bywater insurance cigna

We offer multiple networks and Pharmacy Benefit Managers (PBMs) to meet your unique needs. 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. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. 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. Whether it is claims processing, enrollment, workers compensation or HR data management, we will continue to help meet your benefit plan administration needs. 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. ", "You guys are all AWESOME. You can be ready to go in as little as 30 days from your initial implementation call! I strongly recommend going with a different insurance company. Enroll Today for Fast, No Hassle Processing of Your Diabetes Supplies. 0000005049 00000 n 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. 0000025529 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. Im excited to start 2022 with Bywater and Veracity!! I could go on but I will suffice it to say to not use this company. Make an appointment with Alexandrina Saulis, MD at AdventHealth now, find contact information and more. They also don't know how to process claims. 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). 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. - Randomly rejecting claims, even the recurring treatments, or COVID tests after exposure!! Bywater's mission is to deliver our customers the best experience possible. 0000001945 00000 n For questions, please call 505.727.2727. Refer to your official plan documents for the name of the company that insures or administers your specific insurance policy or benefit plan. Bywater has been a nightmare to deal with. We help employers manage their health plans with ease, ensuring your employees are using their benefits optimally. 0000004618 00000 n 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. 15422 Detroit Avenue, Lakewood, Ohio 44107 P . Thank you. Please enter your user id and password. Were committed to helping you manage your health plan efficiently, with best-in-class service no matter your group size. 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. Life threatening cardio-pulmonary problems, (for example, severe obstructive sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy). All insurance policies and group benefit plans contain exclusions and limitations. - Delayed response to providers (some claims were processed 6 months after submission); 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. Read full disclaimer. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. 0000001787 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# : + They are no help whatsoever. Our bariatric surgeons use a range of treatments to help you reach weight loss goals and optimize your health. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. 0000009953 00000 n If you are a participant please call 800.992.8088 or email customerservice@cwibenefits.com. Get employees on board faster with Bywaters plan document, created with the employer and employees needs in mind. 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. xref Learn How to State Your Case and Earn Your Raise, Climb the Ladder With These Proven Promotion Tips. 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. Cigna may not control the content or links of non-Cigna websites. 0000011464 00000 n If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular health care service provided by a Centura Health facility. They do not help you in any way. K`|1/I?8u/*bo>$C 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. jerej Jn Schedule Consultation Schedule Consultation Contact Info Visit Website Address CWIBenefits, LLC (CWI), is a Full Service Benefits Administrator, founded 30 years ago as a claims payment software vendor. We help increase your productivity and efficiency by providing friendly, expert, and data-driven administrative services to your employee health benefits plan. as usual! 0000028532 00000 n I have wasted hours & hours on the phone with their customer service trying to make sense of their EOBs. HuQi R`rrgh|`H@,&F`@ In California, CWIBenefits, LLC does business as CWIBenefits Insurance Services (as agency) and CWIBenefits Administrator (as TPA). If you have specific questions regarding your health insurance policy, please contact our office at310-825-7163, option 2. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 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. 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. CO - Cigna Dental Health of Colorado, Inc. DE - Cigna Dental Health of Delaware, Inc. FL - Cigna Dental Health of Florida, Inc.6. This information was provided by Mployer Advisor. Please Contact us at310-825-7163. 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 2023 CWI Benefits, LLC All rights reserved. hbbd```b`` A$+-"VHr0;L 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. Cigna is more than a health insurance company. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. Cigna Onsite Heath, LLC provides management services to worksite health and wellness centers in Michigan, Minnesota, New Jersey, and North Carolina. For additional plan disclosures that may be applicable to your plan or state, please view our Product Disclosures. Joe Doremus, All American Boulevard Warehouses. Bywater is a third-party administrator (TPA) of self-funded health insurance. provider has your correct Bywater Insurance information. For a physician referral, please call (800) UCLA-MD1(825-2631). . Then they say your not covered for that! Dental Claims. 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. 0000393640 00000 n 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. This means you have access to Cigna's In-Network providers and . 0000018052 00000 n Still have questions? There is no guarantee of specific results. Health coverage is provided subject to any deductibles, co-payment, or coinsurance provisions. . 6Cigna Dental Health of Florida, Inc. is a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes. hZn> Z,Y( B>"I(urHY*UY+;UeC+T]*hhsU72oreCg*8UH\paV3&3!&T1X%0IU Switching to a self-funded plan is easier when you have a trusted partner to help guide you. CareAlliesProvider Collaboration Solutions. View Top 10 List What's Included with 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. Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. a listing of the legal entities This website is not intended for residents of New Mexico. 0000050665 00000 n 0000395696 00000 n Thank you for helping me lay this out in the correct fashion and report to my client with good info! 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. Glassdoor is your resource for information about ByWater Solutions benefits and perks. 143 0 obj <>stream 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. 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. A broad portfolio of modular, flexible health products and services. 0000022230 00000 n Read more on your rights and protections against surprise medical bills here. AZ - Cigna Dental Health Plan of Arizona, Inc. CA - Cigna Dental Health of California, Inc.1. 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). Expect a dedicated point of contact for customer service, who streamlines communication and provides you and your members with personal, knowledgeable support. 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. 0000011061 00000 n 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. CIGNA First Health * Additional networks expected . Their accounting department is fabulous. Please Contact us at 310-825-7163. 4The term "DHMO" is used to refer to product designs that may differ by state of residence of enrollee, including but not limited to, prepaid plans, managed care plans, and plans with open access features. I find Bill Bywater to have high integrity, hes part of the local community, his roots are here, and he hires great people. 0000027001 00000 n 0000014378 00000 n Phone Number. Product availability may vary by location and product type and is subject to change. Orlando, FL 32801 0000007851 00000 n trailer Theyre on your side when it comes to questions on claims, renewals, vendor implementation, and more. Controlling costs, improving employee health, and personalized service are just a few of the ways we can help your organization thrive. Former Employee. 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 They state this is "normal" but I've never had this issue with any insurance company before this one. 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 For example, they left me a $500 copay stating my X-ray taken at the hospital was for an outpatient hospital stay. 24 hours a day, 365 days a year. To use the Claims Guest Access portal, go to kp.org/providers and select the members KP region. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Bywater 2023 | Bywater is a third-party administrator managed by Roundstone Insurance. 0000027330 00000 n 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. 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. Cigna login/register. The myCigna app gives you a new and improved way to easily access your important health information. However, it is important to check with our office to ensure your health policy covers your weight loss surgery procedure. All insurance policies and group benefit plans contain exclusions and limitations. 0000027529 00000 n 1 (800) 244-6224. To learn more, call 310-825-7163. 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. It may not be complete. For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. PO Box 182223. 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) At UCLAs Bariatric Surgery Program, we accept most of PPO insurance policies and select HMO policies with an authorization from your Primary Care Provider. What is up with that? Benefits information above is provided anonymously by current and former ByWater Solutions employees, and may include a summary provided by the employer.

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