Can insurance refuse to cover treatment if you refuse preventative care?

Suppose your doctor orders a colonoscopy, but you choose not to get it. Later on, if you’re diagnosed with colon cancer, could you be denied treatment or coverage for the treatment because you didn’t undergo the preventive screening?

Additionally, can doctors or insurance companies drop you for refusing preventive screenings? My mom mentioned that her doctor would stop seeing her as a patient if she didn’t get regular mammograms and Cologuard screenings. It’s confusing because her doctor required the mammogram, but her insurance wouldn’t cover it.

For context, I’m American. My mom has a PPO plan, and I’m on my dad’s HMO plan until I turn 26 or get a job with insurance.

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If you don’t comply, providers may terminate your service. If not, a provider may be legally liable for permitting a patient to stay under their care while they are not in compliance with certain laws, a practice known as negligent care. This is consistent, recorded non-compliance over an extended period of time rather than a singular incident.

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An uncommon health insurance provider refuses to cover mammograms for women over 40. The real issue, in my opinion, is that your mother is opposed to getting one.

Physicians will occasionally “fire” noncompliant patients—that is, patients who disobey their professional advise.

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@Jamie She’s in her 50s, so they should absolutely be footing the bill; yet, it’s strange. Her doctor has been bugging her to get one done, so she decided to pay for it out of herself.