BlueCross BlueShield of Tennessee and Anesthesia Medical Group (AMG) have parted ways after failing to reach an agreement on contracting rates for anesthesiologists. Because of the disagreement, AMG will leave BCBST commercial networks on September 1, 2018, but they will continue to practice at facilities that are in BCBST networks.
Even though hospitals—and the providers employed by them—will be in-network, the anesthesiologists employed by AMG who work in those facilities would not be covered to the same extent. Thus, patients who can’t choose the anesthesiologist could receive a balance or a surprise bill, as those anesthesiologists would be considered out-of-network.
AMG is one of the largest anesthesia providers in the mid-state, and this decision will impact many patients who are covered under BCBST insurance. Certain hospitals like Vanderbilt University Medical Center will, however, not be impacted, because they do not contract out anesthesiologists. Other hospitals are contracting with additional anesthesia providers to fill the void.
Before scheduling surgery or other services that require anesthesia, we’re encouraging members to ask their doctors or hospitals to confirm who will provide anesthesia services and make sure they are in-network.
If you have questions or need more information about this network change, please contact LBMC Employment Partners, LLC. You may also visit www.BCBSTupdates.com to learn more about this issue.