They also don't know how to process claims. 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. hb``b````e` @16zGm`!1l{E=>xmX01)0;w024`4oPp`bbs`fbI0r. show more Find the Cheapest Insurance Type Expect a dedicated point of contact for customer service, who streamlines communication and provides you and your members with personal, knowledgeable support. For questions, please call 505.727.2727. 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). Serving Central Florida for over 45 years, our services include landlord/tenant representation, owner/seller . 0000027651 00000 n
Cigna login/register. Bywater provides employee benefits and group health insurance to small to mid size employers in the Cleveland-Elyria, OH Metro Area. %PDF-1.6
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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 Get tools and flyers to share with your clients. It may not be complete. CA - Cigna HealthCare of California, Inc.1. We help increase your productivity and efficiency by providing friendly, expert, and data-driven administrative services to your employee health benefits plan. 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. What is up with that? 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. Health coverage is provided subject to any deductibles, co-payment, or coinsurance provisions. 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. %PDF-1.4
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Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. *Weight loss results can vary depending on the individual. To learn more, call 310-825-7163. 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. Benefits are generous and internet and phone are paid. 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. Accidental injury, critical illness, and hospital care. They don't know what they are doing. Please enter your user id and password. You can be ready to go in as little as 30 days from your initial implementation call! 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. I could go on but I will suffice it to say to not use this company. 0000011937 00000 n
Hopefully some will be easier. 0000397752 00000 n
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Please Contact us at 310-825-7163. 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). 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. Our office staff will happily verify your insurance benefit. 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). 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 trailer
Thank you for helping me lay this out in the correct fashion and report to my client with good info! Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C. CIGNA ID cards will continue to show the Scranton, PA address for claims and correspondence submission until they are updated throughout 2011. tbc@bywater.com. No vision or dental offered. Phone Number. They are no help whatsoever. Try looking up a doctor, a clinic location, or information about a condition/treatment. 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. 0000014378 00000 n
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Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. 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. 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) 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. Why Choose Bywater? They do not help you in any way. Meet Bywater. 0000009953 00000 n
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. 331 0 obj
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Bywater has partnered with EHCS to provide your diabetes supplies. 0000028201 00000 n
to be added in. 0000005623 00000 n
See monthly claims data trends and take steps to reduce costs and optimize plan utilization as necessary. 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. A broad portfolio of modular, flexible health products and services. 0000001617 00000 n
For example, they left me a $500 copay stating my X-ray taken at the hospital was for an outpatient hospital stay. Thank you. 201. PO Box 182223. that insure or administer group HMO, dental HMO, and other products or services in your state). xref
Orlando, FL 32801 For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. Bywaters mission is to deliver our customers the best experience possible. The list is very long, but not limited to: We partner with you year-round, integrating our proprietary technology with attentive service and programs that help you meet your business needs and objectives. 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. 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. In California, CWIBenefits, LLC does business as CWIBenefits Insurance Services (as agency) and CWIBenefits Administrator (as TPA). Access Your Member Portal at https://bywater.vbagateway.com today! Glassdoor is your resource for information about ByWater Solutions benefits and perks. 0000028053 00000 n
Bywater has partnered with EHCS to provide your diabetes supplies. Complete the form below to enroll and get your eligible diabetes supplies shipped direct to your door. - 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. 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. Some employers demand a higher level of customization and flexibility that aligns with the capabilities of a Third Party Administrator (TPA). 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. endstream
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Make an appointment with Alexandrina Saulis, MD at AdventHealth now, find contact information and more. Theyre on your side when it comes to questions on claims, renewals, vendor implementation, and more. 0000027001 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. 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. Delivering value for Third Party Administrators. Evernorth Care Group is the group medical practice division of Cigna HealthCare of Arizona, Inc. 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. More than just a health insurance company, Cigna is a global health service company--dedicated to helping the . With easy one-touch secure sign on, you can access your digital ID cards, manage your health information, update your profile, and more. 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. Switching to a self-funded plan is easier when you have a trusted partner to help guide you. Still have questions? Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. Get employees on board faster with Bywaters plan document, created with the employer and employees needs in mind. Life threatening cardio-pulmonary problems, (for example, severe obstructive sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy). Cigna may not control the content or links of non-Cigna websites. 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. 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. Cigna Onsite Heath, LLC provides management services to worksite health and wellness centers in Michigan, Minnesota, New Jersey, and North Carolina. Joe Doremus, All American Boulevard Warehouses. 0000001787 00000 n
Our personalized customer service, simplified ordering process and post shipment compliance program ensures you have your diabetes supplies on-time, every time! 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. If you have specific questions regarding your health insurance policy, please contact our office at310-825-7163, option 2. Our team always puts the customer first. CareAlliesProvider Collaboration Solutions. 0000005576 00000 n
It has been great working with you and I look forward to doing more of these. Chattanooga, TN 37422-7223. We are dedicated to providing the most effective . Start getting your eligible supplies today by enrolling below. Our network solutions help TPAs deliver what companies and employees need most in health care: quality and lower costs. 0000027529 00000 n
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View our Digital Toolkit for more information about our solutions available to TPAs. K`|1/I?8u/*bo>$C They are partner in total health and wellness and are there for customers 24/7 - caring for their body and mind. Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. 0000025585 00000 n
You are always responsive and helpful. 5Cigna Dental Health, Inc. provides network management and other administrative services for Cigna Dental plans. For support, please emailsupport@choosebywater.comor call800.337.0792to contact customer service if you have any questions. For general inquiries, please complete the form here to learn more. Were committed to helping you manage your health plan efficiently, with best-in-class service no matter your group size. Product availability may vary by location and product type and is subject to change. Request Information. IL - Cigna Dental Health of Kentucky, Inc. KY - Cigna Dental Health of Kentucky, Inc. MD - Cigna Dental Health of Maryland, Inc. MO - Cigna Dental Health of Missouri, Inc. NC - Cigna Dental Health of North Carolina, Inc. NJ - Cigna Dental Health of New Jersey, Inc. PA - Cigna Dental Health of Pennsylvania, Inc. VA - Cigna Dental Health of Virginia, Inc. Bywater provides employee benefits and group health insurance to small to mid size employers in the Cleveland-Elyria, OH Metro Area. 0000027895 00000 n
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We offer multiple networks and Pharmacy Benefit Managers (PBMs) to meet your unique needs. What a bunch of b.s. 278 0 obj
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They are more than a company, they are a friend, and they make sure you are taken care of, they make sure your needs on the real estate side or the management side are taken care of and theyre always there to help you. 7In Virginia, worksite health and wellness centers are provided by Cigna Health and Life Insurance Company. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. Here are the plans Lovelace Medical Group accepts. Participation in a weight loss program. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. You and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. 105 E Robinson Street "I havent had a chance to tell you thank you for all your efforts. This website is not intended for residents of New Mexico. 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. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. Your response will be removed from the review this cannot be undone. There is no guarantee of specific results. CWIBenefits, LLC (CWI), is a Full Service Benefits Administrator, founded 30 years ago as a claims payment software vendor. . All insurance policies and group benefit plans contain exclusions and limitations. Details. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. 0000001945 00000 n
Our office staff will happily verify your insurance benefit. ", My Account Manager is responsive. 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. 15422 Detroit Avenue, Lakewood, Ohio 44107 P . a listing of the legal entities We have paid out more money ourselves than the insurance has. 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 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. For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. - Delayed response to providers (some claims were processed 6 months after submission); Bywater members use Cigna's network of providers, with their health benefits plan administered by Bywater. Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. Our team of experts is laser-focused on your success. 0000009397 00000 n
The fact I had to explain that to them was completely ridiculous. b\e1*O?;c;>y
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that insure or administer group HMO, dental HMO, and other products or services in your state). Worst insurance ever!!! 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. 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. If you have questions about coverage, payment plans, or financial assistance, please contact your insurance provider or our business office. This means you have access to Cigna's In-Network providers and . Bywater's mission is to deliver our customers the best experience possible. No vision or dental offered. Please Contact us at310-825-7163. In New Jersey, patient care services for worksite health and wellness centers are provided by Alegis Care, New Jersey, P.C. 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. Bywater has been a nightmare to deal with. This company also offers dental services, voluntary benefits, and accident insurance. Enroll Today for Fast, No Hassle Processing of Your Diabetes Supplies. 0000010625 00000 n
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Self-Funding Captive ", "I love that Bywater is a TPA willing to meet the needs of our businesses with smaller employee populations. 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. 0000007851 00000 n
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Inpatient care 100% in-network preventive care coverage View Top 10 List What's Included with Cigna? 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. Kaiser Permanente also offers a dedicated phone line for Cigna PPO providers only for preauthorization questions - 888-831-0761. 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_6c${NVXd}=y2zR|2^ r];:Ml&;`V~D5;iKG`%d~HPZMcZ(h&juR
%'e,jkD!X\1@ 1. a listing of the legal entities Together, we can build a solution that's right for your clients. The legal entity insuring or administering any specific product may vary. 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. However, it is important to check with our office to ensure your health policy covers your weight loss surgery procedure. They then left my ultrasound copay instead. 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. 0000005737 00000 n
Bywater is a third-party administrator (TPA) of self-funded health insurance. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. 0000393640 00000 n
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. 6Cigna Dental Health of Florida, Inc. is a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes. Plans come with $0 virtual care and $0 preventive care Financial assistance available, if you qualify Additional coverage for diabetes and asthma/COPD, if needed Available for shopping during Open Enrollment (Nov 1-Dec 15, in most states) See what Cigna offers Bywater acted as a true partner, which made the process a little easier for us to keep up with., "You guys really rocked this installation. hZn> Z,Y( B>"I(urHY*UY+;UeC+T]*hhsU72oreCg*8UH\paV3&3!&T1X%0IU Dental Claims. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Helpful. For more information, emailCignaPayerSolutions@cigna.comor call . HuQi R`rrgh|`H@,&F`@
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If you are a participant please call 800.992.8088 or email customerservice@cwibenefits.com. 2023 CWI Benefits, LLC All rights reserved. I have wasted hours & hours on the phone with their customer service trying to make sense of their EOBs. Hiring The Bywater Company has turned out to be a super investment, as well as a pain-free, no headaches to me type of situation and relationship. Report. 0000401390 00000 n
Benefits information above is provided anonymously by current and former ByWater Solutions employees, and may include a summary provided by the employer. startxref
They do offer a decent 401k package but their health insurance is not the best. ", For Member/Provider Customer Service, please call. To use the Claims Guest Access portal, go to kp.org/providers and select the members KP region. The Bywater Company is a full-service commercial real estate firm specializing in brokerage, consulting, development, and property management in the office, medical, industrial, and land sectors. hbbd```b`` A$+-"VHr0;L jerej Jn Schedule Consultation Schedule Consultation Contact Info Visit Website Address Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. I find Bill Bywater to have high integrity, hes part of the local community, his roots are here, and he hires great people. 0000004618 00000 n
Bywater's mission is to fully integrate with advisors and captive managers of choice while delivering the high . The worst insurance my husband's company has ever had, my husband needs to get a CT scan done Monday and they denied it!! Current and former employees report that ByWater Solutions provides the following benefits. As strategic relationship managers, we work together collaboratively to achieve our mutual objective quality, affordable care. Then they say your not covered for that! Controlling costs, improving employee health, and personalized service are just a few of the ways we can help your organization thrive. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions.