Tobacco Facts Make an Appointment Ask a Question Refer Patient The conditions associated with tobacco use cost employers significantly more money in health insurance than employees who don't smoke. Smokers have $746-$1,801 in additional medical costs annually. (1) Annual medical expenditures from smoking-related disease are estimated at $96 billion. (1) Workplace wellness programs found an average return-on-investment of 3.27 for medical costs and 2.73 for absenteeism. (1) Smoking causes at least $130 Billion in direct medical costs each year. (2) Sources: (1) Moriarty JP, Branda ME, Olsen KD, et al. The effects of incremental costs of smoking and obesity on health care costs among adults: a 7-year longitudinal study. J Occup Environ Med. 2012;54(3):286-91. (2) U.S. Department of Health and Human Services. Let's make the next generation tobacco-free: Your guide to the 50th anniversary surgeon general's report on smoking and health. Available at: http://www.surgeongeneral.gov/library/reports/50-years-of-progress/consumer-guide.pdf. Accessibility verified November 7, 2014.