The applicant was injured in a motor vehicle accident and sought medical and rehabilitation benefits from the respondent insurer under the Statutory Accident Benefits Schedule.
The respondent denied several treatment plans, leading the applicant to apply to the Licence Appeal Tribunal.
The adjudicator found that the occupational therapy, psychological, and one chiropractic treatment plan were partially or fully reasonable and necessary, subject to the applicant's $50,000 funding limit.
The optometric and second chiropractic treatment plans were denied.
The adjudicator also held that previously approved but unconsumed benefits count against the funding limit unless explicitly withdrawn by the applicant.
