14 doctors weighed in:
My insurance refuse to pay anesthesia services during my breast surgery ? How is this possible?
14 doctors weighed in

Dr. Luis Gonzalez
Obstetrics & Gynecology
3 doctors agree
In brief: $$$
Medical insurance is not about medical care anymore than banks are about education.
The very fine print of your insurance contract spells out what they will pay for. You may have to pay for the anesthesia because of the nature of the procedure.

In brief: $$$
Medical insurance is not about medical care anymore than banks are about education.
The very fine print of your insurance contract spells out what they will pay for. You may have to pay for the anesthesia because of the nature of the procedure.
Dr. Luis Gonzalez
Dr. Luis Gonzalez
Thank
1 comment
Dr. Karen Sibert
If the procedure was considered cosmetic, then it might not be covered.
Dr. Tom Pousti
Surgery - Plastics
2 doctors agree
In brief: Depends on Situation
Much will depend on the type of breast surgery performed.
If the operation was elective/aesthetic in nature, an insurance company will not pay for the services provided. If, on the other hand, the procedure was medically necessary, anesthesia services should be covered. Best to run your concerns by your surgeon's office for assistance.

In brief: Depends on Situation
Much will depend on the type of breast surgery performed.
If the operation was elective/aesthetic in nature, an insurance company will not pay for the services provided. If, on the other hand, the procedure was medically necessary, anesthesia services should be covered. Best to run your concerns by your surgeon's office for assistance.
Dr. Tom Pousti
Dr. Tom Pousti
Thank
1 comment
Dr. Scott Welker
Most likely the anesthesiologist didn't accept your insurance. You just need to file for reimbursement.
Dr. Richard Pollard
Anesthesiology
2 doctors agree
In brief: Call Them
This sounds like there might have been a coding error somewhere in the bill that was sent to the insurance company.
No one would believe that you have to have a knee operation without anesthesia. I would call the facility where you had the procedure and ask them to help you with the insurance company. Good luck!

In brief: Call Them
This sounds like there might have been a coding error somewhere in the bill that was sent to the insurance company.
No one would believe that you have to have a knee operation without anesthesia. I would call the facility where you had the procedure and ask them to help you with the insurance company. Good luck!
Dr. Richard Pollard
Dr. Richard Pollard
Thank
Dr. Sean Canale
Breast Surgery
2 doctors agree
In brief: Out of network?
It is unlikely the anesthesia would not be covered as a service for an indicated surgery but it is possible the anesthesiologist may have been out of network or didn't accept your insurance.

In brief: Out of network?
It is unlikely the anesthesia would not be covered as a service for an indicated surgery but it is possible the anesthesiologist may have been out of network or didn't accept your insurance.
Dr. Sean Canale
Dr. Sean Canale
Thank
Dr. Benjamin Nguyen
Anesthesiology
In brief: Coverage varies
Anesthesia services can be billed together with the entire hospital bill, or can be billed separately: this depends on the billing structure of the particular hospital.
If your insurance company does not contract with a particular anesthesiologist or anesthesia group, then you are responsible for the cost of service.

In brief: Coverage varies
Anesthesia services can be billed together with the entire hospital bill, or can be billed separately: this depends on the billing structure of the particular hospital.
If your insurance company does not contract with a particular anesthesiologist or anesthesia group, then you are responsible for the cost of service.
Dr. Benjamin Nguyen
Dr. Benjamin Nguyen
Thank
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