I was under the impression that since I'm getting put under once and the insurance company is paying for that - that I would not have to pay for the additionally for the anesthesia? Is this normal practice? Please clarify!
Ins Co. Paying for BR but I'm Paying TT/LP. Do Drs Normally Charge Separate Anesthesia Fee?
Doctor Answers 13
Mommy Makeover and Separate Anesthesia Fees?
Thank you for the question. Yes, what you are describing is “normal practice”. The portion of the anesthesia services necessary for the breast reduction procedure will be covered by the insurance company. Otherwise, anesthesia services related to the tummy tuck surgery, will be out of pocket expense.
Best wishes with your upcoming procedures.
Pay ahead of time
It would be fraud to have your insurance pay for the additional anesthesia time needed for the tummy tuck. It would be best for you if your plastic surgeon would tell you up front how much the anesthesia fee for the tummy tuck will be. Often, by pre-paying the anesthesia for the tummy tuck, you will get discount for cash up front payment. Also, it will protect you from any allegations of insurance fraud.
Part of your surgery may be covered by insurance but the cosmetic part is your responsibility. including the surgeon fees, anesthesia and facility fees. If you are in Maryland this can be very expensive since hospital charges are very high in Maryland, and can be extremely expensive.
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Yes. Anesthesia will be working longer if you are having additional procedures. Like most things in life, items are based on their quality as well as the time investment needed to deliver the desired product. Surgery is no different.
Combining reconstructive and cosmetic procedures
The simple answer to your question is yes. You are having a breast reduction under insurance coverage, so your insurance company will pay for the anesthesia for that procedure only, and this may be based on time or based on procedure -- so if your breast reduction takes three hours, your insurance will pay for three hours worth of insurance time. Since you are having an abdominoplasty and liposuction as well, you and your insurance company understand that these procedures are considered cosmetic. Therefore, you are responsible for payment for the additional anesthesia time required for these procedures. So if your abdominoplasty and lipo take an additional two hours, you are responsible for paying for the additional anesthesia time. To handle this combination of procedures any other way, would be considered insurance fraud. However, your surgeon and his or her staff should be able to clarify for you how the additional anesthesia time is calculated. Good luck!
Anesthesia costs for cosmetic portion of surgery
Anesthesia charges will need to be kept separately for the insurance and cosmetic portion of your surgery. Anesthesia expense is normally based on how long you are in surgery. Your surgeon is following normal practice. Best of luck!
Insurance only pays for covered benefits
Insurance will only pay for the time the surgeon is performing the reduction. The remaining procedures are not covered by insurance and therefore are the responsibility of the patient.
Combined Cosmetic and Insurance Cases
Your insurance provider will only cover the costs of the procedure medically necessary during a combined case. Any cosmetic part of the procedure will need to be paid for separately. This is the case for both the operating room fees and the anesthesia fees.
You are normally responsible for paying the anesthesia charges on the non insurance portion of your surgery. Your insurance will only cover the anesthesia cost for the BR.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.