Anthem Blue Cross Blue Shield to Cap Anesthesia Coverage After Certain Time Frame
New Policy Affects Patients in New York State, Missouri, and Connecticut
ROCHESTER, N.Y. (WROC) — Those who use Anthem Blue Cross Blue Shield insurance will likely soon have to pay out of pocket for anesthesia services should their surgeries fall outside a specific time limit. This applies to patients in New York State, Missouri, and Connecticut.
Policy Details
According to officials with BCBS, the new policy will begin with claims processed on or after February 1, 2025. The company will utilize the CMS Physician Work Time values to target the number of minutes reported for anesthesia services. Any surgery that goes beyond the set limit will no longer be covered.
Exemptions
There are some exemptions to this policy. Those include patients under the age of 22 and patients in need of maternity-related care.
Reactions
In response to this news, Governor Kathy Hochul wrote on social media, "Outrageous. I’m going to make sure New Yorkers are protected."
More Information to Come
News 8 reached out to Anthem BCBS and Excellus BCBS to learn more. Officials said to expect more details on Thursday.
Conclusion
The new policy aims to reduce healthcare costs by capping anesthesia coverage after a certain time frame. While some patients may be affected, there are exemptions in place for certain groups. It remains to be seen how this policy will impact patients and healthcare providers in the affected states.
Frequently Asked Questions
Q: What states are affected by this policy?
A: New York State, Missouri, and Connecticut.
Q: When does the policy take effect?
A: Claims processed on or after February 1, 2025.
Q: What services will no longer be covered?
A: Anesthesia services for surgeries that exceed the set time limit.
Q: Are there any exemptions to this policy?
A: Yes, patients under the age of 22 and patients in need of maternity-related care are exempt.
Q: Will patients be notified about this policy change?
A: Patients are encouraged to contact their insurance provider for more information.
