The applicant, a pedestrian struck by a vehicle in 2014, sought various medical and rehabilitation benefits under the Statutory Accident Benefits Schedule after being denied by the respondent insurer.
The Licence Appeal Tribunal found that further physical treatments, including occupational therapy, physiotherapy, and chiropractic services, were not reasonable and necessary, as the applicant had largely recovered from her physical injuries and could manage residual pain with self-directed exercises.
Claims for orthopaedic, neurocognitive, and certain psychological assessments were dismissed as statute-barred under s. 38(2) because they were incurred before the treatment plans were submitted.
However, the Tribunal granted entitlement to a psychological assessment and psychological services, preferring the applicant's expert evidence that she continued to suffer from somatic symptom disorder and adjustment disorder.
Claims for an award and costs were denied due to a lack of submissions.
