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FAQs

Have a question that’s not listed? We’re here to help.

Tobacco 101

Are tobacco surcharges legal? Can my employer stop me from smoking?
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Yes, tobacco surcharges are legal. Under the Affordable Care Act (ACA), group health plans and self-insured employers can charge tobacco users up to 50% more for their health insurance premiums than non-tobacco users. When they do this, it is called a tobacco surcharge.

While employers and health plans cannot make someone stop smoking if a surcharge is in place, tobacco cessation programs are a way for a surcharge to be removed without requiring the individual to stop smoking.

How can companies help stop tobacco use (smoking, vaping, and other forms of tobacco)?
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Companies can help tobacco-using members by offering a comprehensive digital tobacco cessation programs within their wellness program. Programs offered should be designed to engage, be flexible, motivate and provide behavioral therapy to members to help them throughout their entire reduce and quit journey.

Why is clinical validation important when selecting a tobacco cessation program?
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Tobacco use is a chronic condition - much like diabetes or hypertension. As with any chronic condition, the program utilized as a benefit-offering should have proven results to ensure trustworthiness and intent to yield the benefits that those who use the program look for. That's why Pivot's program and Breath Sensor are both clinically-validated.  

Learn more from our own Jen Marler, MD, Vice President of Clinical and Medical Affairs at Pivot.

Product

How does the Breath Sensor work?
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The Pivot Breath Sensor measures the amount of carbon monoxide in your exhaled breath* (CO is one of the toxins in cigarette smoke).

Using the Breath Sensor takes approximately 30 seconds. You’ll inhale then blow into the sensor, and the results can be viewed directly on the Breath Sensor. For the best experience, you can pair the Breath Sensor to the app to learn even more!

The more you use your Breath Sensor, the more you’ll understand your CO levels and how they are affected by your smoking. You can set up your Breath Sensor to remind you to give samples with vibrations or beeps.

*Indications for use: The Pivot Breath Sensor is a breath carbon monoxide monitor intended for single-user use by cigarette smokers as an educational and motivational tool to inform the user about how breath carbon monoxide levels are affected by smoking behavior. The device is not intended to be used with other inhaled combustible products.

Why do you need to know about my tobacco habits?
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Getting a sense of how many cigarettes you smoke or how often you smoke, vape, or use other nicotine products helps Pivot personalize many of the lessons members see throughout their quit journey. It makes the content and information provided more relevant and personalized.

Who receives a Breath Sensor, and how is it delivered?
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Members who use combustible tobacco exhale carbon monoxide (specifically from cigarettes) and, as a result, qualify for the Pivot Breath Sensor. As soon as members register for Pivot, they have access to order the Breath Sensor directly within the Pivot mobile app for shipment to their preferred address. Once shipped, an email from Pivot with shipment tracking information will be sent.

What's required to get started with Pivot?
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All that's required is a compatible iPhone (iOS 14.0.0 and later) or Android (6.0.0. and later) mobile device. Simply download the Pivot mobile app from the Apple or Android app store, and register following the steps provided by your employer or health plan to get started immediately.  

If you are someone who smokes, once you register, we'll mail you your Breath Sensor. Once your Breath Sensor arrives, no additional hardware or software is needed.

Is information shared within the Pivot mobile app private?
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Yes. The Pivot program is HIPAA-compliant, meaning our software and devices comply with federal standards to protect sensitive patient (member) health information from being disclosed without their consent or knowledge. Learn more by reading Pivot's privacy policy.

How does Pivot support reasonable alternative programs?‍
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Pivot provides robust demographic and reasonable alternative reporting to clients that details enrollments, tobacco behaviors, engagement, quit progress, satisfaction scores, and more!

What regulations and standards is Pivot compliant to?
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Compliance is always top of mind at Pivot and is reflected in a number of ways. All features of the Pivot program fall within HIPAA-compliant standards. We never disclose member health information without explicit consent and knowledge. Additionally, Pivot's Breath Sensor has achieved FDA 510(k) clearance, meaning this medical device has been scrutinized by expert reviewers and deemed safe and effective within the intended use.

Pivot is SOC-1 Type 1 and SOC-2 Type 1 compliant.

How do I receive NRT? How will I know which NRT to choose? Will I receive guidance on how to use NRT?
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Nicotine replacement therapy (NRT) is shipped directly to the Pivot member's address of choice. Pivot coaches will provide guidance on strength, type (gum, lozenge and patch), direct members to in-app lessons, and provide details on how to use NRT based on each member's unique quit journey needs and goals.

Can Pivot improve my enrollment?
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Pivot clients see a 5-10x increase in enrollments over other tobacco cessation programs. Actual client numbers vary and will be based on defined, specific goals.

Our dedicated Member Enrollment Marketing team develops turnkey and custom marketing programs which include evergreen resources to introduce Pivot as a wellness benefit offering, seasonal campaign updates to keep Pivot top of mind throughout the year, and innovative solutions to drive best-in-class results.

Can Pivot help me if I use more than one form of tobacco?
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Yes! Based on a recent study, more than 56% of Pivot members use multiple forms of tobacco. Our solution not only supports those looking to quit smoking, but also supports those who use multiple forms of tobacco and/or vape.

Pivot members can configure their tobacco type (use) settings at any point, take lessons on reducing usage, and develop quit strategies that take into consideration multiple forms of tobacco use.

Can Pivot be billed through claims?
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Yes! Pivot makes such an undertaking easier by offering the option to bill its services as claims to health plans. This enables employers to save valuable wellness dollars for other wellness-related services. Our partnership with Change Healthcare grants us access to over 2,400 health plans, allowing for quick tobacco cessation program implementation.