0000025585 00000 n We are dedicated to providing the most effective . 0000027001 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 show more Find the Cheapest Insurance Type 0000009397 00000 n Access Your Member Portal at https://bywater.vbagateway.com today! No vision or dental offered. 0000027651 00000 n Our office staff will happily verify your insurance benefit. 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. 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. Participation in a weight loss program. a listing of the legal entities It may not be complete. 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. 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 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. What a bunch of b.s. More than just a health insurance company, Cigna is a global health service company--dedicated to helping the . 0000393640 00000 n 94 50 Cigna is more than a health insurance company. 0000402434 00000 n 0000018052 00000 n Bywater's mission is to deliver our customers the best experience possible. <<5D0A48CDAB051444A35BDEC03408FBA1>]/Prev 447176/XRefStm 1617>> "I havent had a chance to tell you thank you for all your efforts. Cigna. The list is very long, but not limited to: Current and former employees report that ByWater Solutions provides the following benefits. We help employers manage their health plans with ease, ensuring your employees are using their benefits optimally. 278 0 obj <> endobj Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C. Inpatient care 100% in-network preventive care coverage For questions, please call 505.727.2727. What is up with that? Learn How to State Your Case and Earn Your Raise, Climb the Ladder With These Proven Promotion Tips. 0000001787 00000 n 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. They also don't know how to process claims. *Weight loss results can vary depending on the individual. Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. See monthly claims data trends and take steps to reduce costs and optimize plan utilization as necessary. Request Information. . Some employers demand a higher level of customization and flexibility that aligns with the capabilities of a Third Party Administrator (TPA). Our network solutions help TPAs deliver what companies and employees need most in health care: quality and lower costs. Switching to a self-funded plan is easier when you have a trusted partner to help guide you. 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. Former Employee. Thanks again. Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. 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. 0000006225 00000 n In New Jersey, patient care services for worksite health and wellness centers are provided by Alegis Care, New Jersey, P.C. Health coverage is provided subject to any deductibles, co-payment, or coinsurance provisions. Evernorth Care Group is the group medical practice division of Cigna HealthCare of Arizona, Inc. 0000008700 00000 n 1 (800) 244-6224. CO - Cigna Dental Health of Colorado, Inc. DE - Cigna Dental Health of Delaware, Inc. FL - Cigna Dental Health of Florida, Inc.6. 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# : + 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. This information is not currently maintained by, endorsed by or affiliated with, Religious, Civic and Social Organizations. Selected insurance that we accept are noted below. I strongly recommend going with a different insurance company. 0000001945 00000 n You are always responsive and helpful. 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). As strategic relationship managers, we work together collaboratively to achieve our mutual objective quality, affordable care. Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. hbbd```b`` A$+-"VHr0;L 0000027408 00000 n 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. 0000010625 00000 n 0000028532 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. AZ - Cigna Dental Health Plan of Arizona, Inc. CA - Cigna Dental Health of California, Inc.1. 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 Orlando, FL 32801 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. 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). For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. Bywater members use Cigna's network of providers, with their health benefits plan administered by Bywater. 0000401390 00000 n CIGNA First Health * Additional networks expected . 24 hours a day, 365 days a year. Life threatening cardio-pulmonary problems, (for example, severe obstructive sleep apnea, Pickwickian syndrome, obesity related cardiomyopathy). Whether it is claims processing, enrollment, workers compensation or HR data management, we will continue to help meet your benefit plan administration needs. Rates may vary and are subject to change. 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. Refer to your official plan documents for the name of the company that insures or administers your specific insurance policy or benefit plan. They do not help you in any way. Please Contact us at310-825-7163. It has been great working with you and I look forward to doing more of these. Our team always puts the customer first. 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. - Delayed response to providers (some claims were processed 6 months after submission); They then left my ultrasound copay instead. This website is not intended for residents of New Mexico. 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. 0000025529 00000 n as usual! 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. Helpful. Their accounting department is fabulous. I could go on but I will suffice it to say to not use this company. Oct 4, 2016. Commercial/Group Products Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. 0000005576 00000 n Learn about ByWater Solutions , including insurance benefits, retirement benefits, and vacation policy. Your third-party administrator (TPA) services should work seamlessly with all of your health insurance partners. tbc@bywater.com. 0000001617 00000 n 143 0 obj <>stream CWIBenefits, LLC (CWI), is a Full Service Benefits Administrator, founded 30 years ago as a claims payment software vendor. 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. Please email us atContactUs@myEHCS.com. 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. Self-Funding Captive 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. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. Then they say your not covered for that! - 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. They do offer a decent 401k package but their health insurance is not the best. 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. a listing of the legal entities document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Bywater 2023 | Bywater is a third-party administrator managed by Roundstone Insurance. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. In California, CWIBenefits, LLC does business as CWIBenefits Insurance Services (as agency) and CWIBenefits Administrator (as TPA). Please enter your user id and password. Enroll Today for Fast, No Hassle Processing of Your Diabetes Supplies. With easy one-touch secure sign on, you can access your digital ID cards, manage your health information, update your profile, and more. 0000006718 00000 n 0000013474 00000 n For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. Bywater has partnered with EHCS to provide your diabetes supplies. All insurance policies and group benefit plans contain exclusions and limitations. Bywater's mission is to fully integrate with advisors and captive managers of choice while delivering the high . You and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. Thank you for helping me lay this out in the correct fashion and report to my client with good info! Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. 0000000016 00000 n 0000397752 00000 n 0000050665 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. 0000005737 00000 n

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