Our network solutions help TPAs deliver what companies and employees need most in health care: quality and lower costs. It may not be complete. We offer multiple networks and Pharmacy Benefit Managers (PBMs) to meet your unique needs. 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. - 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. ", For Member/Provider Customer Service, please call. Make an appointment with Alexandrina Saulis, MD at AdventHealth now, find contact information and more. For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. Lovelace Health System accepts most major insurance plans so you can access all of our hospitals, health care centers and providers. 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. They state this is "normal" but I've never had this issue with any insurance company before this one. Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Together, we can build a solution that's right for your clients. 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). 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. Meet Bywater. Call 1 (800) 88CIGNA (882-4462). All insurance policies and group benefit plans contain exclusions and limitations. 94 50 Glassdoor is your resource for information about ByWater Solutions benefits and perks. 0000014090 00000 n 0000006808 00000 n The worst, most painful experience of my life! 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. Joe Doremus, All American Boulevard Warehouses. For other questions regarding eligibility and coverage of services, please contact your health plan representative. 0000009953 00000 n All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, and not by Cigna Corporation. 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. 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 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). Accidental injury, critical illness, and hospital care. The legal entity insuring or administering any specific product may vary. Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. 0000028532 00000 n Please email us atContactUs@myEHCS.com. endstream endobj startxref Suite 200 0000027408 00000 n 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. 0000006225 00000 n Why Choose Bywater? For support, please emailsupport@choosebywater.comor call800.337.0792to contact customer service if you have any questions. CareAlliesProvider Collaboration Solutions. Hopefully some will be easier. We help employers manage their health plans with ease, ensuring your employees are using their benefits optimally. 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. 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. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. Once again, Bywater gives you the run around, connecting you to person to person. 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. 0000005576 00000 n They are no help whatsoever. All insurance policies and group benefit plans contain exclusions and limitations. 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 Still have questions? Benefits information above is provided anonymously by current and former ByWater Solutions employees, and may include a summary provided by the employer. that insure or administer group HMO, dental HMO, and other products or services in your state). Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. 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. 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. Selected insurance that we accept are noted below. Former Employee. For additional plan disclosures that may be applicable to your plan or state, please view our Product Disclosures. 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. ", "I appreciate your responsiveness and really looking forward to our partnership with Bywater in 2022 ", "You are setting the bar pretty high at Bywater!!! You can be ready to go in as little as 30 days from your initial implementation call! 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 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. Get employees on board faster with Bywaters plan document, created with the employer and employees needs in mind. 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. 0000014378 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. For example, they left me a $500 copay stating my X-ray taken at the hospital was for an outpatient hospital stay. Report. 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. They do not help you in any way. Switching to a self-funded plan is easier when you have a trusted partner to help guide you. 0000005821 00000 n 6Cigna Dental Health of Florida, Inc. is a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes. There is no guarantee of specific results. To request precertification, use the contact information below or visit the website for next steps. 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. 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. Commercial/Group Products What is up with that? 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. hb``b````e` @16zGm`!1l{E=>xmX01)0;w024`4oPp`bbs`fbI0r. 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. To use the Claims Guest Access portal, go to kp.org/providers and select the members KP region. They do offer a decent 401k package but their health insurance is not the best. Benefits are generous and internet and phone are paid. jerej Jn Schedule Consultation Schedule Consultation Contact Info Visit Website Address 0000027772 00000 n Our office staff will happily verify your insurance benefit. Expect a dedicated point of contact for customer service, who streamlines communication and provides you and your members with personal, knowledgeable support. 0000050665 00000 n Here are the plans Lovelace Medical Group accepts. that insure or administer group HMO, dental HMO, and other products or services in your state). 0000007851 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. 0000005049 00000 n Start getting your eligible supplies today by enrolling below. Cigna is a health and wellness company which specializes in fitness programs, individual private medical insurance and global health benefits. Thank you for helping me lay this out in the correct fashion and report to my client with good info! Orlando, FL 32801 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. 7In Virginia, worksite health and wellness centers are provided by Cigna Health and Life Insurance Company. 24 hours a day, 365 days a year. Bywaters mission is to deliver our customers the best experience possible. *Weight loss results can vary depending on the individual. It has been great working with you and I look forward to doing more of these. PO Box 182223. Bywater has been a nightmare to deal with. Worst insurance ever!!! 331 0 obj <>stream Controlling costs, improving employee health, and personalized service are just a few of the ways we can help your organization thrive. Please enter your user id and password. Aetna, Anthem Blue Cross Blue Shield, Cigna, Oscar, Tricare and United Health Care typically cover weight loss procedures. hZn> Z,Y( B>"I(urHY*UY+;UeC+T]*hhsU72oreCg*8UH\paV3&3!&T1X%0IU a listing of the legal entities Together with the TPA, our goal is to educate members so they can make better, more informed health care decisions. Learn about ByWater Solutions , including insurance benefits, retirement benefits, and vacation policy. Current and former employees report that ByWater Solutions provides the following benefits. Dental Claims. 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 Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees.