2020 Blue Cross and Blue Shield Service Benefit Plan - FEP Blue Focus
Section 5(b). Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals


Note: The calendar year deductible applies to almost all benefits in this Section. We say "(No deductible)" when it does not apply.
 
Benefit Description

Anesthesia
Anesthesia services consist of administration by injection or inhalation of a drug or other anesthetic agent (including acupuncture) to obtain muscular relaxation, loss of sensation, or loss of consciousness.

Anesthesia (including acupuncture) for covered medical or surgical services when requested by the attending physician and performed by:

 
  • A certified registered nurse anesthetist (CRNA), or
     
  • A physician other than the physician (or the assistant) performing the covered medical or surgical procedure

Professional services provided in:

 
  • Hospital (inpatient)
  • Hospital outpatient department
  • Skilled nursing facility
  • Ambulatory surgical center
  • Residential treatment center
  • Office

Notes:

 
  • Anesthesia acupuncture services do not accumulate toward the member’s annual maximum.
     
  • See Section 5(c) for our payment levels for anesthesia services billed by a facility.

You Pay
Preferred: 30% of the Plan allowance

Non-preferred (Participating/Non-participating): You pay all charges
 

List Item:

Anesthesia
injections
inhalation
anesthetic
acupuncture
certified
registered
nurse
anesthetist
CRNA
inpatient
outpatient
ambulatory
surgical
residential
treatment