aca tobacco surcharge New VA/NM policies reignite burning questions re. the & smoking Exploring Health Insurance Tobacco Surcharges
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The same factsheet also mentions that it is "often used to clean teeth"

Many employers consider putting tobacco surcharges into place in hopes of reducing tobacco or nicotine use within their employee population

A comprehensive yet concise guide to this risk management option for group health plans, the paper: Details requirements for implementing a tobacco surcharge as part of a health-contingent wellness program

7 Giles Evarard, PANACEA, Or The Universall Medicine

Each of the Big 4 tobacco companies have invested in snus, a type of smokeless tobacco common in Scandinavia, to try to bolster their harm reduction claims and possibly to promote tobacco use in places where smoking is banned

We found that the tobacco surcharge rate averaged approximately 14 percent and that it was associated with lower total enrollment as well as a reduced share of total enrollees who reported any tobacco use
