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Plan May Deny Coverage for Bariatric Surgery
The Wagner Law Group 
Apr. 11, 2019 "[T]he Fifth Circuit, in Rittinger v. Healthy Alliance Life Insurance Company, has ruled that a plan administrator that has been granted discretionary authority with regards to claim decisions, may deny a claim for bariatric surgery when there are conflicting medical opinions as to whether the surgery falls within an exception that would have given the participant coverage for the procedure." [Rittinger v. Healthy Alliance Life Ins. Co., No. 17-20646 (5th Cir. Jan. 31, 2019)] MORE >> |
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