1 total
Claim for higher psychologist hourly rate denied for unregulated psychotherapist providing general counselling.
The applicant sought accident benefits for psychological treatment.
The insurer partially approved the treatment plan, paying the psychotherapist rate of $99.75 per hour instead of the claimed psychologist rate of $149.61 per hour, leaving a balance of $598.32.
The Tribunal found that the provider was an unregulated psychotherapist without specialized training in cognitive behavioural therapy, and the treatment plan did not propose such therapy.
The Tribunal held that the insurer's approved rate was reasonable and dismissed the claim for the balance.
