Tribunal approves optometry and physiotherapy benefits for post-concussion symptoms but denies speech-language pathology assessment.
The applicant sought statutory accident benefits following two motor vehicle accidents that resulted in a traumatic brain injury and post-concussion syndrome.
The respondent insurer denied funding for optometry, speech-language pathology, and physiotherapy treatment plans.
The Tribunal found the optometry and physiotherapy plans reasonable and necessary, preferring the evidence of the applicant's treating practitioners over the insurer's examiners, noting the applicant's measurable improvement with treatment and deterioration when treatment ceased.
However, the Tribunal denied the speech-language pathology assessment, finding insufficient contemporaneous medical evidence of communication impairments.
OLATOntario Licence Appeal TribunalApr 29, 2022
