Dr. H. Smyth

The applicant sought statutory accident benefits for two chiropractic treatment plans totaling $8,320.00 following a motor vehicle accident.

The insurer denied the claims, arguing the treatments were not reasonable and necessary.

The Licence Appeal Tribunal found that the applicant predominantly suffered psychological injuries rather than the claimed neurological and concussion-related injuries.

Relying on the insurer's medical examinations, the Tribunal concluded the disputed treatment plans were not reasonable and necessary.

The application was dismissed.

The applicant sought statutory accident benefits following a motor vehicle accident.

The insurer denied treatment plans for optometric services and occupational therapy.

The Tribunal found that the applicant's impairments, including post-traumatic vision syndrome and headaches, were caused by the accident.

The Tribunal held that the optometric services were reasonable and necessary.

Furthermore, the Tribunal found that the insurer failed to provide proper medical reasons for denying the occupational therapy plan, violating s. 38(8) of the Schedule, and thus was required to pay for it under s. 38(11).

Both treatment plans were approved with interest.

The applicant sought statutory accident benefits for two chiropractic treatment plans totaling $8,320, claiming she suffered post-concussion syndrome and a WAD 3 injury from a motor vehicle accident.

The insurer denied the benefits.

The Licence Appeal Tribunal dismissed the application, finding the treatment plans were not reasonable and necessary.

The Tribunal preferred the insurer's medical examinations, which found no neurological signs or concussion related to the accident, over the applicant's medical reports, which lacked objective testing and were temporally removed from the treatment plans.