Helpful. %%EOF 0000025709 00000 n 8. 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. Bywater's mission is to fully integrate with advisors and captive managers of choice while delivering the high . Read full disclaimer. Delivering value for Third Party Administrators. All insurance policies and group benefit plans contain exclusions and limitations. 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. On the home page, look for View claim status as a guest user under the Quick Links section. 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. This website is not intended for residents of New Mexico. This information was provided by Mployer Advisor. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, and not by Cigna Corporation. Why Choose Bywater? 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. 331 0 obj <>stream You are always responsive and helpful. 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. Benefits information above is provided anonymously by current and former ByWater Solutions employees, and may include a summary provided by the employer. 6Cigna Dental Health of Florida, Inc. is a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes. They do not help you in any way. 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 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 If you are a participant please call 800.992.8088 or email customerservice@cwibenefits.com. 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. Please Contact us at310-825-7163. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Thanks again. Refer to your official plan documents for the name of the company that insures or administers your specific insurance policy or benefit plan. endstream endobj startxref In California, CWIBenefits, LLC does business as CWIBenefits Insurance Services (as agency) and CWIBenefits Administrator (as TPA). CWIBenefits, LLC (CWI), is a Full Service Benefits Administrator, founded 30 years ago as a claims payment software vendor. 0000011464 00000 n 201. Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. ", "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 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. Make an appointment with Alexandrina Saulis, MD at AdventHealth now, find contact information and more. CIGNA ID cards will continue to show the Scranton, PA address for claims and correspondence submission until they are updated throughout 2011. For additional plan disclosures that may be applicable to your plan or state, please view our Product Disclosures. CIGNA First Health * Additional networks expected . Access Your Member Portal at https://bywater.vbagateway.com today! See monthly claims data trends and take steps to reduce costs and optimize plan utilization as necessary. 0000009953 00000 n 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. 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. 0000028532 00000 n 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 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 state this is "normal" but I've never had this issue with any insurance company before this one. Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. To use the Claims Guest Access portal, go to kp.org/providers and select the members KP region. You must be a Cigna customer to use the secure myCigna mobile app. Features available are based on the coverage you have with Cigna. 0000005576 00000 n hZn> Z,Y( B>"I(urHY*UY+;UeC+T]*hhsU72oreCg*8UH\paV3&3!&T1X%0IU As strategic relationship managers, we work together collaboratively to achieve our mutual objective quality, affordable care. ", My Account Manager is responsive. tbc@bywater.com. 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. Thank you. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. CWIBenefits, LLC (CWI), is a technology based Third Party Administrator (TPA), offering total benefits administration services and data management. Controlling costs, improving employee health, and personalized service are just a few of the ways we can help your organization thrive. Theyre on your side when it comes to questions on claims, renewals, vendor implementation, and more. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. 0 %PDF-1.6 % 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. Selected insurance that we accept are noted below. For example, they left me a $500 copay stating my X-ray taken at the hospital was for an outpatient hospital stay. 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. Lovelace Health System accepts most major insurance plans so you can access all of our hospitals, health care centers and providers. View Top 10 List What's Included with Cigna? We believe that they are an excellent company. The legal entity insuring or administering any specific product may vary. The list is very long, but not limited to: Bywater's mission is to deliver our customers the best experience possible. 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. IN - Cigna HealthCare of Indiana, Inc. and Cigna HealthCare of Illinois, Inc. MO - Cigna HealthCare of St. Louis, Inc. and Cigna HealthCare of Tennessee, Inc. NC - Cigna HealthCare of North Carolina, Inc. NJ - Cigna HealthCare of New Jersey, Inc. SC - Cigna HealthCare of South Carolina, Inc. 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). 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 The worst insurance my husband's company has ever had, my husband needs to get a CT scan done Monday and they denied it!! 0000007280 00000 n 0000010625 00000 n Rates may vary and are subject to change. Call 1 (800) 88CIGNA (882-4462). 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. 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) Worst company ever. Our team always puts the customer first. 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. 0000027330 00000 n 0000011061 00000 n Then they say your not covered for that! Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. 0000025529 00000 n For general inquiries, please complete the form here to learn more. 0000006225 00000 n For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. 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. startxref Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. 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 Copyright 20082023, Glassdoor, Inc. "Glassdoor" and logo are registered trademarks of Glassdoor, Inc. . 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. provider has your correct Bywater Insurance information. 0000027408 00000 n Your response will be removed from the review this cannot be undone. No vision or dental offered. 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. 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. - Delayed response to providers (some claims were processed 6 months after submission); In California, Network plans are offered by Cigna HealthCare of California, Inc. Cigna Behavioral Health, Inc. and Cigna Behavioral Health of California, Inc.1. So fast. Cigna is a health and wellness company which specializes in fitness programs, individual private medical insurance and global health benefits. as usual! a listing of the legal entities 0000004618 00000 n It has been great working with you and I look forward to doing more of these. Details. Read more on your rights and protections against surprise medical bills here. 2023 CWI Benefits, LLC All rights reserved. The myCigna app gives you a new and improved way to easily access your important health information. 0000025585 00000 n Here are the plans Lovelace Medical Group accepts. Self-Funding Captive a listing of the legal entities If you have specific questions regarding your health insurance policy, please contact our office at310-825-7163, option 2. Cigna Onsite Heath, LLC provides management services to worksite health and wellness centers in Michigan, Minnesota, New Jersey, and North Carolina. 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. 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. I strongly recommend going with a different insurance company. Suite 200 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 Their accounting department is fabulous. 94 50 We partner with you year-round, integrating our proprietary technology with attentive service and programs that help you meet your business needs and objectives. 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 Some employers demand a higher level of customization and flexibility that aligns with the capabilities of a Third Party Administrator (TPA). Please Contact us at 310-825-7163. %%EOF Bywater has partnered with EHCS to provide your diabetes supplies. 0000001787 00000 n No vision or dental offered. With easy one-touch secure sign on, you can access your digital ID cards, manage your health information, update your profile, and more. 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 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. Product availability may vary by location and product type and is subject to change. 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. 1 (800) 244-6224. Please email us atContactUs@myEHCS.com. Dental Claims. 0000012607 00000 n Serving Central Florida for over 45 years, our services include landlord/tenant representation, owner/seller . 278 0 obj <> endobj I have wasted hours & hours on the phone with their customer service trying to make sense of their EOBs. Bywater members use Cigna's network of providers, with their health benefits plan administered by Bywater. . 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. 0000402434 00000 n Whether it is claims processing, enrollment, workers compensation or HR data management, we will continue to help meet your benefit plan administration needs. Life threatening cardio-pulmonary problems, (for example, severe obstructive sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy). However, it is important to check with our office to ensure your health policy covers your weight loss surgery procedure. Try looking up a doctor, a clinic location, or information about a condition/treatment. At UCLAs Bariatric Surgery Program, we accept most of PPO insurance policies and select HMO policies with an authorization from your Primary Care Provider. Kaiser Permanente also offers a dedicated phone line for Cigna PPO providers only for preauthorization questions - 888-831-0761. Once again, Bywater gives you the run around, connecting you to person to person. CT - Cigna HealthCare of Connecticut, Inc. IL - Cigna HealthCare of Illinois, Inc. and Cigna HealthCare of St. Louis, Inc. hb``b````e` @16zGm`!1l{E=>xmX01)0;w024`4oPp`bbs`fbI0r. Our network solutions help TPAs deliver what companies and employees need most in health care: quality and lower costs. CA - Cigna HealthCare of California, Inc.1. Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Meet Bywater. Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. Cigna is more than a health insurance company. We have referred them to other property owners and will continue to do so. 15422 Detroit Avenue, Lakewood, Ohio 44107 P . 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). 0000006808 00000 n that insure or administer group HMO, dental HMO, and other products or services in your state). Bywater provides employee benefits and group health insurance to small to mid size employers in the Cleveland-Elyria, OH Metro Area. 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. For a physician referral, please call (800) UCLA-MD1(825-2631). 24 hours a day, 365 days a year. 0000008700 00000 n 0000014378 00000 n jerej Jn Schedule Consultation Schedule Consultation Contact Info Visit Website Address 0000005821 00000 n Medical Claims. For questions, please call 505.727.2727. Cigna/GreatWest: 1-800-244-6224: www.cigna.com: Clear Spring Healthcare: 1-877-364-4566: www . In North Carolina, patient care services for worksite health and wellness centers are provided by Cigna HealthCare of North Carolina, Inc. 0000027895 00000 n Cigna offers quality plan options, personalized support, and low costs. You can be ready to go in as little as 30 days from your initial implementation call! 0000027001 00000 n They do offer a decent 401k package but their health insurance is not the best. 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. %PDF-1.4 % Participation in a weight loss program. We offer multiple networks and Pharmacy Benefit Managers (PBMs) to meet your unique needs. 0000395696 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. 5Cigna Dental Health, Inc. provides network management and other administrative services for Cigna Dental plans. What a bunch of b.s. This means you have access to Cigna's In-Network providers and . Thank you for helping me lay this out in the correct fashion and report to my client with good info! Your third-party administrator (TPA) services should work seamlessly with all of your health insurance partners. - 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. 94 0 obj <> endobj 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. HuQi R`rrgh|`H@,&F`@ 0000022230 00000 n 0000011937 00000 n 0000014090 00000 n Bywater provides employee benefits and group health insurance to small to mid size employers in the Cleveland-Elyria, OH Metro Area. For other questions regarding eligibility and coverage of services, please contact your health plan representative. 0000013474 00000 n 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. Our bariatric surgeons use a range of treatments to help you reach weight loss goals and optimize your health. Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C. All insurance policies and group benefit plans contain exclusions and limitations. A broad portfolio of modular, flexible health products and services. They are no help whatsoever. To learn more, call 310-825-7163. 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). 0000001296 00000 n Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. Worst insurance ever!!! that insure or administer group HMO, dental HMO, and other products or services in your state). Serving Central Florida Since 1977. In California, CWIBenefits, LLC does business as CWIBenefits Insurance Services (as agency) and CWIBenefits Administrator (as TPA). Our office staff will happily verify your insurance benefit. 0000401390 00000 n More than just a health insurance company, Cigna is a global health service company--dedicated to helping the . Inpatient care 100% in-network preventive care coverage *Weight loss results can vary depending on the individual. Request Information. They do offer a decent 401k package but their health insurance is not the best. We help increase your productivity and efficiency by providing friendly, expert, and data-driven administrative services to your employee health benefits plan. 0000005049 00000 n Cigna. ", "I love that Bywater is a TPA willing to meet the needs of our businesses with smaller employee populations. I could go on but I will suffice it to say to not use this company. 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. Bywater has been a nightmare to deal with. 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# : + 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. About Your Insurance Presbyterian Hospital accepts most major insurance, including Medicare, Medicaid, and Presbyterian Health Plan. CareAlliesProvider Collaboration Solutions. PO Box 182223. Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. Still have questions? Evernorth Care Group is the group medical practice division of Cigna HealthCare of Arizona, Inc. 0000018052 00000 n The customer service representative was very knowledgeable about my health plan which helped a lot ! 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.

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