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. 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. CWIBenefits, LLC (CWI), is a Full Service Benefits Administrator, founded 30 years ago as a claims payment software vendor. We have referred them to other property owners and will continue to do so. that insure or administer group HMO, dental HMO, and other products or services in your state). 0 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. This website is not intended for residents of New Mexico. 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. Still have questions? 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. 0000008700 00000 n What a bunch of b.s. Cigna may not control the content or links of non-Cigna websites. If you have specific questions regarding your health insurance policy, please contact our office at310-825-7163, option 2. 0000393640 00000 n We believe that they are an excellent company. Read full disclaimer. Switching to a self-funded plan is easier when you have a trusted partner to help guide you. 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. Companies must offer compeitive benefits in markets like Cleveland-Elyria, OH due to increasing demand for employees. a listing of the legal entities Bywater has partnered with EHCS to provide your diabetes supplies. The list is very long, but not limited to: provider has your correct Bywater Insurance information. 0000025529 00000 n PO Box 182223. 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. hZn> Z,Y( B>"I(urHY*UY+;UeC+T]*hhsU72oreCg*8UH\paV3&3!&T1X%0IU Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. 0000022230 00000 n xref Tel-Drug, Inc. and Tel-Drug of Pennsylvania, L.L.C. 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 The worst insurance my husband's company has ever had, my husband needs to get a CT scan done Monday and they denied it!! 24 hours a day, 365 days a year. 0000013474 00000 n 0000025709 00000 n 278 0 obj <> endobj - Delayed response to providers (some claims were processed 6 months after submission); Implementation & integration is seamless, as we bring 30 years of expertise & technology to your clients. Worst company ever. 0000397752 00000 n 0000027651 00000 n 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) 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. %PDF-1.4 % 0000027529 00000 n Theyre on your side when it comes to questions on claims, renewals, vendor implementation, and more. To request precertification, use the contact information below or visit the website for next steps. About Your Insurance Presbyterian Hospital accepts most major insurance, including Medicare, Medicaid, and Presbyterian Health Plan. They are no help whatsoever. endstream endobj startxref 0000006225 00000 n Our network solutions help TPAs deliver what companies and employees need most in health care: quality and lower costs. See monthly claims data trends and take steps to reduce costs and optimize plan utilization as necessary. 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. 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. Product availability may vary by location and product type and is subject to change. Cigna is a health and wellness company which specializes in fitness programs, individual private medical insurance and global health benefits. Enroll Today for Fast, No Hassle Processing of Your Diabetes Supplies. 0000011061 00000 n hb``c``:pDAb@qa 1Fv>`hpb83+Z ii Du1h}aZxK1Ag jx8/G80=`y 4Z[lgUhP u G@;O]fc`He` )$ *Weight loss results can vary depending on the individual. To learn more, call 310-825-7163. More than just a health insurance company, Cigna is a global health service company--dedicated to helping the . I find Bill Bywater to have high integrity, hes part of the local community, his roots are here, and he hires great people. For general inquiries, please complete the form here to learn more. Rates may vary and are subject to change. Hopefully some will be easier. 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. Many PPO insurance providers are now providing coverage for Gastric Sleeve, Gastric Bypass, Distal Bypass and Lap-Band Removal. Please Contact us at 310-825-7163. You are always responsive and helpful. So fast. For the following services, we collaborate with Cigna's affiliate, eviCore Health (eviCore), to manage the precertification process and administration of the services. 0000012607 00000 n Read more on your rights and protections against surprise medical bills here. At UCLAs Bariatric Surgery Program, we accept most of PPO insurance policies and select HMO policies with an authorization from your Primary Care Provider. %%EOF 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). 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. Bywater has been a nightmare to deal with. Participation in a weight loss program. Then they say your not covered for that! Kaiser Permanente also offers a dedicated phone line for Cigna PPO providers only for preauthorization questions - 888-831-0761. 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. You and your administrative staff can quickly and easily access member eligibility and claims status information anytime, on demand. 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. trailer 6Cigna Dental Health of Florida, Inc. is a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes. 105 E Robinson Street You can be ready to go in as little as 30 days from your initial implementation call! Our team always puts the customer first. 7In Virginia, worksite health and wellness centers are provided by Cigna Health and Life Insurance Company. Delivering value for Third Party Administrators. We offer multiple networks and Pharmacy Benefit Managers (PBMs) to meet your unique needs. On the home page, look for View claim status as a guest user under the Quick Links section. a listing of the legal entities Edwards Health Care Services, Inc. (EHCS) is your first-choice provider of direct-to-home, high quality diabetes supplies. No vision or dental offered. 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 offers quality plan options, personalized support, and low costs. Were committed to helping you manage your health plan efficiently, with best-in-class service no matter your group size. 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. Health coverage is provided subject to any deductibles, co-payment, or coinsurance provisions. We have paid out more money ourselves than the insurance has. There is no guarantee of specific results. 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. Details. ", For Member/Provider Customer Service, please call. 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. jerej Jn Schedule Consultation Schedule Consultation Contact Info Visit Website Address to be added in. 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 0000027895 00000 n 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.
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