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FAQs

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 www.988lifeline.org

Can my employer or health plan see my activity in Pivot Flex?
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If an employer, health plan, or other third party purchases our Services on your behalf, the purchasing entity may require us to share your name or other identifying information, including information related to your use of the program, for certain operational purposes of the purchasing entity such as for validating your participation, facilitating payment, and evaluating the effectiveness of the program. The information you enter into the app or discuss with your coach is private and will not be shared

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. 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.

What forms of tobacco and nicotine does Pivot Breathe support?
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All of them! Cigarettes, cigars, vaporized nicotine (nicotine derived from both tobacco plants and synthetic nicotine), chew, nicotine pouches, hookah, and more.

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

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 Breathe member's address of choice. Pivot Breathe 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 Breathe improve my enrollment?
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Pivot Breathe 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 turn-key and custom marketing programs, including evergreen resources to introduce Pivot as a wellness benefit offering and seasonal campaign updates to keep Pivot top of mind throughout the year, and innovative solutions to drive best-in-class results. Learn more here.

Can Pivot Breathe 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 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 tobacco cessation program implementation. To learn more, check out this resource.

Can my employer or health plan see my activity in Pivot Breathe?
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The information you enter into the app or discuss with your coach is private and will not be shared. If an employer, health plan, or other third party purchases our Services on your behalf, the purchasing entity may require us to share your name or other identifying information, including information related to your use of the program, for certain operational purposes of the purchasing entity such as for validating your participation, facilitating payment, and evaluating the effectiveness of the program.

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.

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.

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 (14.0.0. and above) and Android (6.0.0. 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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If your employer or health plan offers Pivot, they'll have registration links with an access code that can be found in any reference material. If you can not 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.