Request a demo here for our Tobacco Cessation Solution and receive a free Heart Health Gift Box.


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

Pivot Flex

Is Pivot Flex the same as therapy?
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Pivot Flex does not replace clinical care. The contents of Flex — including text, images, graphics, and exercises — cannot replace clinical services provided by a healthcare provider. Additionally, Flex does not provide emergency services or immediate assistance in crisis situations.

If anxiety, depression, addiction, or an abusive relationship is interfering with your happiness or health, please know you are not alone. Here are some resources for help:

Call the National Suicide Prevention Lifeline by dialing 988

Reach out to the National Abuse Hotline by calling 800-799-7233

Chat online with the 988 Suicide & Crisis Lifeline at

Can I use Pivot Flex if I'm already seeing a therapist?
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Yes! This program can be a great addition to existing care.

Pivot Breathe

How does the Breath Sensor work?
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The 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 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.

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. This is referred to as a tobacco surcharge.

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.

What forms of tobacco and nicotine does Pivot Breathe support?
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Pivot Breathe supports all forms of tobacco and nicotine, including but not limited to cigarettes, cigars, vaporized nicotine (both tobacco-derived and synthetic nicotine), chewing tobacco, nicotine pouches, hookah, and more.

Why do you need to know about my tobacco habits?
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In order to make changes, it is important to recognize and acknowledge your current habits. Using Pivot Breathe, we make it easy for you to get a better understanding of your tobacco habits. Understand how many cigarettes you smoke or how often you smoke, vape, or use other nicotine products. Start tracking when or why you use tobacco. All this information personalizes your experience within the Pivot app and helps your coach work with you to develop a plan that aligns with your quit goal.

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 Breath Sensor. As soon as members register for Pivot Breathe, the Breath Sensor will be shipped directly within the mobile app for shipment to the address provided during registration. Once shipped, an email from Pivot with shipment tracking information will be sent. No additional actions are required on the member's part

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 member's preferred address. Our Pivot Breathe coaches will provide guidance on the strength and type (gum, lozenge, or patch) of NRT suitable for the Pivot member. They will also direct them to in-app lessons and provide detailed instructions on how to use NRT based on their unique needs and goals for quitting tobacco.

Can Pivot Breathe improve my enrollment?
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Yes, clients using Pivot Breathe typically see a 5-10X increase in enrollments compared to other tobacco cessation solutions. However, actual client numbers may vary and will be based on defined, specific goals.

Our dedicated Member Enrollment Marketing team develops both turn-key and custom marketing programs. These include evergreen resources to introduce Pivot Breathe as a wellness benefit offering, seasonal campaign updates to keep Pivot Breathe top of mind throughout the year, and innovative solutions to drive best-in-class results. Learn more about how we support enrollment.

Can Pivot Breathe help me if I use more than one form of tobacco?
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Yes! We support all forms of tobacco. Based on a recent study, more than 56% of Pivot Breathe 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 Breathe 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 Breathe be billed through claims?
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Yes! Pivot Breathe 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 smoking cessation program implementation. To learn more, check out this resource.

About Pivot

How is your health coaching different from others?
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A certified health coach can help individuals strengthen their resilience through coaching sessions. They can help individuals be proactive about their well-being, supplementing mental health care by supporting professional and personal goals development. All coaches at Pivot hold a 4-year degree or higher in Public Health, Health Promotion, Nutrition, Exercise Physiology, Nursing, or Psychology. Every coach is a National Board Certified Health & Wellness Coach (NBHWC), which represents the profession’s highest standard.

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, the 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.

Does the Pivot app work on Android or iPhone devices?
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Yes. Pivot is available on both iOS (15.0.0. and above) and Android (7.0.0. and above).

I'm having difficulties logging in.
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Contact [email protected] for mobile app log-in-related issues.

My employer or health plan offers Pivot. How do I get started?
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In order, to get started with Pivot, you'll have to register and download the app. To locate your registration link, check your inbox for a recent email about Pivot or reach out to your benefit manager. If you still cannot locate your registration link, please reach out to our customer service contact at [email protected] with your employer/health plan's name and your first and last name.

My question isn't answered here
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Current Pivot members with questions/comments/concerns can reach out to [email protected].

Prospective clients can contact sales at [email protected].