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Understanding the rising costs of healthcare, Greater Anesthesia Solutions strives to deliver anesthesia services to patients in a cost-conscious manner by contracting with major insurance plans as an in-network provider. We are currently in-network with:

• Blue Cross Blue Shield
• Cigna
• Aetna
• United Health Care
• Ambetter Health
• Humana
• All Medicare Plans
• All Medicaid Plans

(Insurance plans are updated frequently. If your insurance plan is not listed, please contact us for
additional information.)

We want to ensure you can receive the anesthesia care you need. We are committed to finding a payment solution that works for you. We have many self-pay plans, including prepayment and interest-free options. Please contact our office for more information and to set up a payment plan that works for you.

Anesthesia refers to a loss of sensation with or without loss of consciousness that is typically used to allow patients to comfortably undergo surgery.

There are four main types of anesthesia:

General anesthesia: This type of anesthesia is accomplished by a combination of medications that a person breathes or receives through a catheter in a vein to cause the person to fall asleep and remain asleep throughout the duration of surgery.

Regional anesthesia: This type of anesthesia occurs when medication is injected around the nerves that supply the area to be operated on, causing the specific area to have no sensation. This will often be accompanied by medication in an IV to help you relax during the surgery.

Local anesthesia: This type of anesthesia is accomplished by injecting medication under the skin in the area where the surgery will occur. This may be accompanied by giving you medication that will help you relax during the surgery.

Monitored Anesthesia Care (MAC) anesthesia: This type of anesthesia is accomplished by giving you medications that help you relax during a procedure while you remain breathing on your own and responsive.

All four types of anesthesia allow you to comfortably undergo surgery without seeing or feeling what is happening.

Your anesthesia provider will discuss with you the risks of anesthesia during your preoperative visit. In general, anesthesia is very safe. Each patient’s medical history and type of surgery will influence the risk of undergoing the procedure. Your anesthetist will discuss these risks with you and will implement an anesthetic plan that is safest for you.

Communication and cooperation between you and your anesthesia provider are essential to the anesthesia process and its safety. Before surgery, a preoperative interview

with your anesthetist provides valuable information that helps determine your care. It is equally important to communicate with your anesthesia provider after your surgery. The medications can remain in your body for 24 hours or more after administration, and you won’t be “back to your old self” until the anesthetic has been totally eliminated. Of course, you should never hesitate to ask you, anesthesia provider, any questions you may have — before or after your anesthesia is administered.

We understand the concerns about opiate use after surgery as well as the negative side effects of using opiates for pain control on recovery and healing. Anesthesiology is at the forefront of minimizing narcotic use by utilizing advanced anesthesia techniques and medications that do not rely on taking opiate-based medication for pain control. Opiate free anesthesia consists of utilizing a multi-pronged approach to pain control. This approach is achieved through the usage of varied non-opiate based medications that counteract the body’s natural pain response as well as regional anesthesia techniques that decrease the pain sensation to the surgical area. Greater Anesthesia Solutions supports decreasing opiate use and moving towards opiate free anesthesia in the clinical setting. Talk to your physician or nurse anesthesiologist about your concerns so the right anesthesia plan is chosen for you.

It is very common to become nervous as the time of surgery approaches. Your operating room team understands this and is committed to making the experience a comfortable and positive one for you. Your presurgery instructions will give you guidelines on taking or skipping any of your regular medications, as well as when you should stop eating food and drinking fluids. You will have an IV placed preoperatively in anticipation of receiving anesthesia, and of course, you will meet the members of your operating room surgery team, each with their own questions. When it is time to proceed to the operating room, your anesthesiology provider will be there, start to finish, to deliver the smoothest anesthesia experience possible.

• As a general rule, you should not have anything to eat or drink after midnight before the day of surgery. In some cases, you may be allowed to drink clear liquids up to a few hours before your anesthesia. But always check with your surgeon and or anesthesia provider for exact instructions.
• You may brush your teeth and rinse your mouth with a small sip of water, but do not swallow any of it.
• If you have been told to take medicine the day of surgery, take it with just a small sip of water.
• Do not chew gum on the day of surgery.
• Stop smoking for at least twenty-four (24) hours before surgery.
• Do not drink alcohol for at least twenty-four (24) hours before surgery.
• Bathe or shower the day of surgery. Do not wear makeup, lotion, powder, or deodorant.
• Clothing should be loose-fitting, comfortable, and appropriate for wearing after the procedure you will be having.

If I did not receive a pre-anesthetic interview or testing, what important things do I need to pay attention to or bring on the day of surgery?

• Bring a list of medications you are taking; be sure you know the dose and time you take them. Include prescriptions, over-the-counter medications, vitamins, herbals, recreational drugs, tobacco, and alcohol. The American Society of Anesthesiologists (ASA) recommends that everyone stop herbal medicines at least two (2) to three (3) weeks before surgery to avoid the possibility of unwanted interactions and side effects. This information will help your anesthesia provider to select the best medication for you to avoid unwanted drug interactions. (Visit www.asahq.org for additional resources on herbals)
• It is important that you also bring a list of any food or drug allergies you have.
• You will be asked to give information on your health history as well as your family’s health. This will include any problems with anesthesia or allergies.
• This information is very important for your safety. IF you do not follow the instructions about not eating or drinking before your surgery, your surgery may be delayed or even canceled.