Ambulatory Surgery Centers. Health Care Services rendered at participating Ambulatory Surgery Centers are covered and include:
a. use of operating and recovery rooms;
b. respiratory, or inhalation therapy (e.g., oxygen);
c. medications administered (except for take-home medications) at the Ambulatory Surgery Center;
d. intravenous solutions;
e. dressings, including ordinary casts;
f. anesthetics and their administration;
g. administration of, including the cost of, whole blood or blood products;
h. transfusion supplies and equipment;
i. diagnostic services, including radiology, ultrasound, laboratory, pathology and approved machine testing (e.g., EKG); and
j. chemotherapy treatment for proven malignant disease.
Ambulatory Surgery Centers. Many of the more common, uncomplicated, outpatient surgical procedures can be performed at an Ambulatory Surgery Center. Your cost at an Ambulatory Surgery Center may be less than it would be for the same outpatient surgery performed at a Hospital. Participating Providers agree to provide timely access to care. This means that when you call for an appointment, you will see your provider within a reasonable timeframe. Blue Shield’s access standards are listed below. Services that do not require prior authorization Within 48 hours Services that do require prior authorization Within 96 hours Primary Care Physician office visit Within 10 business days Specialist office visit Within 15 business days Mental or substance use disorder health provider (who is not a Physician) office visit Within 10 business days Other services to diagnose or treat a health condition Within 15 business days Access to a health care professional for phone screenings 24 hours a day, seven days a week Contact Customer Service to schedule interpreter services for your appointment. For more information about interpreter services, see the Language access services notice. Blue Shield provides several ways for you to get health advice and access to health education and wellness services. These resources are available to you at no extra cost. NurseHelp 24/7SM You can contact a registered nurse 24 hours a day, seven days a week through the NurseHelp 24/7SM program. Nurses are available to help you select appropriate care and answer questions about: • Symptoms you are experiencing; • Minor illnesses and injuries; • Medical tests and medications; • Chronic conditions; and • Preventive care. Call (000) 000-0000 or log in to your account at xxxxxxxxxxxx.xxx and use the chat feature to connect with a nurse. This service is free and confidential. NurseHelp 24/7 SM is not meant to replace the advice and care you receive from your Physician or other health care professional.
Ambulatory Surgery Centers. The Plan provides Benefits for certain Covered Services provided by Ambulatory Surgery Centers that align with state and federal regulations. Covered Services vary according to the scope of a specific Ambulatory Surgical Center’s license. Ambulatory services are not to exceed 24 hours.
Ambulatory Surgery Centers. All outpatient services provided in an ambulatory surgery center will be priced based on 200% of the then current Medicare ASC allowable rates, geographically adjusted.
Ambulatory Surgery Centers. Health Care Services rendered at Ambulatory Surgery Centers are covered and include:
a. use of operating and recovery rooms;
b. respiratory, or inhalation therapy (e.g., oxygen);
c. medications administered (except for take-home medications) at the Ambulatory Surgery Center;
d. intravenous solutions;
Ambulatory Surgery Centers. Many of the more common, uncomplicated, outpatient surgical procedures can be performed at an Ambulatory Surgery Center. Your cost at an Ambulatory Surgery Center may be less than it would be for the same outpatient surgery performed at a Hospital. Blue Shield covers the cost of developing an evaluation and the provision of all health care services for an enrollee when required or recommended pursuant to a CARE (Community Assistance, Recovery, and Empowerment) agreement or CARE plan approved by a court in accordance with the CARE Act. The evaluation and services, other than prescription Drugs, are covered at no charge whether they are provided by a Participating or Non-Participating Provider.
