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. Make an appointment with Alexandrina Saulis, MD at AdventHealth now, find contact information and more. 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. Bywater is a third-party administrator (TPA) of self-funded health insurance. 278 0 obj <> endobj Expect a dedicated point of contact for customer service, who streamlines communication and provides you and your members with personal, knowledgeable support. They do not help you in any way. In California, CWIBenefits, LLC does business as CWIBenefits Insurance Services (as agency) and CWIBenefits Administrator (as TPA). Worst company ever. CWIBenefits, LLC (CWI), is a Full Service Benefits Administrator, founded 30 years ago as a claims payment software vendor. a listing of the legal entities 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. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. 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. Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. Our office staff will happily verify your insurance benefit. Copyright 20082023, Glassdoor, Inc. "Glassdoor" and logo are registered trademarks of Glassdoor, Inc. They state this is "normal" but I've never had this issue with any insurance company before this one. 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. Thank you for helping me lay this out in the correct fashion and report to my client with good info! 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. 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. This website is not intended for residents of New Mexico. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 331 0 obj <>stream Switching to a self-funded plan is easier when you have a trusted partner to help guide you. 0000001617 00000 n There is no guarantee of specific results. They are no help whatsoever. Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. Call 1 (800) 88CIGNA (882-4462). Cigna. Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. Start getting your eligible supplies today by enrolling below. 0000008700 00000 n Joe Doremus, All American Boulevard Warehouses. Try looking up a doctor, a clinic location, or information about a condition/treatment. 0000006718 00000 n For questions, please call 505.727.2727. CIGNA First Health * Additional networks expected . Rates may vary and are subject to change. 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# : + 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. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. They also don't know how to process claims. CO - Cigna Dental Health of Colorado, Inc. DE - Cigna Dental Health of Delaware, Inc. FL - Cigna Dental Health of Florida, Inc.6. For general inquiries, please complete the form here to learn more. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Our network solutions help TPAs deliver what companies and employees need most in health care: quality and lower costs. 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. 0000025585 00000 n Details. show more Find the Cheapest Insurance Type a listing of the legal entities 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. They do offer a decent 401k package but their health insurance is not the best. Get tools and flyers to share with your clients. Thanks again. 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. 0000018052 00000 n 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. Cigna offers quality plan options, personalized support, and low costs. 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. trailer hb``b````e` @16zGm`!1l{E=>xmX01)0;w024`4oPp`bbs`fbI0r. ", "I appreciate your responsiveness and really looking forward to our partnership with Bywater in 2022 ", "You are setting the bar pretty high at Bywater!!! Delivering value for Third Party Administrators. 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). We have referred them to other property owners and will continue to do so. ", "I love that Bywater is a TPA willing to meet the needs of our businesses with smaller employee populations. . Benefits are generous and internet and phone are paid. 0000013170 00000 n %%EOF All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, and not by Cigna Corporation. jerej Jn Schedule Consultation Schedule Consultation Contact Info Visit Website Address 0000000016 00000 n endstream endobj 279 0 obj <>/Metadata 20 0 R/Pages 276 0 R/StructTreeRoot 43 0 R/Type/Catalog/ViewerPreferences<>>> endobj 280 0 obj <>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 281 0 obj <>stream I strongly recommend going with a different insurance company. View Top 10 List What's Included with Cigna? 105 E Robinson Street 0000013474 00000 n 0000007851 00000 n as usual! Learn How to State Your Case and Earn Your Raise, Climb the Ladder With These Proven Promotion Tips. Worst insurance ever!!! For more information, emailCignaPayerSolutions@cigna.comor call . 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. Current and former employees report that ByWater Solutions provides the following benefits. to be added in. 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. K`|1/I?8u/*bo>$C 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. 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. If you have specific questions regarding your health insurance policy, please contact our office at310-825-7163, option 2. Benefits information above is provided anonymously by current and former ByWater Solutions employees, and may include a summary provided by the employer. 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. For a physician referral, please call (800) UCLA-MD1(825-2631). Serving Central Florida for over 45 years, our services include landlord/tenant representation, owner/seller . 5Cigna Dental Health, Inc. provides network management and other administrative services for Cigna Dental plans. Bywater has partnered with EHCS to provide your diabetes supplies. The myCigna app gives you a new and improved way to easily access your important health information. Chattanooga, TN 37422-7223. The fact I had to explain that to them was completely ridiculous. To use the Claims Guest Access portal, go to kp.org/providers and select the members KP region. We partner with you year-round, integrating our proprietary technology with attentive service and programs that help you meet your business needs and objectives. We offer multiple networks and Pharmacy Benefit Managers (PBMs) to meet your unique needs. that insure or administer group HMO, dental HMO, and other products or services in your state). A broad portfolio of modular, flexible health products and services. Health coverage is provided subject to any deductibles, co-payment, or coinsurance provisions. CareAlliesProvider Collaboration Solutions. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Bywater 2023 | Bywater is a third-party administrator managed by Roundstone Insurance. Participation in a weight loss program. hb``c``:pDAb@qa 1Fv>`hpb83+Z ii Du1h}aZxK1Ag jx8/G80=`y 4Z[lgUhP u G@;O]fc`He` )$ Our team of experts is laser-focused on your success. that insure or administer group HMO, dental HMO, and other products or services in your state). ", For Member/Provider Customer Service, please call. Features available are based on the coverage you have with Cigna. 0000009953 00000 n Theyre on your side when it comes to questions on claims, renewals, vendor implementation, and more. 0 Why Choose Bywater? For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. You can be ready to go in as little as 30 days from your initial implementation call! As a global health service company, Cigna's mission is to improve the health, well-being, and peace of mind of those they serve by making health. Bywater's mission is to deliver our customers the best experience possible. 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) Helpful. 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. Cigna Onsite Heath, LLC provides management services to worksite health and wellness centers in Michigan, Minnesota, New Jersey, and North Carolina. 24 hours a day, 365 days a year. CT - Cigna HealthCare of Connecticut, Inc. IL - Cigna HealthCare of Illinois, Inc. and Cigna HealthCare of St. Louis, Inc. We are dedicated to providing the most effective . Life threatening cardio-pulmonary problems, (for example, severe obstructive sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy). Our personalized customer service, simplified ordering process and post shipment compliance program ensures you have your diabetes supplies on-time, every time! For example, they left me a $500 copay stating my X-ray taken at the hospital was for an outpatient hospital stay. 0000401390 00000 n 94 50 If you have questions about coverage, payment plans, or financial assistance, please contact your insurance provider or our business office. 0000005737 00000 n 0000028532 00000 n Selected insurance that we accept are noted below. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. To learn more, call 310-825-7163. Please enter your user id and password. From our first introductions through annual renewals, and every step in between, you can expect attentive, personal care and clear communication from your Bywater Team. View our Digital Toolkit for more information about our solutions available to TPAs. ", "You guys are all AWESOME. Product availability may vary by location and product type and is subject to change. 0000005576 00000 n You must be a Cigna customer to use the secure myCigna mobile app. No vision or dental offered. Serving Central Florida Since 1977. 0000014090 00000 n 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. Meet Bywater. Cigna. 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. Bywater members use Cigna's network of providers, with their health benefits plan administered by Bywater. For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. More than just a health insurance company, Cigna is a global health service company--dedicated to helping the . If you are a participant please call 800.992.8088 or email customerservice@cwibenefits.com. "I havent had a chance to tell you thank you for all your efforts. 0000022230 00000 n Im excited to start 2022 with Bywater and Veracity!! hZn> Z,Y( B>"I(urHY*UY+;UeC+T]*hhsU72oreCg*8UH\paV3&3!&T1X%0IU Refer to your official plan documents for the name of the company that insures or administers your specific insurance policy or benefit plan. Benefits are generous and internet and phone are paid. Bywater's mission is to fully integrate with advisors and captive managers of choice while delivering the high . Access Your Member Portal at https://bywater.vbagateway.com today! 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. 0000027529 00000 n 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). 0000011937 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. Together, we can build a solution that's right for your clients. Our bariatric surgeons use a range of treatments to help you reach weight loss goals and optimize your health. Were committed to helping you manage your health plan efficiently, with best-in-class service no matter your group size. 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. Bywater provides employee benefits and group health insurance to small to mid size employers in the Cleveland-Elyria, OH Metro Area. tbc@bywater.com. 0000004618 00000 n Your third-party administrator (TPA) services should work seamlessly with all of your health insurance partners. 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. 0000010625 00000 n The worst, most painful experience of my life! 94 0 obj <> endobj hbbd```b`` A$+-"VHr0;L 0000050665 00000 n *Weight loss results can vary depending on the individual. Once again, Bywater gives you the run around, connecting you to person to person. Their accounting department is fabulous. It has been great working with you and I look forward to doing more of these. So fast. For other questions regarding eligibility and coverage of services, please contact your health plan representative. 0000027330 00000 n - Unresponsive, confusing processes even for their own customer service reps; Customer service was prompt in answering my call and also resolving the problem I had with a provider. Cigna may not control the content or links of non-Cigna websites. Request Information. Inpatient care 100% in-network preventive care coverage Cigna may not control the content or links of non-Cigna websites. However, it is important to check with our office to ensure your health policy covers your weight loss surgery procedure. - Delayed response to providers (some claims were processed 6 months after submission); 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. Bywaters mission is to deliver our customers the best experience possible. 0000011061 00000 n CIGNA ID cards will continue to show the Scranton, PA address for claims and correspondence submission until they are updated throughout 2011. I could go on but I will suffice it to say to not use this company. 0000007280 00000 n 6Cigna Dental Health of Florida, Inc. is a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes. 0000012607 00000 n Here are the plans Lovelace Medical Group accepts. 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. Glassdoor is your resource for information about ByWater Solutions benefits and perks. As the trusted service and benefits technology platform of Employers, Health Plans, and Benefits Administrators, CWI has evolved to be a TPA, data integrator, and Software-as-a-Service vendor. Read more on your rights and protections against surprise medical bills here. Bywater has been a nightmare to deal with. 0000027895 00000 n 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. 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 xref At UCLAs Bariatric Surgery Program, we accept most of PPO insurance policies and select HMO policies with an authorization from your Primary Care Provider. 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. 201. 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. Bywater has partnered with EHCS to provide your diabetes supplies. No vision or dental offered. Former Employee. 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 Lovelace Health System accepts most major insurance plans so you can access all of our hospitals, health care centers and providers. On the home page, look for View claim status as a guest user under the Quick Links section. Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. Whether it is claims processing, enrollment, workers compensation or HR data management, we will continue to help meet your benefit plan administration needs. For additional plan disclosures that may be applicable to your plan or state, please view our Product Disclosures. Some employers demand a higher level of customization and flexibility that aligns with the capabilities of a Third Party Administrator (TPA). In California, CWIBenefits, LLC does business as CWIBenefits Insurance Services (as agency) and CWIBenefits Administrator (as TPA). 0000006808 00000 n In North Carolina, patient care services for worksite health and wellness centers are provided by Cigna HealthCare of North Carolina, Inc. 0000006225 00000 n 0 Evernorth Care Group is the group medical practice division of Cigna HealthCare of Arizona, Inc. 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 provides employee benefits and group health insurance to small to mid size employers in the Cleveland-Elyria, OH Metro Area. You are always responsive and helpful. %PDF-1.4 % 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 strategic relationship managers, we work together collaboratively to achieve our mutual objective quality, affordable care. What a bunch of b.s. 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. - Randomly rejecting claims, even the recurring treatments, or COVID tests after exposure!! We help increase your productivity and efficiency by providing friendly, expert, and data-driven administrative services to your employee health benefits plan. Cigna/GreatWest: 1-800-244-6224: www.cigna.com: Clear Spring Healthcare: 1-877-364-4566: www . 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 About Your Insurance Presbyterian Hospital accepts most major insurance, including Medicare, Medicaid, and Presbyterian Health Plan. 0000001296 00000 n Get employees on board faster with Bywaters plan document, created with the employer and employees needs in mind. In jurisdictions outside the USA and Canada, products and services are offered by or through Cigna Global Insurance Company Ltd. or affiliates and contracted companies. 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. 2023 CWI Benefits, LLC All rights reserved. Read full disclaimer. 143 0 obj <>stream 0000001945 00000 n 7In Virginia, worksite health and wellness centers are provided by Cigna Health and Life Insurance Company.
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