We identify a class of composite membranes: fluid bilayers coupled to an elastic meshwork, that are such that the meshwork's energy is a function F el [A ξ ] not of the real microscopic membrane area A, but of a smoothed membrane's area A ξ , which corresponds to the area of the membrane coarse-grained at the mesh size ξ. We show that the meshwork modifies the membrane tension σ both below and above the scale ξ, inducing a tension-jump ∆σ = dF el /dA ξ . The predictions of our model account for the fluctuation spectrum of red blood cells membranes coupled to their cytoskeleton. Our results indicate that the cytoskeleton might be under extensional stress, which would provide a means to regulate available membrane area. We also predict an observable tension jump for membranes decorated with polymer "brushes". [6,7,8]. Here, σ is an effective surface tension, i.e., an adjustable thermodynamic parameter arising from the constraint of constant surface area, which is usually several orders of magnitude smaller than the surface tensions of ordinary liquid interfaces [9,10]. Additional complexity arises if the membrane interacts with other systems (e.g., a rigid substrate, another membrane, a network of polymers or filaments) [11,12,13], or contains inclusions (passive or active) [14,15].In this paper, we identify a class of composite membranes, i.e., of membranes coupled to an external system (like the cytoskeleton of red blood cells [16]), for which the coupling energy can be described, in a first approximation, by a function of the membrane area coarsegrained at a characteristic length scale ξ (the mesh size in the cytoskeleton case). For such systems, we show that the effective membrane tension should exhibit a jump of amplitude ∆σ at the scale ξ. In other words, the fluctuation spectrum is proportional to (κq 4 + σ < q 2 ] −1 for q < ∼ ξ −1 , and to (κq 4 + σ > q 2 ) −1 for q > ∼ ξ −1 . As we shall see, ∆σ = σ < − σ > is directly related to the coupling between the membrane and the external system. Understanding the scale dependence of the effective surface tension, and in particular its value at short length-scales, is important in a number of phenomena, e.g., membrane adhesion [17,18], cell fusion [19,20] and other microscopic biological mechanisms, such as endocytosis [21]. It should also help interpret experiments on composite membranes [22,23,24], which attempt to determine the value of κ by fitting the fluctuation spectrum.We shall consider two different systems for which our model predicts a jump in surface tension: (i) membranes decorated with polymer "brushes" [25], and (ii) red blood cell membranes interacting with their attached cytoskeleton [16]. Polymer decorated membranes are useful in providing a sterical stabilization for liposome drug carriers [26,27]; we expect that better understanding their membrane tension should yield new insight in their stability and mechanical properties. Here, we shall mainly focus, however, on the composite membrane of the red blood cell (or erythrocyte). The cytoskelet...