Claim for adjustable bed and specialty bedding denied as not reasonable and necessary for recovery.
The applicant, who suffered a lower limb amputation in a motor vehicle accident, sought $8,000.49 for assistive devices including an adjustable bed, platform bed, and specialty bedding.
The respondent had partially approved the treatment plan for a memory foam mattress but denied the remaining items.
The Tribunal found that the applicant failed to prove the disputed items were reasonable and necessary.
Relying on the respondent's in-home occupational therapy assessment, the Tribunal concluded the applicant could safely transfer using his existing bedframe and that comfort alone did not satisfy the statutory criteria for funding.
OLATOntario Licence Appeal TribunalNov 21, 2025