Anestesia coverage

[droose 19]

Had my surgery on 3/10/21, this getting my denial overturned on 3rd appeal.

I am now getting a bill for the full cost of anesthesia that states "we do not offer coverage for this type of sedation" . . .WHAT!?

I don't even know where to go from here, how can this be something new?

[Lynnlovesthebeach 441]

I would check to make sure it is coded right by the billing department. You probably had general anesthesia. There is no way they could of done the surgery otherwise. Not sure how they could pay for surgery but not anesthesia! Sounds like a clerical error!

[njlimmer 89]

When I called my insurance (BCBS) before surgery to verify benefits, she told me that most anestheisia isn't considered "in network" for some reason, but that if after I get a bill if I call back they'll usually just change it over to in network so I'd give you insurance a call.

[droose 19]

It appears to be resolved! I fought with appeals for 10 months to get approved for my surgery, the big hurdle was weight loss surgery wasn't included in my coverage. I won my final appeal because the surgery was my only viable option to properly repair my hiatal hernia.

I called insurance, they told me it was automatically rejected based on my coverage, they will process it again and it should be fine.