this post was submitted on 05 Dec 2024
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[–] Mothra@mander.xyz 15 points 2 weeks ago (4 children)

Haiii helloo I'm a bit OOTL and I don't live in the States.

I hear this CFO got killed and that the health insurance company was exceptionally awful. But I don't understand the time limit on anesthesia part. What time limits? What's that about? Like "you only get anesthesia for the first day you're hospitalized" time limits?

[–] pjwestin@lemmy.world 42 points 2 weeks ago* (last edited 2 weeks ago) (3 children)

Basically, BCBS was only going to reimburse the amount of anesthesia that government medical agencies estimate a procedure requires. So, an appendectomy is estimated to take an hour, but your surgery takes an hour and a half, then you're on the hook for the anesthetic costs for the last 30 minutes. There was a lot of backlash to that decision, and I guess they're taking backlash pretty seriously...for some reason.

[–] Renacles@lemmy.world 17 points 2 weeks ago

So now you can go bankrupt over something that happened while you weren't even conscious?

What the fuck

[–] Mothra@mander.xyz 11 points 2 weeks ago

I see I see. Awful. Thanks for all the answers

[–] madcaesar@lemmy.world 7 points 1 week ago

Fucking hell... Don't tell me whoever wrote that policy isn't fucking evil. You cannot be a normal human being and come up with such cruelty.

[–] FlexibleToast@lemmy.world 13 points 2 weeks ago (2 children)

They were considering putting a time limit on the anesthesia they would pay for during procedures. Have a complication and the surgery runs long? Guess you're going to be in intense pain.

[–] sudo@programming.dev 25 points 2 weeks ago

I think it would be the other way around: the doctors don't stop giving you anesthesia if the surgry goes long, but now you wake up to it costing some extra thousands of dollars.

[–] Doomsider@lemmy.world 14 points 2 weeks ago (2 children)

More like you will be on the hook for the anesthesia bill.

What is an extra several thousand dollars when you are already paying through the nose for insurance.

I bet they would make even more money if they just took your money and refused to ever pay out.

[–] InternetCitizen2@lemmy.world 15 points 2 weeks ago (1 children)

bet they would make even more money if they just took your money and refused to ever pay out.

You got new CEO written all over you. We're also hiring.

[–] Doomsider@lemmy.world 9 points 2 weeks ago

Nice try UnitedHealthcare.

[–] teamevil@lemmy.world 2 points 1 week ago

Insurance to COVER HEALTH COMPLICATIONS such as the complication that led to the surgery and THE GODDAMN COMPLICATIONS DURING SURGERY.

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

You know how in many industries there is a standard amount of time something takes and that determines the standard cost? Like it takes .5 work hours to change your oil so they charge .5 of labor + cost? Well, as I understand it, the plan was to limit the amount of anesthesia they'd cover based on the standard/expected time a medical procedure would take.

"In other words, if a procedure takes longer than expected, patients may wake up to an unexpected bill." https://www.prevention.com/health/a63104965/blue-cross-blue-shield-anthem-insurance-anesthesia-time-limit/

They proposed only paying for a certain amount of anesthesia during surgery, ie you are getting a kidney transplant you only get 45 min of anesthesia the rest wouldn't be covered.