this post was submitted on 05 Dec 2024
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politics

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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

top 11 comments
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[–] Rentlar@lemmy.ca 31 points 3 weeks ago (1 children)

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?"

[–] astanix@lemmy.world 24 points 3 weeks ago

Open enrollment is such bullshit. Everything about insurance is bullshit.

[–] intresteph@discuss.online 24 points 3 weeks ago (1 children)
[–] Corkyskog@sh.itjust.works 1 points 3 weeks ago

Gail Boudreaux

[–] Nougat@fedia.io 13 points 3 weeks ago (1 children)
[–] Vanth@reddthat.com 9 points 3 weeks ago (1 children)

Conveniently doubles as an obituary if someone ever copycats the UH guy.

[–] Bgugi@lemmy.world 1 points 3 weeks ago

Seriously READ THE ROOM, lol.

[–] SidewaysHighways@lemmy.world 10 points 2 weeks ago

Wow! So it works!

[–] A_A@lemmy.world 1 points 2 weeks ago (1 children)

medical system in USA is amongst the worsts

[–] OutlierBlue@lemmy.ca 3 points 2 weeks ago (1 children)

Yeah but if enough CEOs get assassinated it might become the best!

... not that I condone this. But you can't argue with results.

[–] erusuoyera@sh.itjust.works 1 points 2 weeks ago

The man seems to know what he's doing and, well, "might as well be hanged for a sheep as a lamb". Plenty more CEO's in the range.