at home, such as on the refrigerator. Reminding yourself why you’re quitting will help you stay motivated.
   
• Talk to your provider about quit-smoking aids. Quitting cold turkey isn’t your only option. And in many cases, it isn’t your best option. Your doctor might recommend nicotine replacement therapy (NRT) products. For instance, patches, gums and inhalers. Using an NRT can up your chances of quitting by 50 to 60 percent.*
  
  Or your doctor may prescribe medications that can help.
  
  Many NRT products are designed to be used for 12 weeks. Talk to your doctor if you want to continue taking them longer. 
   
• Practice not smoking. It can feel overwhelming to quit a long-standing habit almost overnight. So treat this time as a rehearsal for your official quit date. The American Cancer Society recommends picking a few of your toughest smoking triggers — such as your morning coffee or the commute home from work. Then try not to smoke during those times.*
   
• Join a quit-smoking program. Hospitals often offer smoking-cessation programs. You can also explore the programs at Smokefree.gov or the American Lung Association. Depending on your schedule and needs, there are text-based programs, in-person group clinics, online communities and more.* 

Get help with nicotine replacement therapy 

Aetna® Dual Eligible Special Needs Plan, or D-SNP, members get an Extra Benefits Card with a monthly Wallet allowance they can use for select over-the-counter items like nicotine replacement therapy pain relievers and cold and flu remedies.

Schedule a call to learn more about the benefits of being an Aetna D-SNP member.  

1 day before you quit

Spend the day before your quit date getting rid of anything related to your smoking habit. The fewer temptations and reminders, the better.

• Clear out your house and car. Toss all your cigarettes, lighters, matches and ashtrays. Don’t be tempted to hang on to a cigarette or two “just in case.” You should also wipe down counters and tables and do a lot of laundry, Roupas says. “Get the smell and the reminders out,” she says.
   
• Reread your quit list. Reaffirm your commitment to quitting by rereading your reasons for doing it.

Day 1 of quitting

This might not be the toughest day on your smoking-cessation journey. But it will be your first day of establishing a smoke-free lifestyle.

• Start using your NRT. If you’re using a nicotine replacement product, start it right away or as directed by your provider. 
   
• Change your routine. Quitting smoking isn’t just hard because of nicotine withdrawal. It’s also hard because it’s often a built-in part of your daily routine. “You grieve the loss of the behavior too,” Roupas says. Changing your routine can help break some of those habitual triggers. You could take a different route to work or shower after dinner instead of having a cigarette.
   
• Distract yourself. It will be tough to not think about smoking. The busier you are, the better. You should also have a plan to deal with cravings. Remember that nicotine cravings don’t last forever. Try to work through the craving by doing some deep breathing or getting a little exercise. You also can try drinking water, watching TV or giving your mouth something else to do, such as chewing gum. 

Want help when you need it?

Become an Aetna® Dual Eligible Special Needs Plan, or D-SNP, member, and you can call our 24/7 Nurse Line to speak with a licensed nurse, 24 hours a day, 7 days a week.

To see if an Aetna D-SNP is right for you, schedule a call with a licensed Aetna® representative. 

Month 1 of quitting

Physical cravings for cigarettes are usually the worst one to three days after quitting.* Withdrawal symptoms then gradually lessen over the next month or so.* These tips can help you stay strong as you get through this period.

• Learn to destress. You’ll also want to find other ways to deal with stress besides smoking, Roupas says. Exercise, meditation, listening to music and connecting with friends and family are all proven stress-busters.*
   
• Lean on your support group. Whether you’re using in-person or online support, don’t be afraid to reach out for help and encouragement.
   
• Stay stocked up on your NRTs or medication. If you’re using an NRT or taking medication to help you quit smoking, make sure you always have enough on hand.
   
• Establish new, healthy habits and hobbies. It’s very helpful to replace your smoking habit with something else, Roupas says. To keep your mind off smoking, you might start your day with some stretches instead of a cigarette. Or start cooking from scratch more often. Doing so is healthier than packaged food or takeout. And it keeps your hands and mind busy.

What to do if you slip up

There’s a chance you will smoke again after your quit date. If that happens, don’t give up. Instead, follow these five steps to get back on track.

1. Stay hopeful. Just because you had a cigarette doesn’t mean you won’t ever quit smoking. In fact, most smokers try to quit several times before they are successful for at least one year. And the more times you try, the higher your odds of success.* 
    
2. Quit again right away. Don’t give smoking a chance to become a habit again.
    
3. Reread your list of reasons. It can help renew your dedication to quitting. Add new reasons to the list if you can.
    
4. Think about what you learned from the last time you tried to quit. Make a list of what worked (behavior and routine changes, how you avoided triggers) so you can use those tricks again. And note what didn’t work so you can avoid those steps moving forward.
    
5. Use an NRT, such as a nicotine patch or nicotine gum. Do what you can to help make cravings and withdrawal easier.

“For many people, it takes a few quit attempts to be successful,” Roupas says. “Keep trying — you’re getting closer each time.”

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If you qualify for both Medicare and Medicaid, you may be eligible for an Aetna® Dual Eligible Special Needs Plan (D-SNP).

If you're 65 or older and have diabetes or an eligible heart disease, you may qualify for an Aetna® Chronic Condition Special Needs Plan (C-SNP). C-SNPs are currently available in select counties in IL and PA.

You may be eligible for an Institutional Special Needs Plan (I-SNP) if you’ve lived (or plan to live) in a participating facility for 90+ days or you have Medicare Part A (hospital insurance) and Part B (medical insurance).

*FOR STATISTICS ON HOW MANY PEOPLE HAVE QUIT SMOKING: U.S. Department of Health and Human Services, Office of the Surgeon General. Smoking cessation: a report of the surgeon general — smoking cessation by the numbers. January 23, 2020. Accessed October 16, 2022.

*FOR TIPS ON HOW TO GET COMMUNITY SUPPORT FOR QUITTING SMOKING: University of Michigan Health. Quitting smoking: getting support. March 12, 2020. Accessed October 16, 2022.

*FOR NICOTINE REPLACEMENT THERAPIES AND QUITTING SMOKING: Getnet Mersha A, Eftekhari, P et al. Evaluating level of adherence to nicotine replacement therapy and its impact on smoking cessation: a systematic review and meta-analysis. Archives of Public Health. March 2021. Accessed October 16, 2022.

*FOR TIPS ON HOW TO PRACTICE NOT SMOKING: American Cancer Society. Making a plan to quit and planning your quit day. October 10, 2020. Accessed October 16, 2022.

*FOR MORE ON QUIT-SMOKING PROGRAMS: Smokefree.gov. Smokefree text messaging programs. Accessed October 16, 2022.

*FOR MORE ON QUIT-SMOKING PROGRAMS: American Lung Association. Join freedom from smoking. Accessed October 16, 2022.

*FOR WHEN CRAVINGS ARE USUALLY THE WORST: Smokefree.gov. Understanding withdrawal. Accessed October 16, 2022.

*FOR SYMPTOMS OF WITHDRAWAL: Medical News Today. Nicotine withdrawal symptoms and how to cope. January 11, 2020. Accessed October 16, 2022.

*FOR STRESS-RELIEF PRACTICES: Mayo Clinic. Stress relievers: tips to tame stress. March 18, 2021. Accessed October 16, 2022.

*FOR SUCCESS RATES OF QUITTING SMOKING: Centers for Disease Control and Prevention. Smoking Cessation: Fast Facts. Accessed October 16, 2022.

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