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Anthem Insurance will cap anesthesia coverage at certain time limits for CT, NY patients
NBC ^ | 12 04 2024 | Angela Fortuna

Posted on 12/04/2024 9:21:38 PM PST by yesthatjallen

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.

"This is appalling. Saddling patients with thousands of dollars in surprise additional medical debt. And for what? Just to boost corporate profits? Reverse this decision immediately," Sen. Chris Murphy said on social media.

Anthem announced the new policy last month, telling patients that they're changing how they evaluate billed time starting Feb. 1, 2025.

SNIP

(Excerpt) Read more at nbcnewyork.com ...


TOPICS: News/Current Events
KEYWORDS: anesthesia; anthem; bluecross; insurance
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1 posted on 12/04/2024 9:21:38 PM PST by yesthatjallen
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To: yesthatjallen
Gee, ain't Obama(don't)Care just wonderful?

I mean having the insurance companies dictate to the doctors is just so great isn't it?

And now you people who just did not understand why the insurance companies would be in favor of O(d)C, DO YOU GET IT NOW?

2 posted on 12/04/2024 9:25:37 PM PST by Harmless Teddy Bear ( Not my circus. Not my monkeys. But I can pick out the clowns at 100 yards.)
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To: yesthatjallen

The “Insurance Industry” is advocating for its own destruction and for the adoption of “single [tax]payer”


3 posted on 12/04/2024 9:26:32 PM PST by lightman (Beat the Philly fraud machine the Amish did onest, ja? Nein, zweimal they did already!)
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To: yesthatjallen

Be interesting to hear both sides of this issue. On the surface, if Anthem had an issue with fraud on this, they could simply cap their payouts and require the doctors to eat any additional costs (rather than the patients, who are usually ‘out-of-it’ during their surgeries).


4 posted on 12/04/2024 9:30:37 PM PST by BobL (I eat at McDonald's and shop at Walmart; I just don't tell anyone)
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To: yesthatjallen

On the same day that the CEO of United Health is gunned down in broad daylight.


5 posted on 12/04/2024 9:32:48 PM PST by AnotherUnixGeek
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To: yesthatjallen

They waited until the very day the CEO of UnitedHealth gets shot, to announce THIS?


6 posted on 12/04/2024 9:34:17 PM PST by grey_whiskers (The opinions are solely those of the author and are subject to change without notice.)
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To: yesthatjallen

Imagine if this story had come out after PDJT takes office in January.


7 posted on 12/04/2024 9:34:44 PM PST by Steely Tom ([Voter Fraud] == [Civil War])
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To: AnotherUnixGeek

Beat me to it by two minutes.

BTW, see this:

https://freerepublic.com/focus/bloggers/4282516/posts?page=53#53


8 posted on 12/04/2024 9:35:13 PM PST by grey_whiskers (The opinions are solely those of the author and are subject to change without notice.)
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To: yesthatjallen

North Korea provides anesthesia for the entire surgery. What has happened to this former nation?


9 posted on 12/04/2024 9:36:01 PM PST by Trumpisourlastchance
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To: Harmless Teddy Bear

“Gee, ain’t Obama(don’t)Care just wonderful?”

What does this have to do with Obamacare?? This is just the opposite — private corporate greed.


10 posted on 12/04/2024 9:37:57 PM PST by steve86 (Numquam accusatus, numquam ad curiam ibit, numquam ad carceremâ„¢)
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To: yesthatjallen

Zhit like this is why “health insurance” CEOs get capped.


11 posted on 12/04/2024 9:39:43 PM PST by lightman (Beat the Philly fraud machine the Amish did onest, ja? Nein, zweimal they did already!)
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To: yesthatjallen

And if it’s like my country there is only one insurance company to choose from.


12 posted on 12/04/2024 9:52:04 PM PST by Organic Panic (Democrats. Memories as short as Joe Biden's eyes)
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To: yesthatjallen

What could possibly go wrong?

In the middle of a CABGx7, the buzzer goes off after 2-hours and turns off the joy juice, and the hospital administrator rushes in and demands a credit card from the chest-open patient...


13 posted on 12/04/2024 10:28:09 PM PST by SuperLuminal
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To: Trumpisourlastchance

I think anesthesia in North Korea consists of heavy leather restraints.


14 posted on 12/04/2024 10:31:37 PM PST by Flaming Conservative ((Pray without ceasing))
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To: Harmless Teddy Bear

Who do you thiink on a conservative site like FR wanted that?

Who’s “you people”?

They’re all over at kos :)


15 posted on 12/04/2024 10:32:58 PM PST by dp0622 (Tried a coup, a fake tax story, tramp slander, Russia nonsense, impeachment and a virus. They lost.)
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To: Harmless Teddy Bear

Who do you thiink on a conservative site like FR wanted that?

Who’s “you people”?

They’re all over at kos :)


16 posted on 12/04/2024 10:32:59 PM PST by dp0622 (Tried a coup, a fake tax story, tramp slander, Russia nonsense, impeachment and a virus. They lost.)
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To: Harmless Teddy Bear

>> Gee, ain’t Obama(don’t)Care just wonderful?

I’ve shared my woes quite often since the ACA was put into effect. Went from excellent insurance @ 12k annually to mediocre insurance now @ 30k annually. Deductibles factored into the annual premiums.


17 posted on 12/04/2024 10:40:01 PM PST by Gene Eric
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To: AnotherUnixGeek

I believe his anesthesia was capped.


18 posted on 12/04/2024 10:49:36 PM PST by Waverunner
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To: yesthatjallen

that’s the way it used to be handled in the old days...


19 posted on 12/04/2024 11:25:57 PM PST by stylin19a ("If You Can Read This, Thank a Teacher. If You Can Read It In English, Thank a Veteran" )
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To: yesthatjallen

The first question you should have if you’re having an operation that requires anesthetization, is IF our anenthescist accepts Medicare assignment and that of your secondary insurance provided. Many do not and bill separately.


20 posted on 12/04/2024 11:36:54 PM PST by Gaffer
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