Currently at my workplace, employees who identify themselves as "non-tobacco" users receive a monthly discount of $61 on their medical insurance rate. Effective January 1, 2014, the "non-tobacco" user discount will no longer be automatically assessed. In order to qualify for a premium discount, only those who test negative for cotinine (nicotine) and participate in "the program" [see below] could qualify for the new wellness incentive discount.
In order to qualify for the wellness incentive and receive the discount on medical rates, employees will be required to pass the cotinine (nicotine) test as well as participate in the following:
* Onsite Biometric Screenings - October 2013
* Health Risk Assessment (HRA) - November 2013
* Wellness Program Online Portal registration
The biometric screening in October will include screening for total cholesterol, glucose, blood pressure, height/weight, BMI, as well as cotinine (nicotine) testing. While there is no "pass or fail" component to the Biometrics or HRA participation, employees will be required to participate and test negative for cotinine (nicotine) in order to qualify for the wellness incentive discount. My employer
will not receive any medical or diagnostic information. The firm will simply receive a pass report. It is important to understand that employees can still test negative for cotinine (nicotine) and get a "fail" result if they neglect to take the HRA or enroll on the wellness portal. Full participation is required to receive the wellness incentive discount.
Employees are not required to participate in the wellness incentive discount program in order to receive medical coverage. However, in order to receive the incentive premium discounts, employees must meet the requirements of the wellness incentive discount program. The wellness incentive discount will be increased to $75 in 2014.
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So that's the new policy where I work. I quit smoking cigarettes over 3 weeks ago and switched to an e-cigarette (with nicotine). According to the Nicoderm (nicotine patch) website, it takes 7-10 days for cotinine to clear the bloodstream. So if I want to participate in the new wellness program and pass the cotinine test, I'd have to cease ingesting nicotine 10 days before taking the test.
I'm already paying the extra $61/month as a smoker, so what's another $14/month? (And I'm now saving money on not buying cigarettes, besides.) I haven't yet decided whether to participate. (I'll see my doctor before October and we'll talk about it. Don't know whether I even like the idea of having this type of blood-testing at the workplace--seems like they're horning in on the doctor-patient relationship.)