Kenseth v. DEAN HEALTH PLAN, INC.
Court of Appeals for the Seventh Circuit
1Opinion of the Court
ROVNER, Circuit Judge.
Eighteen years after Deborah Kenseth underwent vertical gastric banding to treat her morbid obesity, her physician advised her to undergo a second surgical procedure to resolve the severe acid reflux and related maladies she was experiencing as complications of the original surgery. Before having the corrective surgery, Kenseth telephoned her health maintenance organization’s customer service line to determine whether the surgery would be covered by her insurance. She was advised that it would be, subject to a $300 copayment. But the day after she had the surgery, her…
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