If I self pay for a procedure (eg: CT scan or MRI) to avoid waiting for authorization to come through, and something that needs treated is found, can insurance deny covering that treatment?

Age: 40, Income: 90k/yr, Zip: 49051, Insurance company: BCBSM, ACA

I’ve got a friend in kind of a hairy situation, I’m uncomfortable going into the full details, but, in essence, there’s a health risk for their SO, and a very large permanent life decision that is under a time crunch where they’d make two very different choices depending on the results of an MRI. The difference a week could make in having the test taken and the result received could actually matter a whole lot for this decision, even if it wouldn’t necessarily effect the health concern in the short term. We’re wondering if the procedure was paid for out of pocket, and something was found, would that give the insurance company a valid reason to not pay for the future treatment of the condition?

submitted by /u/redAppleCore
[link] [comments]Age: 40, Income: 90k/yr, Zip: 49051, Insurance company: BCBSM, ACA I’ve got a friend in kind of a hairy situation, I’m uncomfortable going into the full details, but, in essence, there’s a health risk for their SO, and a very large permanent life decision that is under a time crunch where they’d make two very different choices depending on the results of an MRI. The difference a week could make in having the test taken and the result received could actually matter a whole lot for this decision, even if it wouldn’t necessarily effect the health concern in the short term. We’re wondering if the procedure was paid for out of pocket, and something was found, would that give the insurance company a valid reason to not pay for the future treatment of the condition? submitted by /u/redAppleCore [link] [comments]Read Morer/HealthInsurance

Leave a Reply

Your email address will not be published.