Common use of Anesthesia Clause in Contracts

Anesthesia. This Plan will pay for general anesthesia services for covered surgical services when: ◼ the operating Physician requests them, and ◼ they are performed by a certified registered nurse anesthetist or Physician who is not the operating Physician or assistant surgeon. This Plan also covers other forms of anesthesia services that We define and approve. Medical direction or supervision of anesthesia administration includes care before, during, and after the Surgery. Unless We determine otherwise, this Plan pays for anesthetic or sedation procedures performed as a part of the surgical or diagnostic procedure by the operating Physician, assistant surgeon, or advanced practice registered nurse. We will pay Our Coinsurance percentage of the Allowable Charge based on the primary surgical procedure. We will pay Benefits for the anesthesiologist or certified registered nurse anesthetist who performs the service. When an anesthesiologist medically directs or supervises the certified registered nurse anesthetist, We may divide the payment between the two services, if they are billed separately.

Anesthesia. This Plan will pay for general anesthesia services for covered surgical services when: ◼  the operating Physician requests them, and ◼  they are performed by a certified registered nurse anesthetist or Physician who is not the operating Physician or assistant surgeon. This Plan also covers other forms of anesthesia services that We define and approve. Medical direction or supervision of anesthesia administration includes care before, during, and after the Surgery. Unless We determine otherwise, this Plan pays for anesthetic or sedation procedures performed as a part of the surgical or diagnostic procedure by the operating Physician, assistant surgeon, or advanced practice registered nurse. We will pay Our Coinsurance percentage of the Allowable Charge based on the primary surgical procedure. We will pay Benefits for the anesthesiologist or certified registered nurse anesthetist who performs the service. When an anesthesiologist medically directs or supervises the certified registered nurse anesthetist, We may divide the payment between the two services, if they are billed separately.