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. Still have questions? 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. 0000025585 00000 n . For a physician referral, please call (800) UCLA-MD1(825-2631). HuQi R`rrgh|`H@,&F`@ provider has your correct Bywater Insurance information. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. 407.206.7300 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. We help increase your productivity and efficiency by providing friendly, expert, and data-driven administrative services to your employee health benefits plan. %%EOF hb``b````e` @16zGm`!1l{E=>xmX01)0;w024`4oPp`bbs`fbI0r. Commercial/Group Products Read more on your rights and protections against surprise medical bills here. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. We help employers manage their health plans with ease, ensuring your employees are using their benefits optimally. 0000000016 00000 n Try looking up a doctor, a clinic location, or information about a condition/treatment. &A_6c${NVXd}=y2zR|2^ r];:Ml&;`V~D5;iKG`%d~HPZMcZ(h&juR %'e,jkD!X\1@ 1. 0000013170 00000 n 0000027330 00000 n Cigna is a health and wellness company which specializes in fitness programs, individual private medical insurance and global health benefits. 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. However, it is important to check with our office to ensure your health policy covers your weight loss surgery procedure. Refer to your official plan documents for the name of the company that insures or administers your specific insurance policy or benefit plan. You can be ready to go in as little as 30 days from your initial implementation call! 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. 2.0. %PDF-1.6 % 0000005737 00000 n 0000027001 00000 n Disregard the Scranton, PA address on the ID card and submit all medical claims and correspondence to the appropriate Chattanooga, TN address shown in the tables of the November 2010 issue of Network News. Bywater is a third-party administrator (TPA) of self-funded health insurance. 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. Kaiser Permanente also offers a dedicated phone line for Cigna PPO providers only for preauthorization questions - 888-831-0761. 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). . They then left my ultrasound copay instead. 0000011937 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 In California, CWIBenefits, LLC does business as CWIBenefits Insurance Services (as agency) and CWIBenefits Administrator (as TPA). Cigna is more than a health insurance company. 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. See monthly claims data trends and take steps to reduce costs and optimize plan utilization as necessary. Some employers demand a higher level of customization and flexibility that aligns with the capabilities of a Third Party Administrator (TPA). Serving Central Florida for over 45 years, our services include landlord/tenant representation, owner/seller . The legal entity insuring or administering any specific product may vary. All insurance policies and group benefit plans contain exclusions and limitations. 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. Once again, Bywater gives you the run around, connecting you to person to person. 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. 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). Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. In California, Network plans are offered by Cigna HealthCare of California, Inc. Cigna Behavioral Health, Inc. and Cigna Behavioral Health of California, Inc.1. The fact I had to explain that to them was completely ridiculous. Delivering value for Third Party Administrators. Orlando, FL 32801 They don't know what they are doing. 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 Cigna. You and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. 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. Start getting your eligible supplies today by enrolling below. For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. 7In Virginia, worksite health and wellness centers are provided by Cigna Health and Life Insurance Company. Benefits information above is provided anonymously by current and former ByWater Solutions employees, and may include a summary provided by the employer. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna Onsite Heath, LLC provides management services to worksite health and wellness centers in Michigan, Minnesota, New Jersey, and North Carolina. Phone Number. 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 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. Serving Central Florida Since 1977. Bywaters mission is to deliver our customers the best experience possible. [email protected]. Request Information. 0000027408 00000 n At UCLAs Bariatric Surgery Program, we accept most of PPO insurance policies and select HMO policies with an authorization from your Primary Care Provider. 0 We are dedicated to providing the most effective . 94 50 In New Jersey, patient care services for worksite health and wellness centers are provided by Alegis Care, New Jersey, P.C. 0000005049 00000 n We have referred them to other property owners and will continue to do so. Together, we can build a solution that's right for your clients. Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. Participation in a weight loss program. Their accounting department is fabulous. Our office staff will happily verify your insurance benefit. Current and former employees report that ByWater Solutions provides the following benefits. Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. To request precertification, use the contact information below or visit the website for next steps. To learn more, call 310-825-7163. With easy one-touch secure sign on, you can access your digital ID cards, manage your health information, update your profile, and more. ", "I love that Bywater is a TPA willing to meet the needs of our businesses with smaller employee populations. CT - Cigna HealthCare of Connecticut, Inc. IL - Cigna HealthCare of Illinois, Inc. and Cigna HealthCare of St. Louis, Inc. - Delayed response to providers (some claims were processed 6 months after submission); Our team of experts is laser-focused on your success. 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. If you have questions about coverage, payment plans, or financial assistance, please contact your insurance provider or our business office. Evernorth Care Group is the group medical practice division of Cigna HealthCare of Arizona, Inc. 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). that insure or administer group HMO, dental HMO, and other products or services in your state). Here are the plans Lovelace Medical Group accepts. For questions, please call 505.727.2727. 0000008700 00000 n Thank you for helping me lay this out in the correct fashion and report to my client with good info! It has been great working with you and I look forward to doing more of these. Were committed to helping you manage your health plan efficiently, with best-in-class service no matter your group size. 0000050665 00000 n Selected insurance that we accept are noted below. Health coverage is provided subject to any deductibles, co-payment, or coinsurance provisions. Learn about ByWater Solutions , including insurance benefits, retirement benefits, and vacation policy. Life threatening cardio-pulmonary problems, (for example, severe obstructive sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy). 201. 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. 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. This means you have access to Cigna's In-Network providers and . 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. I find Bill Bywater to have high integrity, hes part of the local community, his roots are here, and he hires great people. If you are a participant please call 800.992.8088 or email [email protected]. Benefits are generous and internet and phone are paid. Read full disclaimer. Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. 94 0 obj <> endobj View Top 10 List What's Included with Cigna? Cigna may not control the content or links of non-Cigna websites. Get tools and flyers to share with your clients. 0000026709 00000 n Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Bywater's mission is to deliver our customers the best experience possible. K`|1/I?8u/*bo>$C There is no guarantee of specific results. On the home page, look for View claim status as a guest user under the Quick Links section. 0000006225 00000 n 331 0 obj <>stream jerej Jn Schedule Consultation Schedule Consultation Contact Info Visit Website Address I have wasted hours & hours on the phone with their customer service trying to make sense of their EOBs. Bywater has partnered with EHCS to provide your diabetes supplies. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. 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. For other questions regarding eligibility and coverage of services, please contact your health plan representative. Switching to a self-funded plan is easier when you have a trusted partner to help guide you. Then they say your not covered for that! Im excited to start 2022 with Bywater and Veracity!! Dental Claims. 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. Worst insurance ever!!! startxref CIGNA First Health * Additional networks expected . 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. Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. 143 0 obj <>stream CWIBenefits, LLC (CWI), is a Full Service Benefits Administrator, founded 30 years ago as a claims payment software vendor. 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. Bywater's mission is to fully integrate with advisors and captive managers of choice while delivering the high . 0000005623 00000 n I strongly recommend going with a different insurance company. Enroll Today for Fast, No Hassle Processing of Your Diabetes Supplies. CIGNA ID cards will continue to show the Scranton, PA address for claims and correspondence submission until they are updated throughout 2011. 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. Please enter your user id and password. For more information, [email protected] call . They state this is "normal" but I've never had this issue with any insurance company before this one. To use the Claims Guest Access portal, go to kp.org/providers and select the members KP region. 0000395696 00000 n Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. 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. %PDF-1.4 % ", My Account Manager is responsive. PO Box 182223. a listing of the legal entities Our personalized customer service, simplified ordering process and post shipment compliance program ensures you have your diabetes supplies on-time, every time! Thanks again. Medical Claims. Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. 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. 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. I could go on but I will suffice it to say to not use this company. 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. We partner with you year-round, integrating our proprietary technology with attentive service and programs that help you meet your business needs and objectives. Controlling costs, improving employee health, and personalized service are just a few of the ways we can help your organization thrive. "I havent had a chance to tell you thank you for all your efforts. 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. Self-Funding Captive CWIBenefits, LLC (CWI), is a technology based Third Party Administrator (TPA), offering total benefits administration services and data management. The myCigna app gives you a new and improved way to easily access your important health information. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. 0000009397 00000 n Worst company ever. No vision or dental offered. 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. Copyright 20082023, Glassdoor, Inc. "Glassdoor" and logo are registered trademarks of Glassdoor, Inc. 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. Our network solutions help TPAs deliver what companies and employees need most in health care: quality and lower costs. 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. 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# : + 0000027651 00000 n 0000397752 00000 n 0000009953 00000 n Bywater members use Cigna's network of providers, with their health benefits plan administered by Bywater. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 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. For general inquiries, please complete the form here to learn more. 0000012607 00000 n 0000001945 00000 n - Randomly rejecting claims, even the recurring treatments, or COVID tests after exposure!! They do not help you in any way. For support, please [email protected] call800.337.0792to contact customer service if you have any questions. Cigna/GreatWest: 1-800-244-6224: www.cigna.com: Clear Spring Healthcare: 1-877-364-4566: www . 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 This information is not currently maintained by, endorsed by or affiliated with, Religious, Civic and Social Organizations. All insurance policies and group benefit plans contain exclusions and limitations. show more Find the Cheapest Insurance Type They do offer a decent 401k package but their health insurance is not the best. This company also offers dental services, voluntary benefits, and accident insurance. They do offer a decent 401k package but their health insurance is not the best. If you have specific questions regarding your health insurance policy, please contact our office at310-825-7163, option 2. The list is very long, but not limited to: 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. ", "You guys are all AWESOME. Whether it is claims processing, enrollment, workers compensation or HR data management, we will continue to help meet your benefit plan administration needs. 0000018052 00000 n The customer service representative was very knowledgeable about my health plan which helped a lot ! Bywater provides employee benefits and group health insurance to small to mid size employers in the Cleveland-Elyria, OH Metro Area. Cigna may not control the content or links of non-Cigna websites. Joe Doremus, All American Boulevard Warehouses. Bywater has been a nightmare to deal with. ", For Member/Provider Customer Service, please call.