Also New York and Missouri

https://www.nbcnewyork.com/news/local/anthem-insurance-cap-anesthesia-coverage-time-limits/6040608/

Anyone with an Anthem Blue Cross Blue Shield plan will soon have to pay out of pocket for anesthesia if a surgery or procedure goes longer than expected, according to the American Society of Anesthesiologists.

The health insurance provider said they will no longer pay for anesthesia care if a surgery or procedure goes beyond a specific time limit. This will apply to patients in Connecticut, New York and Missouri.

The American Society of Anesthesiologists said Anthem can pre-determine the time allowed for anesthesia, and if an anesthesiologist submits a bill where the actual time of care is longer than Anthem’s limit, the company will deny paying for it.

EDIT!!! Just hit the wire 30 min ago, https://abcnews.go.com/Health/anthem-blue-cross-blue-shield-anesthesia-policy-new-york-connecticut-missouri/story?id=116479985

  • Rentlar
    link
    fedilink
    arrow-up
    31
    ·
    10 days ago

    So the patient pays for something they have zero say in the matter? Insurance companies are really making both patients and healthcare providers do three jobs worth of work to navigate their shitty system.

    The changes also take place when people have less than two weeks to find new coverage during open enrolment (that’s if their employer isn’t enrolled in this coverage for their employees)

    Anthem said policy holders can file a claim dispute if they disagree with a claim reimbursement decision.

    More like: “What ya gonna do about it? Sue me?”