Tribunal awards partial attendant care and medical benefits; denies costs to insurer.
The applicant was injured in a motor vehicle accident and sought attendant care benefits, medical benefits, and the cost of examinations under the Statutory Accident Benefits Schedule.
The Tribunal found the applicant was entitled to attendant care benefits for the initial period as the expenses were properly incurred, but denied benefits for the subsequent period based on the applicant's admissions of self-sufficiency and surveillance evidence.
Several treatment plans, including those for a TMJ assessment, chiropractic services, an orthopaedic assessment, and a chronic pain assessment, were deemed reasonable and necessary given the applicant's chronic pain and objective medical evidence.
Other treatment plans were denied for lack of supporting evidence.
The respondent's request for costs was dismissed.
OLATOntario Licence Appeal TribunalAug 3, 2017
