Details, Group Health Maintenance Organization (HMO), including HMO Open Access (OA), Point-of-Service POS), and OA POS medical plans, All other group medical plans, and pharmacy and vision plans, Cigna Behavioral Health, Employee Assistance Program (EAP). Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. A person must have a body mass index (BMI) of 40 or greater, orBMIof 35 or greater with an obesity-related co-morbid condition including, but not limited to: **Please Note: All clinical guidelines and qualifying factors vary based on insurance company and the policies in place. Bywater's mission is to deliver our customers the best experience possible. Learn How to State Your Case and Earn Your Raise, Climb the Ladder With These Proven Promotion Tips. For other questions regarding eligibility and coverage of services, please contact your health plan representative. "I havent had a chance to tell you thank you for all your efforts. This information was provided by Mployer Advisor. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Bywater 2023 | Bywater is a third-party administrator managed by Roundstone Insurance. 2023 CWI Benefits, LLC All rights reserved. 6Cigna Dental Health of Florida, Inc. is a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes. My experience with them has been so positive, I feel like Bill is someone that I can trust and recommend even to a family member. Access Your Member Portal at https://bywater.vbagateway.com today! hb``b````e` @16zGm`!1l{E=>xmX01)0;w024`4oPp`bbs`fbI0r. Thank you. 0000005576 00000 n Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. Cigna/GreatWest: 1-800-244-6224: www.cigna.com: Clear Spring Healthcare: 1-877-364-4566: www . This information is not currently maintained by, endorsed by or affiliated with, Religious, Civic and Social Organizations. We offer turnkey online enrollment, billing, claims and call center operations to help you meet your benefit solutions strategies and needs so you can grow your business and attentively serve your membership. Hopefully some will be easier. %PDF-1.6 % Here are the plans Lovelace Medical Group accepts. 2The Cigna HealthCare of Florida, Inc. service area is comprised of the following counties: Brevard, Broward, Clay, Dade, Duval, Hillsborough, Lake (only zip codes 34711, 34714, 34715, 34755), Nassau, Orange, Osceola, Palm Beach, as, Polk, Seminole and Volusia (only zips 32713, 32725, 32738). Expect a dedicated point of contact for customer service, who streamlines communication and provides you and your members with personal, knowledgeable support. If you are a decision maker for your employee benefits at your company, and would like additional information about CWIBenefits services please complete this form. Bywater provides employee benefits and group health insurance to small to mid size employers in the Cleveland-Elyria, OH Metro Area. 0000025529 00000 n Benefits information above is provided anonymously by current and former ByWater Solutions employees, and may include a summary provided by the employer. 0000014090 00000 n Inpatient care 100% in-network preventive care coverage 15422 Detroit Avenue, Lakewood, Ohio 44107 P . CIGNA First Health * Additional networks expected . For support, please [email protected] call800.337.0792to contact customer service if you have any questions. Please email us [email protected]. Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. And you'll have the freedom to include cost-saving and wellness measures that save you money in many cases without waiting for your renewal period to implement new programs. 0000026709 00000 n Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. 0000027651 00000 n 0000011937 00000 n as usual! If you have questions about coverage, payment plans, or financial assistance, please contact your insurance provider or our business office. 201. As strategic relationship managers, we work together collaboratively to achieve our mutual objective quality, affordable care. I find Bill Bywater to have high integrity, hes part of the local community, his roots are here, and he hires great people. The list is very long, but not limited to: If you are a participant please call 800.992.8088 or email [email protected]. Phone: 800-992-8088; Email: [email protected]; Find us on: Facebook page opens in new window Twitter page opens in new window Linkedin page opens in new window. To use the Claims Guest Access portal, go to kp.org/providers and select the members KP region. Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. Helpful. Worst company ever. Former Employee. 0000005821 00000 n We help increase your productivity and efficiency by providing friendly, expert, and data-driven administrative services to your employee health benefits plan. . Im excited to start 2022 with Bywater and Veracity!! 0000006225 00000 n Bywater members use Cigna's network of providers, with their health benefits plan administered by Bywater. 0000009953 00000 n 278 0 obj <> endobj Orlando, FL 32801 Switching to a self-funded plan is easier when you have a trusted partner to help guide you. ", "I love that Bywater is a TPA willing to meet the needs of our businesses with smaller employee populations. Rates may vary and are subject to change. Cigna. 7In Virginia, worksite health and wellness centers are provided by Cigna Health and Life Insurance Company. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Cigna may not control the content or links of non-Cigna websites. In New Jersey, patient care services for worksite health and wellness centers are provided by Alegis Care, New Jersey, P.C. You and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. Partner with Cigna Payer Solutions, and you'll have access to a broad portfolio of products and services, quality health care networks, and personalized account supportbacked by a global brand with more than 90 years of health service experience. We are dedicated to providing the most effective . They do offer a decent 401k package but their health insurance is not the best. Product availability may vary by location and product type and is subject to change. 94 50 Chattanooga, TN 37422-7223. Together, we provide a fully integrated and turnkey solution designed to maximize savings and promote long-term cost containment, backed by data insights and professional expertise. They are partner in total health and wellness and are there for customers 24/7 - caring for their body and mind. Cigna Behavioral Health, Inc. and Cigna Behavioral Health of California, Inc. Group Accident, Accidental Death and Dismemberment, Accidental Injury, Hospital Indemnity, and Critical Illness Insurance, Cigna Supplemental Benefits - Life, Health and Accident Insurance, Canada group medical, dental, vision, and evacuation plans. You are always responsive and helpful. They state this is "normal" but I've never had this issue with any insurance company before this one. At UCLAs Bariatric Surgery Program, we accept most of PPO insurance policies and select HMO policies with an authorization from your Primary Care Provider. trailer We offer turnkey online enrollment, billing, claims and call center operations to help you meet your benefit solutions strategies and needs so you can grow your business and attentively serve your membership. We have paid out more money ourselves than the insurance has. What is up with that? The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. Learn about ByWater Solutions , including insurance benefits, retirement benefits, and vacation policy. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. Read more on your rights and protections against surprise medical bills here. In Michigan and Minnesota, patient care services for worksite health and wellness centers are provided by HS Clinical Services, PC, an independently owned professional corporation. View our Digital Toolkit for more information about our solutions available to TPAs. - Delayed response to providers (some claims were processed 6 months after submission); that insure or administer group HMO, dental HMO, and other products or services in your state). As a third-party administrator, we specialize in helping small to mid-sized companies make the switch from fully insured to a self-funded plan, guiding and simplifying the process every step of the way. Make an appointment with Alexandrina Saulis, MD at AdventHealth now, find contact information and more. CareAlliesProvider Collaboration Solutions. a listing of the legal entities Medical Claims. 0000027408 00000 n ", My Account Manager is responsive. For additional plan disclosures that may be applicable to your plan or state, please view our Product Disclosures. 1 (800) 244-6224. The customer service representative was very knowledgeable about my health plan which helped a lot ! Bywater acted as a true partner, which made the process a little easier for us to keep up with., "You guys really rocked this installation. Meet Bywater. More than just a health insurance company, Cigna is a global health service company--dedicated to helping the . If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided by a Centura Health facility. 0000027001 00000 n 0000401390 00000 n jerej Jn Schedule Consultation Schedule Consultation Contact Info Visit Website Address %PDF-1.4 % Why Choose Bywater? PO Box 182223. For a physician referral, please call (800) UCLA-MD1(825-2631). Please enter your user id and password. 0000005623 00000 n The worst insurance my husband's company has ever had, my husband needs to get a CT scan done Monday and they denied it!! Cigna login/register. Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C. Details. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. Get tools and flyers to share with your clients. 0000008700 00000 n Together, we can build a solution that's right for your clients. As part of the Roundstone Insurance family, Bywater grew out of the need to offer self-insured employers participating in Roundstones group medical captive health insurance plan a better alternative for plan administration. b\e1*O?;c;>y ./}?=T_U_s4phSELM%:TGzM}]{;Z{Sd7ps5_6? 7evt>O7/y}b *]VA{G'9 "FW/_8TKVbro4UZ{#z06yg7tur4M.YYOGQH|6}GE>T}4]Lv.\+U(+MYn[jz.w/M\cS QU?!zbms`,{P4>mT=Qjb,%{1CaC:bR* 5R;SJ07a%c6WdxIE n# : + Plans come with $0 virtual care and $0 preventive care Financial assistance available, if you qualify Additional coverage for diabetes and asthma/COPD, if needed Available for shopping during Open Enrollment (Nov 1-Dec 15, in most states) See what Cigna offers a listing of the legal entities 0000001296 00000 n The fact I had to explain that to them was completely ridiculous. Thank you for helping me lay this out in the correct fashion and report to my client with good info! All insurance policies and group benefit plans contain exclusions and limitations. 0000028053 00000 n In California, CWIBenefits, LLC does business as CWIBenefits Insurance Services (as agency) and CWIBenefits Administrator (as TPA). Refer to your official plan documents for the name of the company that insures or administers your specific insurance policy or benefit plan. Oct 4, 2016. 2.0. Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. They give you the run around and tell you that you need to take it up with Cigna, they dont handle thatCigna tells you that you need to talk with Bywater. Then they say your not covered for that! Get employees on board faster with Bywaters plan document, created with the employer and employees needs in mind. Cigna Health and Life Insurance Company (900 Cottage Grove Road, Bloomfield, CT 06002 USA) or Connecticut General Life Insurance Company (900 Cottage Grove Road, Bloomfield, CT 06002 USA) In California, Network plans are offered by Cigna HealthCare of California, Inc. Cigna Behavioral Health, Employee Assistance Program (EAP) Phone Number. They then left my ultrasound copay instead. 0000005737 00000 n I strongly recommend going with a different insurance company. The Bywater Company is a full-service commercial real estate firm specializing in brokerage, consulting, development, and property management in the office, medical, industrial, and land sectors. 0000022230 00000 n The worst, most painful experience of my life! Lovelace Health System accepts most major insurance plans so you can access all of our hospitals, health care centers and providers. About Your Insurance Presbyterian Hospital accepts most major insurance, including Medicare, Medicaid, and Presbyterian Health Plan. Commercial/Group Products Controlling costs, improving employee health, and personalized service are just a few of the ways we can help your organization thrive. 0000011061 00000 n ", "You guys are all AWESOME. 307 0 obj <>/Filter/FlateDecode/ID[<922F595429F03242A768AF7997AEBB29><9026FA9FFCD51241847B932A1C65054F>]/Index[278 54]/Info 277 0 R/Length 134/Prev 477804/Root 279 0 R/Size 332/Type/XRef/W[1 3 1]>>stream For example, they left me a $500 copay stating my X-ray taken at the hospital was for an outpatient hospital stay. Bywater has partnered with EHCS to provide your diabetes supplies. Your third-party administrator (TPA) services should work seamlessly with all of your health insurance partners. Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. Kaiser Permanente also offers a dedicated phone line for Cigna PPO providers only for preauthorization questions - 888-831-0761. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, and not by Cigna Corporation. I have wasted hours & hours on the phone with their customer service trying to make sense of their EOBs. Our team always puts the customer first. 0000025709 00000 n 105 E Robinson Street %%EOF Bywaters mission is to deliver our customers the best experience possible. Plans are insured by Cigna Health and Life Insurance Company or its affiliates: For Arizona residents, health plans are offered by Cigna HealthCare of Arizona, Inc. For Georgia residents, health plans are offered by Cigna HealthCare of Georgia, Inc. For Illinois residents, health plans are offered by Cigna HealthCare of Illinois, Inc. For North Carolina residents, health plans are offered by Cigna HealthCare of North Carolina, Inc. For South Carolina residents, health plans are offered by Cigna HealthCare of South Carolina, Inc. For Texas residents, health plans are offered by Cigna HealthCare of Texas, Inc. For information about these plans, including Cigna company name and other information, visit https://www.cigna.com/individuals-families/shop-plans/health-insurance-plans, Connecticut General Life Insurance Company, NY - Cigna Life Insurance Company of New York (140 East 45th Street, New York, NY 10017 USA), All other states-Life Insurance Company of North America (1601 Chestnut Street, Two Liberty Place, Philadelphia, PA 19192 USA), NY - Cigna Life Insurance Company of New York (for insured plans), All other states-Life Insurance Company of North America, Administrative services for self-funded disability plans - Life Insurance Company of North America, NY - Cigna Life Insurance Company of New York, Cigna Health and Life Insurance Company, Loyal American Life Insurance Company, American Retirement Life Insurance Company, or Cigna National Health Insurance Company. What a bunch of b.s. For a complete list of both covered and not covered services under your plan or policy, including benefits required by your state, see your insurance policy, evidence of coverage, or your employers insurance certificate or summary plan description. The Bywater Company is a full-service commercial real estate firm specializing in brokerage, consulting, development, and property management in the office, medical, industrial, and land sectors. HuQi R`rrgh|`H@,&F`@ 0000006808 00000 n Once again, Bywater gives you the run around, connecting you to person to person. For 30 years, we have been lighting the way to better health by providing our customers an easier way to have products delivered directly to their door. They do offer a decent 401k package but their health insurance is not the best. Their accounting department is fabulous. Enroll Today for Fast, No Hassle Processing of Your Diabetes Supplies. Bywater's mission is to fully integrate with advisors and captive managers of choice while delivering the high . Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Call 1 (800) 88CIGNA (882-4462). They are no help whatsoever. To learn more, call 310-825-7163. We offer multiple networks and Pharmacy Benefit Managers (PBMs) to meet your unique needs. Dental Claims. You can be ready to go in as little as 30 days from your initial implementation call! This website is not intended for residents of New Mexico. The myCigna app gives you a new and improved way to easily access your important health information. Any insurance company or agent of an insurance company who knowingly provides false, incompleteor misleading factsor information to apolicyholder or claimant forthe purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Current and former employees report that ByWater Solutions provides the following benefits. Please Contact us at 310-825-7163. Benefits are generous and internet and phone are paid. We help employers manage their health plans with ease, ensuring your employees are using their benefits optimally. As a third-party administrator, we specialize in helping small to mid-sized companies make the switch from fully insured to a self-funded plan, guiding and simplifying the process every step of the way. hbbd```b`` A$+-"VHr0;L On the home page, look for View claim status as a guest user under the Quick Links section. If you have specific questions regarding your health insurance policy, please contact our office at310-825-7163, option 2. Suite 200 All member calls answered in 2 minutes or less, Acknowledgement of all inbound inquiries in 24 hours or less, All employers onboarded with their Summary Plan Description completed in 30 days or less, 99% of all claims adjudicated accurately in 14 days or less. Report. 0000025585 00000 n In all other states (where available), Cigna Dental Care plans are insured by Cigna Health and Life Insurance Company, Cigna Health and Life Insurance Company or Connecticut General Life Insurance Company. For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. 0000001787 00000 n For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. Our network solutions help TPAs deliver what companies and employees need most in health care: quality and lower costs. Under the Families First Coronavirus Response Act (FFCRA) and the CARES Act, individuals enrolled in a private health plan who purchase an over-the-counter COVID-19 test may be reimbursed by the health plan/insurer. They also don't know how to process claims. Life threatening cardio-pulmonary problems, (for example, severe obstructive sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy). Some employers demand a higher level of customization and flexibility that aligns with the capabilities of a Third Party Administrator (TPA). Bywater is an international management firm providing Strategic Services; such as performance improvement, strategic planning & implementation, and cost containment, and Corporate Growth Services; such as acquisitions and divestitures, merger integration and new product development. 143 0 obj <>stream This website is not intended for residents of New Mexico. to be added in. CWIBenefits, LLC (CWI), is a Full Service Benefits Administrator, founded 30 years ago as a claims payment software vendor. Request Information. 3In Florida, lock-in medical products (including Exclusive Provider Organization, Open Access Plus-IN, Network and Network Open Access plans) are only available for sale to customers sitused in the following counties: Alachua, Baker, Bradford, Brevard, Broward, Charlotte, Citrus, Clay, Collier, Columbia, Dade, Duval, Flagler, Hendry, Hernando, Hillsborough, Indian River, Lake, Lee, Manatee, Marion, Martin, Nassau, Okeechobee, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Putnam, Sarasota, Seminole, St. Johns, St. Lucie, Sumter, Union, and Volusia. CT - Cigna HealthCare of Connecticut, Inc. IL - Cigna HealthCare of Illinois, Inc. and Cigna HealthCare of St. Louis, Inc. Selected insurance that we accept are noted below. 0000027772 00000 n 0000397752 00000 n Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see The language is easy to read and interpret, and coverage, exclusions, and financial obligations are clearly spelled out so everyone is on the same page. As your collaborative and trusted partner, Cigna Payer Solutions helps to drive employee health, lower employer costs, and support and enhance the unique value you bring to your customers. 0000011464 00000 n Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. hb``c``:pDAb@qa 1Fv>`hpb83+Z ii Du1h}aZxK1Ag jx8/G80=`y 4Z[lgUhP u G@;O]fc`He` )$ When you get emergency care or get treated by an out-of-network provider at and in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. I'm clumsy and get hurt often and this insurance keeps denying claims making me fill out a letter every time stating I wasn't in an accident. CIGNA ID cards will continue to show the Scranton, PA address for claims and correspondence submission until they are updated throughout 2011. Serving Central Florida for over 45 years, our services include landlord/tenant representation, owner/seller representation, investor/buyer representation, property management, site selection, property valuation, and asset management. You must be a Cigna customer to use the secure myCigna mobile app. View Top 10 List What's Included with Cigna? Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. With easy one-touch secure sign on, you can access your digital ID cards, manage your health information, update your profile, and more. Health coverage is provided subject to any deductibles, co-payment, or coinsurance provisions. 0000027330 00000 n 0000393640 00000 n Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 0000027529 00000 n <<5D0A48CDAB051444A35BDEC03408FBA1>]/Prev 447176/XRefStm 1617>> I then had to explain that an ultrasound is NOT an X-ray but that an X-ray falls under radiology which has a different copay amount. Cigna. Serving Central Florida for over 45 years, our services include landlord/tenant representation, owner/seller . We support the spectrum of benefit administration needs ranging from employer plans, health plans, agency back office, HRIS and other third party solution administration needs. The legal entity insuring or administering any specific product may vary. Worst insurance ever!!! CO - Cigna Dental Health of Colorado, Inc. DE - Cigna Dental Health of Delaware, Inc. FL - Cigna Dental Health of Florida, Inc.6. Bywater has been a nightmare to deal with. Our office staff will happily verify your insurance benefit. K`|1/I?8u/*bo>$C All insurance policies and group benefit plans may have exclusions, limitations, reduction of benefits and terms under which the policy may be continued in force or discontinued. 0000013170 00000 n Theyre on your side when it comes to questions on claims, renewals, vendor implementation, and more. show more Find the Cheapest Insurance Type It has been great working with you and I look forward to doing more of these. 1For additional information and disclosures related to California HMO and other medical, behavioral and dental plans in California, visit https://www.cigna.com/individuals-families/member-guide/customer-forms/cigna-in-california. Cigna Onsite Heath, LLC provides management services to worksite health and wellness centers in Michigan, Minnesota, New Jersey, and North Carolina. Glassdoor is your resource for information about ByWater Solutions benefits and perks. Accidental injury, critical illness, and hospital care. 0000014378 00000 n 4The term "DHMO" is used to refer to product designs that may differ by state of residence of enrollee, including but not limited to, prepaid plans, managed care plans, and plans with open access features. Cigna is more than a health insurance company. Your response will be removed from the review this cannot be undone. &A_6c${NVXd}=y2zR|2^ r];:Ml&;`V~D5;iKG`%d~HPZMcZ(h&juR %'e,jkD!X\1@ 1. 0000028532 00000 n Being able to depend on responsiveness when its most critical provides me with a certain level of comfort., Implementation was a challenge for my team. Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. The University of California, Los Angeles (UCLA) is designated as: To schedule a consultation with UCLA Bariatric Surgery in Los Angeles, California, call us at 310-825-7163 or fill out ouronline form. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 94 0 obj <> endobj Still have questions? With over 30 years experience, the CWIBenefits Third Party Administrator (TPA) Platform is the trusted service and benefits technology platform of Employers, Health Plans, and Benefits Administrators.
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