Tobacco Qualifying Events
Nicotine Exposed Members are not eligible for the Ultimate Plan Level. Instead, nicotine exposed members are eligible for the Best Plan Level by completing Qualifying Events. Nicotine-Exposed members no longer need to complete tobacco-specific Qualifying Events. Those who quit and wish to upgrade to the Ultimate Plan Level must still complete the early upgrade process.
- Lab Work
- Wellness Exam
- Age Based Screenings
- Diabetes Care Program Criteria (if diabetic)
Who is considered to be Nicotine Exposed?
You are considered Nicotine Exposed if you use any type of tobacco product; i.e. chewing tobacco, cigars, cigarettes, pipe, nicotine replacement therapies, e-cigarettes that contain nicotine in any amount, or are exposed to significant amounts of nicotine which could result in a positive cotinine lab test. A non-nicotine exposed member is defined as an individual that has remained nicotine free for 90 consecutive days beginning with a negative cotinine lab test. Nicotine exposure is tested through qualifying lab work. Refer to the Tobacco Program Guidelines for more details.