Anthem Blue Cross Blue Shield has reversed its decision to cap anesthesia coverage in Connecticut, Missouri, and New York following widespread criticism and intervention from state officials. The proposed policy would have limited coverage based on predetermined anesthesia times, potentially compromising patient care. The American Society of Anesthesiologists and state leaders expressed strong opposition, leading to Anthem's decision to maintain full coverage for medically necessary anesthesia services.
Anthem Blue Cross Blue Shield has reversed a controversial policy that would have limited anesthesia coverage during surgeries, following backlash from physicians, lawmakers, and the American Society of Anesthesiologists. The policy, which was set to affect plans in Connecticut, New York, and Missouri, would have denied claims for anesthesia exceeding estimated procedure times. Critics, including Connecticut Senator Chris Murphy, argued it would burden patients with unexpected medical debt. Anthem clarified that the policy was intended to align with clinical guidelines and not to deny necessary anesthesia services.
Anthem Blue Cross Blue Shield will limit anesthesia coverage for surgeries exceeding a specific time frame starting February 1, 2025, affecting patients in New York, Missouri, and Connecticut. Exemptions include patients under 22 and those needing maternity care. Governor Kathy Hochul criticized the decision, vowing to protect New Yorkers.
Anthem Blue Cross Blue Shield will implement a policy capping anesthesia coverage at predetermined time limits for surgeries in Connecticut, New York, and Missouri, effective February 1, 2025. This change, criticized by the American Society of Anesthesiologists and Senator Chris Murphy, excludes patients under 22 and maternity care. Patients exceeding the time limit will face out-of-pocket costs, though they can dispute claims. The policy aims to adjust how billed time is evaluated, sparking concerns over potential surprise medical debts.
