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. . 0000008700 00000 n 0000028532 00000 n show more Find the Cheapest Insurance Type Serving Central Florida for over 45 years, our services include landlord/tenant representation, owner/seller . 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. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. 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. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. Your third-party administrator (TPA) services should work seamlessly with all of your health insurance partners. Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. 143 0 obj <>stream 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. 0000005737 00000 n For support, please emailsupport@choosebywater.comor call800.337.0792to contact customer service if you have any questions. Call 1 (800) 88CIGNA (882-4462). Bywater has partnered with EHCS to provide your diabetes supplies. 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. Our team always puts the customer first. 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. <<5D0A48CDAB051444A35BDEC03408FBA1>]/Prev 447176/XRefStm 1617>> Orlando, FL 32801 - Randomly rejecting claims, even the recurring treatments, or COVID tests after exposure!! Complete the form below to enroll and get your eligible diabetes supplies shipped direct to your door. 0 0000027529 00000 n Bywater has partnered with EHCS to provide your diabetes supplies. Once again, Bywater gives you the run around, connecting you to person to person. Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. 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 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. Meet Bywater. We offer multiple networks and Pharmacy Benefit Managers (PBMs) to meet your unique needs. 331 0 obj <>stream AZ - Cigna Dental Health Plan of Arizona, Inc. CA - Cigna Dental Health of California, Inc.1. Refer to your official plan documents for the name of the company that insures or administers your specific insurance policy or benefit plan. For additional plan disclosures that may be applicable to your plan or state, please view our Product Disclosures. Cigna. 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. 15422 Detroit Avenue, Lakewood, Ohio 44107 P . 0000050665 00000 n 0000006718 00000 n document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Bywater 2023 | Bywater is a third-party administrator managed by Roundstone Insurance. PO Box 182223. ", "I love that Bywater is a TPA willing to meet the needs of our businesses with smaller employee populations. 0000009397 00000 n Delivering value for Third Party Administrators. 0000028053 00000 n 0000005049 00000 n 0000022230 00000 n Cigna may not control the content or links of non-Cigna websites. 0000018052 00000 n Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. 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. 94 50 Get tools and flyers to share with your clients. Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. Hopefully some will be easier. Theyre on your side when it comes to questions on claims, renewals, vendor implementation, and more. hZn> Z,Y( B>"I(urHY*UY+;UeC+T]*hhsU72oreCg*8UH\paV3&3!&T1X%0IU What a bunch of b.s. Current and former employees report that ByWater Solutions provides the following benefits. To request precertification, use the contact information below or visit the website for next steps. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. - 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 login/register. Our bariatric surgeons use a range of treatments to help you reach weight loss goals and optimize your health. In New Jersey, patient care services for worksite health and wellness centers are provided by Alegis Care, New Jersey, P.C. CWIBenefits, LLC (CWI), is a technology based Third Party Administrator (TPA), offering total benefits administration services and data management. 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 With easy one-touch secure sign on, you can access your digital ID cards, manage your health information, update your profile, and more. Features available are based on the coverage you have with Cigna. hb``b````e` @16zGm`!1l{E=>xmX01)0;w024`4oPp`bbs`fbI0r. 0000006225 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. You and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. Our network solutions help TPAs deliver what companies and employees need most in health care: quality and lower costs. To use the Claims Guest Access portal, go to kp.org/providers and select the members KP region. Our personalized customer service, simplified ordering process and post shipment compliance program ensures you have your diabetes supplies on-time, every time! For questions, please call 505.727.2727. trailer Product availability may vary by location and product type and is subject to change. that insure or administer group HMO, dental HMO, and other products or services in your state). 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 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. We believe that they are an excellent company. Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. They do offer a decent 401k package but their health insurance is not the best. hbbd```b`` A$+-"VHr0;L You must be a Cigna customer to use the secure myCigna mobile app. *Weight loss results can vary depending on the individual. 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 This information was provided by Mployer Advisor. 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. 0000011464 00000 n They are partner in total health and wellness and are there for customers 24/7 - caring for their body and mind. 0000010625 00000 n Then they say your not covered for that! The customer service representative was very knowledgeable about my health plan which helped a lot ! Request Information. This website is not intended for residents of New Mexico. 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. Learn How to State Your Case and Earn Your Raise, Climb the Ladder With These Proven Promotion Tips. as usual! 0000027895 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. 0000027408 00000 n Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. 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. 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. 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. The myCigna app gives you a new and improved way to easily access your important health information. Bywater provides employee benefits and group health insurance to small to mid size employers in the Cleveland-Elyria, OH Metro Area. Make an appointment with Alexandrina Saulis, MD at AdventHealth now, find contact information and more. Why Choose Bywater? "I havent had a chance to tell you thank you for all your efforts. 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 Start getting your eligible supplies today by enrolling below. If you have specific questions regarding your health insurance policy, please contact our office at310-825-7163, option 2. 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 Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, and not by Cigna Corporation. 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). They are no help whatsoever. 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. CareAlliesProvider Collaboration Solutions. It has been great working with you and I look forward to doing more of these. Together, we can build a solution that's right for your clients. To learn more, call 310-825-7163. Glassdoor is your resource for information about ByWater Solutions benefits and perks. For a physician referral, please call (800) UCLA-MD1(825-2631). This company also offers dental services, voluntary benefits, and accident insurance. 0000025529 00000 n Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. 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. Participation in a weight loss program. Chattanooga, TN 37422-7223. CIGNA ID cards will continue to show the Scranton, PA address for claims and correspondence submission until they are updated throughout 2011. 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. Helpful. 6Cigna Dental Health of Florida, Inc. is a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes. Bywater is a third-party administrator (TPA) of self-funded health insurance. 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. 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. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. They also don't know how to process claims. Cigna/GreatWest: 1-800-244-6224: www.cigna.com: Clear Spring Healthcare: 1-877-364-4566: www . 0000013170 00000 n 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. Still have questions? They then left my ultrasound copay instead. I find Bill Bywater to have high integrity, hes part of the local community, his roots are here, and he hires great people. Im excited to start 2022 with Bywater and Veracity!! Controlling costs, improving employee health, and personalized service are just a few of the ways we can help your organization thrive. 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. 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. At UCLAs Bariatric Surgery Program, we accept most of PPO insurance policies and select HMO policies with an authorization from your Primary Care Provider. About Your Insurance Presbyterian Hospital accepts most major insurance, including Medicare, Medicaid, and Presbyterian Health Plan. Our office staff will happily verify your insurance benefit. hb``c``:pDAb@qa 1Fv>`hpb83+Z ii Du1h}aZxK1Ag jx8/G80=`y 4Z[lgUhP u G@;O]fc`He` )$ Accidental injury, critical illness, and hospital care. Were committed to helping you manage your health plan efficiently, with best-in-class service no matter your group size. provider has your correct Bywater Insurance information. 3In Florida, lock-in medical products (including Exclusive Provider Organization, Open Access Plus-IN, Network and Network Open Access plans) are only available for sale to customers sitused in the following counties: Alachua, Baker, Bradford, Brevard, Broward, Charlotte, Citrus, Clay, Collier, Columbia, Dade, Duval, Flagler, Hendry, Hernando, Hillsborough, Indian River, Lake, Lee, Manatee, Marion, Martin, Nassau, Okeechobee, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Putnam, Sarasota, Seminole, St. Johns, St. Lucie, Sumter, Union, and Volusia. CT - Cigna HealthCare of Connecticut, Inc. IL - Cigna HealthCare of Illinois, Inc. and Cigna HealthCare of St. Louis, Inc. Read more on your rights and protections against surprise medical bills here. Joe Doremus, All American Boulevard Warehouses. 105 E Robinson Street ", "You guys are all AWESOME. This information is not currently maintained by, endorsed by or affiliated with, Religious, Civic and Social Organizations. a listing of the legal entities Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. Please Contact us at 310-825-7163. View our Digital Toolkit for more information about our solutions available to TPAs. This website is not intended for residents of New Mexico. 0000401390 00000 n 0000001296 00000 n 0000011937 00000 n 0000011061 00000 n Self-Funding Captive Expect a dedicated point of contact for customer service, who streamlines communication and provides you and your members with personal, knowledgeable support. 0000006808 00000 n We are dedicated to providing the most effective . 2.0. 0000014378 00000 n CA - Cigna HealthCare of California, Inc.1. Cigna is more than a health insurance company. If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided by a Centura Health facility. 0000027001 00000 n 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# : + 0000025709 00000 n 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 Switching to a self-funded plan is easier when you have a trusted partner to help guide you. 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. The worst, most painful experience of my life! 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. 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. endstream endobj startxref Thanks again. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. %%EOF Report. CWIBenefits, LLC (CWI), is a Full Service Benefits Administrator, founded 30 years ago as a claims payment software vendor. 0000027651 00000 n Inpatient care 100% in-network preventive care coverage For other questions regarding eligibility and coverage of services, please contact your health plan representative. 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). Former Employee. 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. It may not be complete. Details. Cigna Onsite Heath, LLC provides management services to worksite health and wellness centers in Michigan, Minnesota, New Jersey, and North Carolina. that insure or administer group HMO, dental HMO, and other products or services in your state). Bywater's mission is to fully integrate with advisors and captive managers of choice while delivering the high . 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. 8. 0000025585 00000 n Selected insurance that we accept are noted below. On the home page, look for View claim status as a guest user under the Quick Links section. 0000001787 00000 n 407.206.7300 What is up with that? The worst insurance my husband's company has ever had, my husband needs to get a CT scan done Monday and they denied it!! Rates may vary and are subject to change. 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 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. 0000027772 00000 n 0000000016 00000 n 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). 0000027330 00000 n They do offer a decent 401k package but their health insurance is not the best. 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. See monthly claims data trends and take steps to reduce costs and optimize plan utilization as necessary. 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. There is no guarantee of specific results. The legal entity insuring or administering any specific product may vary. 0000012607 00000 n CIGNA First Health * Additional networks expected . jerej Jn Schedule Consultation Schedule Consultation Contact Info Visit Website Address 0000004618 00000 n . 0 We have referred them to other property owners and will continue to do so. Learn about ByWater Solutions , including insurance benefits, retirement benefits, and vacation policy. 0000005623 00000 n A broad portfolio of modular, flexible health products and services. 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). So fast. For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. For example, they left me a $500 copay stating my X-ray taken at the hospital was for an outpatient hospital stay. 0000001617 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 Medical Claims. 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. 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. 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. No vision or dental offered. Please enter your user id and password. Benefits are generous and internet and phone are paid. All insurance policies and group benefit plans contain exclusions and limitations. xref Thank you for helping me lay this out in the correct fashion and report to my client with good info! Copyright 20082023, Glassdoor, Inc. "Glassdoor" and logo are registered trademarks of Glassdoor, Inc. Bywater has been a nightmare to deal with. Dental Claims. Oct 4, 2016. 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. 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. Life threatening cardio-pulmonary problems, (for example, severe obstructive sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy). No vision or dental offered. 0000026709 00000 n 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. tbc@bywater.com. Here are the plans Lovelace Medical Group accepts. 0000009953 00000 n For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. We help employers manage their health plans with ease, ensuring your employees are using their benefits optimally. Get employees on board faster with Bywaters plan document, created with the employer and employees needs in mind. Their accounting department is fabulous. ", For Member/Provider Customer Service, please call. 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. Plans are insured by Cigna Health and Life Insurance Company or its affiliates: For Arizona residents, health plans are offered by Cigna HealthCare of Arizona, Inc. For Georgia residents, health plans are offered by Cigna HealthCare of Georgia, Inc. For Illinois residents, health plans are offered by Cigna HealthCare of Illinois, Inc. For North Carolina residents, health plans are offered by Cigna HealthCare of North Carolina, Inc. For South Carolina residents, health plans are offered by Cigna HealthCare of South Carolina, Inc. For Texas residents, health plans are offered by Cigna HealthCare of Texas, Inc. For information about these plans, including Cigna company name and other information, visit https://www.cigna.com/individuals-families/shop-plans/health-insurance-plans, Connecticut General Life Insurance Company, NY - Cigna Life Insurance Company of New York (140 East 45th Street, New York, NY 10017 USA), All other states-Life Insurance Company of North America (1601 Chestnut Street, Two Liberty Place, Philadelphia, PA 19192 USA), NY - Cigna Life Insurance Company of New York (for insured plans), All other states-Life Insurance Company of North America, Administrative services for self-funded disability plans - Life Insurance Company of North America, NY - Cigna Life Insurance Company of New York, Cigna Health and Life Insurance Company, Loyal American Life Insurance Company, American Retirement Life Insurance Company, or Cigna National Health Insurance Company.

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