Let {F n } n≥0 be the sequence of Fibonacci numbers defined by F 0 = 0, F 1 = 1 and F n+2 = F n+1 + F n for all n ≥ 0. In this paper, for an integer d ≥ 2 which is square-free, we show that there is at most one value of the positive integer x participating in the Pell equation x 2 − dy 2 = ±4 which is a sum of two Fibonacci numbers, with a few exceptions that we completely characterize.