2 total
Tribunal awards medical benefits for injections and an adjustable mattress to treat accident-related chronic pain.
The applicant sought statutory accident benefits following a motor vehicle accident.
The Licence Appeal Tribunal considered whether treatment plans for injections, an adjustable mattress, and a pillow were reasonable and necessary.
The Tribunal found the injections and adjustable mattress were reasonable and necessary to treat the applicant's chronic pain and sleep disturbances resulting from the accident.
The claim for the pillow was denied as the applicant failed to justify an excessive documentation fee.
The respondent was ordered to pay for the injections and mattress, plus interest.
Application for accident benefits dismissed as brain injury was caused by cardiac arrest, not collision.
The applicant was involved in a single-vehicle collision after suffering a cardiac arrest and sought an occupational therapy assessment under the Statutory Accident Benefits Schedule.
The respondent insurer denied the benefit, arguing the applicant's brain injury was caused by the cardiac arrest, not accident-related trauma.
The Tribunal found the applicant failed to prove that his impairments would not have occurred but for the accident, noting extensive medical evidence attributing his anoxic brain injury to coronary artery disease.
The application for benefits was dismissed.
