How does insurance know if you smoke?
Insurers will look for signs of nicotine use in blood and urine samples when you have your medical exam, and if it's determined that you were dishonest on your application, it may be denied.
Most companies will obtain health data from the Medical Information Bureau, a source of centralized information on individuals who have applied for life insurance, to see if you ever indicated on a prior application that you smoked.
What happens if I don't disclose to an insurance company that I use tobacco? If you report inaccurate or false information about your tobacco use on an application, an insurer is allowed to retroactively impose the tobacco surcharge to the beginning of the plan year.
The best way to pass a nicotine test is to avoid nicotine for up to 10 days before the test, as blood tests can still detect cotinine for 10 days. There is no sure way to flush the body of nicotine quickly, but people may try maintaining a healthy lifestyle so that their body works efficiently.
Even if you don't consider yourself to be a 'smoker', your insurance company might. As well as cigarettes, cigars, and pipes, for many insurers, including us, you're classed as a smoker if you vape or use nicotine substitutes such as patches, gum or lozenges.
When you drink more water, more nicotine is released from your body through urine. Exercise. This increases your body's metabolism rate, which may lead you to clear nicotine faster. Sweat released through exercise takes nicotine and its byproducts with it.
Some insurance companies may consider you a smoker on that basis alone. Most insurance companies, however, will consider you a smoker if you have used a tobacco product at least four times per week for the last six months.
Although it's nearly unheard of for an insurer or employer to actively investigate whether you smoke, your doctor will probably note tobacco use in your medical records as a result of routine blood and urine analysis.
It is possible for a life insurer to deny a claim for smoking. If the policyholder lied on their application and said they were a nonsmoker, and the insurer later finds out that this is untrue, it has grounds to cancel the policy or deny paying the death benefit to beneficiaries.
People also process nicotine differently depending on their genetics. Generally, nicotine will leave your blood within 1 to 3 days after you stop using tobacco, and cotinine will be gone after 1 to 10 days. Neither nicotine nor cotinine will be detectable in your urine after 3 to 4 days of stopping tobacco products.
Can you pass a cotinine test in 3 days?
Urine: In a regular smoker, nicotine and cotinine can be detected in urine for up to three weeks. In an infrequent user, nicotine only stays in the urine for about four days after smoking, and cotinine lasts for seven to ten days. Saliva: Nicotine and cotinine stay in saliva for about four days.
If you use nicotine replacement medicine, such as gum or a patch, the cotinine test will not give an accurate result. Breathing in secondhand smoke can also affect the result. If you haven't smoked or been exposed to nicotine in 7 to 10 days, your cotinine levels start to return to a normal level.
Urine. Results of a urine test depend on how soon you provide the urine sample after your last smoke: If you smoke occasionally, cotinine may be found in your urine for about 4 days. If you are a regular smoker, cotinine may be found in your urine for up to 3 weeks.
You will be charged a higher premium for your life insurance policy if you smoke. For this reason, life insurance companies have devised a variety of methods to detect tobacco use among their applicants. They start by simply asking you on the life insurance application if you smoke.
The 3 studies on saliva or plasma cotinine levels showed similar results with substantial amounts of cotinine in e-cigarette users (138-548 ng/mL). These 3 studies concluded that the effect of e-cigarette smoking on plasma or saliva cotinine levels is similar to that generated by tobacco cigarette smoking.
Those who haven't used tobacco products within 12 months of application submission are generally treated as non-smokers. In brief, term plans offer lower premiums with limited flexibility, while permanent plans are more expensive but offer greater flexibility.
Eating oranges boosts your metabolism to clear nicotine faster and reduces stress. Kiwi helps you eliminate nicotine from the body and replenish Vitamins A, C and E that smoking reduces. Carrot juice has vitamins A, B, C, K that help eliminate nicotine from the body.
The best way to clear nicotine from your body is to cease smoking at least 10 days before your test. If you are looking to flush nicotine from your body more quickly, here are a few tips that may help speed up the process: Drink plenty of water: This will help flush waste products from the kidneys and liver.
We recommend using vinegar, baking soda, hydrogen peroxide, and bleach. These materials work well in breaking down the nicotine stains and neutralizing any odor.
If you start smoking after a life insurance policy has been taken out, the insurer cannot raise your premium. But it is a good idea to read the small print and check with the insurer you are interested in. Sometimes the terms and conditions of a policy will require you to disclose if you start smoking.
How long does cotinine last in your saliva?
Nicotine stays in your saliva for about 24 hours, making it detectable with saliva tests taken during this time. 4 Cotinine can be detected for up to seven days after it was last used or up to 14 days in heavy smokers. To perform this test, a technician swabs the inside of your mouth and tests oral fluids for nicotine.
After all, the insurer isn't there to count how many cigarettes you smoke in a given week. But there is a risk. If the insurance company finds out that you are a smoker after all, they can demand that you start paying the tobacco surcharge. This can result in a huge hike in your monthly premium.
The explanation for this is simply that smokers are more likely to develop health concerns in the future, and therefore represent a greater risk for insurance companies. This surcharge is also known as tobacco rating, and states may opt out or charge below 50%.
Electronic cigarette use is not considered in the definition of current cigarette smoking or any use of tobacco products.
Nicotine is water-soluble, so drinking water will help flush out any lingering traces. Water helps flush nicotine and other chemicals out of your body. Therefore, drinking water in sufficient quantities is a must for every smoker. However, it will make you urinate more often.
References
- https://michaelsonlaw.com/doctor-left-health-plan/
- https://www.jotform.com/blog/medical-ethics/
- https://www.thezebra.com/resources/research/men-women-auto-insurance-differences-by-state/
- https://www.webmd.com/smoking-cessation/taking-nicotine-test
- https://www.statnews.com/2023/09/29/female-patients-medical-expenses/
- https://wallethub.com/answers/ci/which-age-group-pays-the-most-for-car-insurance-2140778814/
- https://www.quora.com/How-do-doctors-and-other-health-care-facilities-decide-which-insurance-they-will-take
- https://www.healthline.com/health-news/do-doctors-loathe-obamacare-041415
- https://www.wellingtonadvancedmed.com/2018/01/05/why-staying-with-the-same-doctor-is-beneficial/
- https://medicaljustice.com/when-can-you-refuse-to-treat-a-patient/
- https://www.bankrate.com/insurance/life-insurance/how-long-does-tobacco-stay-in-your-system/
- https://www.vitality.co.uk/life-insurance/guides/life-insurance-for-smokers/
- https://www.asahq.org/madeforthismoment/preparing-for-surgery/risks/smoking/
- https://www.quora.com/Can-my-doctor-tell-my-insurance-I-smoke
- https://www.verywellmind.com/how-long-does-nicotine-stay-in-your-system-80291
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4455519/
- https://www.bioonepoway.com/cleaning-hacks-how-to-clean-nicotine-stains-from-your-home/
- https://www.forc.org/Public/Journals/2020/Articles/Fall_2020/Vol31Ed3Article4.aspx
- https://lewisellis.com/industry-insights/article/40194436-moral-hazard-and-adverse-selection
- https://en.wikipedia.org/wiki/Pink_tax
- https://www.capitalone.com/cars/learn/getting-a-good-deal/which-gender-pays-more-for-car-insurance/1723
- https://www.coveredca.com/marketing-blog/why-are-californians-required-by-law-to-have-health-insurance/
- https://www.healthline.com/health/quit-smoking/how-long-does-nicotine-stay-in-your-system
- https://www.healthcare.gov/transgender-health-care/
- https://www.bankrate.com/insurance/life-insurance/death-benefit-denied/
- https://pubmed.ncbi.nlm.nih.gov/22252176/
- https://www.libertymutual.com/insurance-resources/auto/car-insurance-and-getting-married-faqs
- https://www.upmc.com/services/south-central-pa/surgery/optimization-clinic/smoking-wound-healing/quit
- https://www.linkedin.com/pulse/why-life-insurance-rates-often-lower-women-first-financial-security
- https://www.jpaget.nhs.uk/media/238018/Stop_Before_Op_Final.pdf
- https://www.kff.org/faqs/faqs-health-insurance-marketplace-and-the-aca/i-smoke-but-im-trying-to-quit-what-happens-if-i-dont-disclose-to-an-insurance-company-that-i-use-tobacco/
- https://foundershield.com/insurance-terms/definition/redlining-insurance/
- https://www.theweitzfirm.com/articles/what-do-when-doctor-unethical-behavior-crosses-legal-boundary.shtml
- https://www.investopedia.com/car-insurance-for-transgender-and-nonbinary-people-7548334
- https://www.marketwatch.com/guides/insurance-services/life-insurance-rate-by-age/
- https://medium.com/@Dr_nabil_ebraheim/tests-that-orthopaedic-surgeons-should-think-about-smoking-nicotine-cotinine-levels-ea77c74c6f1f
- https://www.progressive.com/answers/how-much-is-life-insurance/
- https://company.getinsured.com/tobacco-usage-explained/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2149030/
- https://www.bankrate.com/insurance/car/auto-insurance-rates-by-age/
- https://www.albany.edu/~bd445/Economics_350_Money_and_Banking_Slides_Spring_2013/Adverse_Selection_and_Moral_Hazard.pdf
- https://www.testing.com/tests/nicotine-and-cotinine/
- https://online.uttyler.edu/degrees/business/mba/healthcare-management/ethical-issues-in-healthcare/
- https://www.investopedia.com/terms/p/purerisk.asp
- https://www.scientificamerican.com/article/how-to-address-medical-gaslighting1/
- https://thelawdictionary.org/gender/
- https://www.healthline.com/health/consumer-healthcare-guide/pros-and-cons-obamacare
- https://www.acep.org/life-as-a-physician/ethics--legal/ethics/the-ethics-of-health-care-reform-issues-in-emergency---medicine---an-information-paper
- https://www.investopedia.com/gender-and-insurance-costs-5114126
- https://www.ama-assn.org/delivering-care/patient-support-advocacy/patients-doctors-sue-hold-cigna-accountable-underpayments
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805410/
- https://www.ncbi.nlm.nih.gov/books/NBK10204/
- https://www.cdc.gov/nchs/hus/sources-definitions/tobacco-use.htm
- https://www.insurance.ca.gov/01-consumers/110-health/60-resources/TransHealthCoverage.cfm
- https://www.investopedia.com/terms/m/moralhazard.asp
- https://www.progressive.com/shop/car-insurance-rates-differ/
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212162/
- https://quotewizard.com/auto-insurance/how-does-gender-affect-your-car-insurance-rates
- https://winsurtech.com/blog/understanding-perils-and-hazards-in-insurance/
- https://www.bankrate.com/insurance/car/changing-gender-on-license/
- https://www.marketwatch.com/guides/insurance-services/life-insurance-nonsmoker/
- https://www.ias.edu/ideas/three-moral-hazards-health-insurance
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7923912/
- https://parinsurance.com/how-smoking-affects-your-health-insurance-premiums/
- https://www.fool.com/the-ascent/insurance/auto/articles/nonbinary-car-insurance-how-it-works-and-ways-to-save/
- https://tatuminsurance.com/insurance-after-no-claims/
- https://www.facs.org/for-patients/preparing-for-your-surgery/quit-smoking/
- https://www.quora.com/Do-doctors-have-the-right-to-refuse-treatment-of-patients-they-dont-like-or-who-have-a-different-opinion-than-them
- https://wexnermedical.osu.edu/blog/when-are-you-a-smoker
- https://www.urban.org/sites/default/files/publication/50831/411317-Why-Do-People-Lack-Health-Insurance-.PDF
- https://www.henssler.com/how-can-an-insurance-company-really-tell-if-i-smoke/
- https://www.icsworld.com/Private_Investigation_Case_Types/Blacklisting_and_Blackballing_Investigations.aspx
- https://www.kff.org/uninsured/issue-brief/key-facts-about-the-uninsured-population/
- https://www.quora.com/Is-it-possible-that-different-doctors-in-the-same-clinical-accept-different-insurance
- https://www.progressive.com/answers/car-insurance-with-roommates/
- https://www.lybrate.com/topic/foods-to-flush-nicotine-out-of-your-body/8e36670ae4b9149967babf94f0c5bd04
- https://www.policygenius.com/life-insurance/gender/
- https://www.insurance.ca.gov/0400-news/0100-press-releases/2019/release003-19.cfm
- https://finance.yahoo.com/personal-finance/car-insurance-rates-by-age-193712279.html
- https://www.aviva.co.uk/insurance/life-products/life-insurance/life-insurance-and-smoking/
- https://www.progressive.com/answers/are-older-cars-cheaper-to-insure/
- https://www.cdc.gov/nchs/nhis/tobacco/tobacco_glossary.htm
- https://www.drugs.com/medical-answers/long-nicotine-stay-system-3572733/
- https://www.kff.org/health-costs/issue-brief/americans-challenges-with-health-care-costs/
- https://www.personalabs.com/blog/blood-test-for-smoking-what-you-need-to-know-about-the-nicotine-cotinine-test/
- https://www.unitedway.org/my-smart-money/financial-planning/starting-a-family/getting-health-insurance-coverage-for-spouse-partner
- https://codingintel.com/two-visits-for-price-of-one-multiple-medical-visits-on-the-same-day/
- https://www.valuepenguin.com/how-gender-impacts-car-insurance-rates
- https://ojin.nursingworld.org/table-of-contents/volume-15-2010/number-3-september-2010/understanding-moral-distress/
- https://www.urmc.rochester.edu/encyclopedia/content.aspx?contentid=nicotine_cotinine&contenttypeid=167
- https://www.medicinenet.com/drinking_water_flush_nicotine_out_of_your_system/article.htm
- https://www.beckershospitalreview.com/finance/hospitals-are-dropping-medicare-advantage-left-and-right.html
- https://www.thezebra.com/auto-insurance/driver/other-factors/male-vs-female-car-insurance-rates/
- https://www.quora.com/Can-doctors-refuse-to-operate-on-a-person-if-they-are-a-smoker
- https://www.broadridgeadvisor.com/KT/trns.aspx?xd=INS-04&il=ff&xsl=content
- https://www.nytimes.com/2023/06/15/health/health-insurance-medical-bills.html
- https://www.aflac.com/resources/life-insurance/life-insurance-for-smokers-and-tobacco-users.aspx
- https://www.figure1.com/resources/blog/do-healthcare-professionals-have-the-right-to-refuse-patients/
- https://www.businessinsider.com/guides/health/treatments/how-long-does-nicotine-stay-in-your-system
- https://www.tandfonline.com/doi/full/10.1080/01947648.2020.1833669
- https://homework.study.com/explanation/which-of-the-following-is-an-example-of-a-moral-hazard-a-reckless-drivers-are-the-ones-most-likely-to-buy-automobile-insurance-b-retail-stores-located-in-high-crime-areas-tend-to-buy-theft-insurance-more-often-than-stores-located-in-low-crime-areas-c.html
- https://www.insurance.ca.gov/01-consumers/110-health/10-basics/aca.cfm
- https://www.spigalaw.com/what-you-need-to-know-about-patient-abandonment
- https://www.hhs.gov/civil-rights/for-individuals/section-1557/fs-sex-discrimination/index.html
- https://qz.com/advisor/auto-insurance/adding-spouse-to-car-insurance/
- https://pubmed.ncbi.nlm.nih.gov/25731135/
- https://pomcannabis.com/what-happens-if-you-tell-your-doctor-you-smoke-weed/
- https://www.prontoinsurance.com/blog/car-insurance-expensive-young-drivers/
- https://www.acponline.org/advocacy/state-health-policy/help-your-patients-enroll-in-health-insurance/affordable-care-act-issues-physicians-need-to-know
- https://ehlinelaw.com/blog/geico-shuts-down-every-office-in-california
- https://www.medicinenet.com/can_doctors_tell_if_you_smoke_from_a_blood_test/article.htm
- https://healthcareinsider.com/health-insurance-smokers-42747
- https://blog.stridehealth.com/post/is-my-doctor-in-network
- https://www.irmi.com/term/insurance-definitions/twisting
- https://www.insurancejournal.com/magazines/mag-features/2024/01/22/756155.htm
- https://www.thrivefamilymedicine.com/news/2019/1/3/10-signs-its-time-to-change-your-doctor
- https://truthinitiative.org/research-resources/harmful-effects-tobacco/why-you-should-quit-smoking-having-surgery
- https://www.medicinenet.com/can_doctors_tell_if_you_smoke_occasionally/article.htm
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3326764/
- https://www.progressive.com/answers/how-age-impacts-insurance/
- https://www.bankrate.com/insurance/car/married-couples/
- https://journals.sagepub.com/doi/10.1177/1091581815618935
- https://khealth.com/learn/smoking-cessation/nicotine-to-leave-system/
- https://www.medicalnewstoday.com/articles/322526
- https://www.marketwatch.com/guides/insurance-services/what-gender-pays-more-for-car-insurance/
- https://www.investopedia.com/articles/professionals/101215/how-hard-career-selling-life-insurance.asp
- https://money.com/life-insurance-for-smokers/