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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. %%EOF 0000025585 00000 n On the home page, look for View claim status as a guest user under the Quick Links section. 2.0. 0000011061 00000 n If you have questions about coverage, payment plans, or financial assistance, please contact your insurance provider or our business office. 331 0 obj <>stream startxref show more Find the Cheapest Insurance Type ", "You guys are all AWESOME. 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 For more information, emailCignaPayerSolutions@cigna.comor call . 0000006808 00000 n Fortunately, many insurance companies recognize the serious health threats of obesity and do cover weight loss surgery as long as you meet the qualification requirements. Report. We are dedicated to providing the most effective . Access Your Member Portal at https://bywater.vbagateway.com today! It has been great working with you and I look forward to doing more of these. Some employers demand a higher level of customization and flexibility that aligns with the capabilities of a Third Party Administrator (TPA). 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. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. All insurance policies and group benefit plans contain exclusions and limitations. Read more on your rights and protections against surprise medical bills here. Together, we can build a solution that's right for your clients. 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. Self-Funding Captive Make an appointment with Alexandrina Saulis, MD at AdventHealth now, find contact information and more. 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. Start getting your eligible supplies today by enrolling below. Oct 4, 2016. 0000006225 00000 n For general inquiries, please complete the form here to learn more. 0000011464 00000 n Benefits information above is provided anonymously by current and former ByWater Solutions employees, and may include a summary provided by the employer. Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C. 0000001945 00000 n Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. This means you have access to Cigna's In-Network providers and . ", For Member/Provider Customer Service, please call. Get tools and flyers to share with 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. Phone Number. Cigna. 278 0 obj <> endobj We help increase your productivity and efficiency by providing friendly, expert, and data-driven administrative services to your employee health benefits plan. We believe that they are an excellent company. 94 0 obj <> endobj 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. Inpatient care 100% in-network preventive care coverage 0000001787 00000 n In California, Network plans are offered by Cigna HealthCare of California, Inc. Cigna Behavioral Health, Inc. and Cigna Behavioral Health of California, Inc.1. Medical Claims. Cigna may not control the content or links of non-Cigna websites. 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. 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. a listing of the legal entities Dental Claims. Former Employee. They then left my ultrasound copay instead. Your third-party administrator (TPA) services should work seamlessly with all of your health insurance partners. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Bywater 2023 | Bywater is a third-party administrator managed by Roundstone Insurance. 0000005623 00000 n 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. CWIBenefits, LLC (CWI), is a technology based Third Party Administrator (TPA), offering total benefits administration services and data management. They do offer a decent 401k package but their health insurance is not the best. 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. Thank you. Chattanooga, TN 37422-7223. They state this is "normal" but I've never had this issue with any insurance company before this one. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. 0000005049 00000 n Disregard the Scranton, PA address on the ID card and submit all medical claims and correspondence to the appropriate Chattanooga, TN address shown in the tables of the November 2010 issue of Network News. You are always responsive and helpful. 0000050665 00000 n For support, please emailsupport@choosebywater.comor call800.337.0792to contact customer service if you have any questions. I could go on but I will suffice it to say to not use this company. Participation in a weight loss program. 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. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 0000028053 00000 n AZ - Cigna Dental Health Plan of Arizona, Inc. CA - Cigna Dental Health of California, Inc.1. The worst insurance my husband's company has ever had, my husband needs to get a CT scan done Monday and they denied it!! a listing of the legal entities 0000027772 00000 n Cigna. 0000007851 00000 n Health coverage is provided subject to any deductibles, co-payment, or coinsurance provisions. Bywaters mission is to deliver our customers the best experience possible. With easy one-touch secure sign on, you can access your digital ID cards, manage your health information, update your profile, and more. You can easily: Verify member eligibility status View member benefit and coverage information Retrieve member plan documents View the status of your claims View member ID card Eligibility Inquiry 15422 Detroit Avenue, Lakewood, Ohio 44107 P . Please Contact us at 310-825-7163. No vision or dental offered. 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. For additional plan disclosures that may be applicable to your plan or state, please view our Product Disclosures. As strategic relationship managers, we work together collaboratively to achieve our mutual objective quality, affordable care. Bywater's mission is to fully integrate with advisors and captive managers of choice while delivering the high . Bywater is a third-party administrator (TPA) of self-funded health insurance. Get tools and flyers to share with your clients Dental Network Together, we can build a solution that's right for your clients For more information, email CignaPayerSolutions@cigna.com or call 1 (888) 284-6851. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. Worst insurance ever!!! Selected insurance that we accept are noted below. that insure or administer group HMO, dental HMO, and other products or services in your state). 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). 0000010625 00000 n 0000018052 00000 n 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) 0000009953 00000 n Bywater has partnered with EHCS to provide your diabetes supplies. 0000026709 00000 n Im excited to start 2022 with Bywater and Veracity!! Our office staff will happily verify your insurance benefit. 0000025529 00000 n Read full disclaimer. 0000027529 00000 n 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. Thank you for helping me lay this out in the correct fashion and report to my client with good info! Cigna login/register. Refer to your official plan documents for the name of the company that insures or administers your specific insurance policy or benefit plan. 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. A broad portfolio of modular, flexible health products and services. Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. The list is very long, but not limited to: CA - Cigna HealthCare of California, Inc.1. Please enter your user id and password. 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. Please Contact us at310-825-7163. 0000008700 00000 n 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. 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. 0000027330 00000 n 0000004618 00000 n 94 50 0000000016 00000 n In North Carolina, patient care services for worksite health and wellness centers are provided by Cigna HealthCare of North Carolina, Inc. Suite 200 Life threatening cardio-pulmonary problems, (for example, severe obstructive sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy). Here are the plans Lovelace Medical Group accepts. It may not be complete. 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. They made me go through an entire appeal process to let them know I was not IN the hospital but referred there by my PCP simply to get an X-ray. Please email us atContactUs@myEHCS.com. What a bunch of b.s. About Your Insurance Presbyterian Hospital accepts most major insurance, including Medicare, Medicaid, and Presbyterian Health Plan. I strongly recommend going with a different insurance company. Were committed to helping you manage your health plan efficiently, with best-in-class service no matter your group size. To use the Claims Guest Access portal, go to kp.org/providers and select the members KP region. 0000027895 00000 n K`|1/I?8u/*bo>$C CT - Cigna HealthCare of Connecticut, Inc. IL - Cigna HealthCare of Illinois, Inc. and Cigna HealthCare of St. Louis, Inc. Get employees on board faster with Bywaters plan document, created with the employer and employees needs in mind. Features available are based on the coverage you have with Cigna. Bywater has partnered with EHCS to provide your diabetes supplies. 0000007280 00000 n 0000013474 00000 n ", "I love that Bywater is a TPA willing to meet the needs of our businesses with smaller employee populations. Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. 0000401390 00000 n We offer multiple networks and Pharmacy Benefit Managers (PBMs) to meet your unique needs. Try looking up a doctor, a clinic location, or information about a condition/treatment. No vision or dental offered. endstream endobj startxref More than just a health insurance company, Cigna is a global health service company--dedicated to helping the . Worst company ever. Hopefully some will be easier. hbbd```b`` A$+-"VHr0;L See monthly claims data trends and take steps to reduce costs and optimize plan utilization as necessary. We partner with you year-round, integrating our proprietary technology with attentive service and programs that help you meet your business needs and objectives. 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. 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. trailer To request precertification, use the contact information below or visit the website for next steps. 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. The individual must have actively participated in the program for at least 3-6 months; Pre-operative nutritional counseling with a Registered Dietitian; United Health Care (UHC) Optum Center of Excellence Network (COE), Blue Cross Blue Shield Bariatric Resource Service (BRS). ", My Account Manager is responsive. Theyre on your side when it comes to questions on claims, renewals, vendor implementation, and more. 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. Enroll Today for Fast, No Hassle Processing of Your Diabetes Supplies. tbc@bywater.com. hb``c``:pDAb@qa 1Fv>`hpb83+Z ii Du1h}aZxK1Ag jx8/G80=`y 4Z[lgUhP u G@;O]fc`He` )$ 0000005737 00000 n Bywater members use Cigna's network of providers, with their health benefits plan administered by Bywater. 0000393640 00000 n ", "I appreciate your responsiveness and really looking forward to our partnership with Bywater in 2022 ", "You are setting the bar pretty high at Bywater!!! %PDF-1.6 % We help employers manage their health plans with ease, ensuring your employees are using their benefits optimally. Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. hb``b````e` @16zGm`!1l{E=>xmX01)0;w024`4oPp`bbs`fbI0r. I have wasted hours & hours on the phone with their customer service trying to make sense of their EOBs. 201. They do not help you in any way. Cigna Collaborative Care Listing Home Delivery Medical Supplies and Services Lifesource Organ Transplant Network Multiplan (Out-of-Network) Directory Payer Solutions Shared Administration Repricing (SAR) Choosing Wisely State of Vermont: Annual Hospital Report Cards Dental Dental PPO SA Plus or Dental PPO SA Directory Radius Dental Directory Phone: 800-992-8088; Email: info@cwibenefits.com; Find us on: Facebook page opens in new window Twitter page opens in new window Linkedin page opens in new window. 0000025709 00000 n 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. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. The myCigna app gives you a new and improved way to easily access your important health information. At UCLAs Bariatric Surgery Program, we accept most of PPO insurance policies and select HMO policies with an authorization from your Primary Care Provider. 24 hours a day, 365 days a year. The worst, most painful experience of my life! - Randomly rejecting claims, even the recurring treatments, or COVID tests after exposure!! Once again, Bywater gives you the run around, connecting you to person to person. 0000005821 00000 n Current and former employees report that ByWater Solutions provides the following benefits. If you are a participant please call 800.992.8088 or email customerservice@cwibenefits.com. Then they say your not covered for that! Cigna Onsite Heath, LLC provides management services to worksite health and wellness centers in Michigan, Minnesota, New Jersey, and North Carolina. 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. This website is not intended for residents of New Mexico. Call 1 (800) 88CIGNA (882-4462). However, it is important to check with our office to ensure your health policy covers your weight loss surgery procedure. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, and not by Cigna Corporation. Bywater provides employee benefits and group health insurance to small to mid size employers in the Cleveland-Elyria, OH Metro Area. The customer service representative was very knowledgeable about my health plan which helped a lot ! Your response will be removed from the review this cannot be undone. 0 0000027651 00000 n In California, CWIBenefits, LLC does business as CWIBenefits Insurance Services (as agency) and CWIBenefits Administrator (as TPA). Delivering value for Third Party Administrators. Lovelace Health System accepts most major insurance plans so you can access all of our hospitals, health care centers and providers. Learn How to State Your Case and Earn Your Raise, Climb the Ladder With These Proven Promotion Tips. View Top 10 List What's Included with Cigna? 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