CIGNA First Health * Additional networks expected . 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. 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. 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. See monthly claims data trends and take steps to reduce costs and optimize plan utilization as necessary. If you are a participant please call 800.992.8088 or email customerservice@cwibenefits.com. Accidental injury, critical illness, and hospital care. 0000007851 00000 n 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. <<5D0A48CDAB051444A35BDEC03408FBA1>]/Prev 447176/XRefStm 1617>> Glassdoor is your resource for information about ByWater Solutions benefits and perks. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. About Your Insurance Presbyterian Hospital accepts most major insurance, including Medicare, Medicaid, and Presbyterian Health Plan. &A_6c${NVXd}=y2zR|2^ r];:Ml&;`V~D5;iKG`%d~HPZMcZ(h&juR %'e,jkD!X\1@ 1. 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). %PDF-1.6 % 8. 0000007280 00000 n Serving Central Florida Since 1977. You can be ready to go in as little as 30 days from your initial implementation call! Together, we can build a solution that's right for your clients. We have referred them to other property owners and will continue to do so. They then left my ultrasound copay instead. Bywater's mission is to fully integrate with advisors and captive managers of choice while delivering the high . %%EOF They state this is "normal" but I've never had this issue with any insurance company before this one. 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. For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. 0000026709 00000 n All insurance policies and group benefit plans contain exclusions and limitations. We believe that they are an excellent company. If you have specific questions regarding your health insurance policy, please contact our office at310-825-7163, option 2. 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 Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. a listing of the legal entities 407.206.7300 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. 94 0 obj <> endobj 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. 15422 Detroit Avenue, Lakewood, Ohio 44107 P . 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. 0000001945 00000 n 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. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. 6Cigna Dental Health of Florida, Inc. is a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes. They are no help whatsoever. 143 0 obj <>stream 0000025529 00000 n More than just a health insurance company, Cigna is a global health service company--dedicated to helping the . We are dedicated to providing the most effective . Former Employee. 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. At UCLAs Bariatric Surgery Program, we accept most of PPO insurance policies and select HMO policies with an authorization from your Primary Care Provider. In North Carolina, patient care services for worksite health and wellness centers are provided by Cigna HealthCare of North Carolina, Inc. Benefits information above is provided anonymously by current and former ByWater Solutions employees, and may include a summary provided by the employer. 0000027408 00000 n Our network solutions help TPAs deliver what companies and employees need most in health care: quality and lower costs. Please Contact us at310-825-7163. We offer multiple networks and Pharmacy Benefit Managers (PBMs) to meet your unique needs. This website is not intended for residents of New Mexico. "I havent had a chance to tell you thank you for all your efforts. 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. tbc@bywater.com. Learn How to State Your Case and Earn Your Raise, Climb the Ladder With These Proven Promotion Tips. In California, Network plans are offered by Cigna HealthCare of California, Inc. Cigna Behavioral Health, Inc. and Cigna Behavioral Health of California, Inc.1. You must be a Cigna customer to use the secure myCigna mobile app. 0000001296 00000 n 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. PO Box 182223. You are always responsive and helpful. 2023 CWI Benefits, LLC All rights reserved. They are partner in total health and wellness and are there for customers 24/7 - caring for their body and mind. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Bywater 2023 | Bywater is a third-party administrator managed by Roundstone Insurance. 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. 0 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). Our office staff will happily verify your insurance benefit. Call 1 (800) 88CIGNA (882-4462). What a bunch of b.s. Access Your Member Portal at https://bywater.vbagateway.com today! Cigna is a health and wellness company which specializes in fitness programs, individual private medical insurance and global health benefits. 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. Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. Self-Funding Captive Worst company ever. CIGNA ID cards will continue to show the Scranton, PA address for claims and correspondence submission until they are updated throughout 2011. 94 50 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. 0000012607 00000 n Cigna/GreatWest: 1-800-244-6224: www.cigna.com: Clear Spring Healthcare: 1-877-364-4566: www . Participation in a weight loss program. Your third-party administrator (TPA) services should work seamlessly with all of your health insurance partners. 0000028053 00000 n 0000393640 00000 n The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 0000011464 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. Cigna Onsite Heath, LLC provides management services to worksite health and wellness centers in Michigan, Minnesota, New Jersey, and North Carolina. ", "I love that Bywater is a TPA willing to meet the needs of our businesses with smaller employee populations. Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. For other questions regarding eligibility and coverage of services, please contact your health plan representative. 0000018052 00000 n Orlando, FL 32801 0000009397 00000 n CareAlliesProvider Collaboration Solutions. 0000402434 00000 n Suite 200 K`|1/I?8u/*bo>$C They do offer a decent 401k package but their health insurance is not the best. Helpful. Bywater is a third-party administrator (TPA) of self-funded health insurance. The fact I had to explain that to them was completely ridiculous. 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. Complete the form below to enroll and get your eligible diabetes supplies shipped direct to your door. Still have questions? I could go on but I will suffice it to say to not use this company. 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!!! Some employers demand a higher level of customization and flexibility that aligns with the capabilities of a Third Party Administrator (TPA). 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. 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). Bywater's mission is to deliver our customers the best experience possible. 0000028532 00000 n 0000005737 00000 n 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. To use the Claims Guest Access portal, go to kp.org/providers and select the members KP region. 0000005576 00000 n %%EOF Thank you. Bywater provides employee benefits and group health insurance to small to mid size employers in the Cleveland-Elyria, OH Metro Area. Benefits are generous and internet and phone are paid. - Delayed response to providers (some claims were processed 6 months after submission); Learn about ByWater Solutions , including insurance benefits, retirement benefits, and vacation policy. 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. - Randomly rejecting claims, even the recurring treatments, or COVID tests after exposure!! 0000004618 00000 n For questions, please call 505.727.2727. 0000025585 00000 n Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. 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. CWIBenefits, LLC (CWI), is a Full Service Benefits Administrator, founded 30 years ago as a claims payment software vendor. 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. 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. Hopefully some will be easier. Cigna offers quality plan options, personalized support, and low costs. For example, they left me a $500 copay stating my X-ray taken at the hospital was for an outpatient hospital stay. Once again, Bywater gives you the run around, connecting you to person to person. 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 team of experts is laser-focused on your success. 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 Thanks again. It has been great working with you and I look forward to doing more of these. 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. This website is not intended for residents of New Mexico. 0000397752 00000 n In New Jersey, patient care services for worksite health and wellness centers are provided by Alegis Care, New Jersey, P.C. The worst insurance my husband's company has ever had, my husband needs to get a CT scan done Monday and they denied it!! hb``b````e` @16zGm`!1l{E=>xmX01)0;w024`4oPp`bbs`fbI0r. jerej Jn Schedule Consultation Schedule Consultation Contact Info Visit Website Address Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. Copyright 20082023, Glassdoor, Inc. "Glassdoor" and logo are registered trademarks of Glassdoor, Inc. CA - Cigna HealthCare of California, Inc.1. 0000014378 00000 n 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. Request Information. 7In Virginia, worksite health and wellness centers are provided by Cigna Health and Life Insurance Company. Bywaters mission is to deliver our customers the best experience possible. All insurance policies and group benefit plans contain exclusions and limitations. For more information, emailCignaPayerSolutions@cigna.comor call . 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 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 For general inquiries, please complete the form here to learn more. CT - Cigna HealthCare of Connecticut, Inc. IL - Cigna HealthCare of Illinois, Inc. and Cigna HealthCare of St. Louis, Inc. 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# : + Expect a dedicated point of contact for customer service, who streamlines communication and provides you and your members with personal, knowledgeable support. 0000027895 00000 n The legal entity insuring or administering any specific product may vary. Bywater members use Cigna's network of providers, with their health benefits plan administered by Bywater. Delivering value for Third Party Administrators. . Meet Bywater. Medical Claims. 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. Our personalized customer service, simplified ordering process and post shipment compliance program ensures you have your diabetes supplies on-time, every time! 201. Inpatient care 100% in-network preventive care coverage 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. Were committed to helping you manage your health plan efficiently, with best-in-class service no matter your group size.