5th Circuit Partly Reverses Ruling In Coverage Dispute Over Weight Loss Surgery

(February 5, 2019, 9:38 AM EST) -- NEW ORLEANS — The Fifth Circuit U.S. Court of Appeals on Jan. 31 found that a health plan administrator did not abuse its discretion in the first or second internal appeal of its denial of full coverage for a health plan beneficiary’s gastric bypass surgery, a follow-up surgery and care required after she experienced complications, reversing a lower court in part (Karen A. Rittinger v. Health Alliance Life Insurance Company, et al., No. 17-20646, 5th Cir., 2019 U.S. App. LEXIS 3201)....

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