Application for accident benefits dismissed as proposed treatment plans were not reasonable and necessary.
The applicant sought statutory accident benefits following a motor vehicle accident, disputing the respondent's denial of treatment plans for a neurological assessment, psychotherapy services, transportation costs for an orthopaedic assessment, and physiotherapy services.
The Licence Appeal Tribunal found that the neurological assessment and physiotherapy services were not reasonable and necessary, relying on insurer examination reports and the lack of objective improvement from past treatments.
The Tribunal also held that the applicant failed to justify a higher hourly rate for a psychotherapist and did not provide evidence of incurred transportation expenses.
The application was dismissed in its entirety.
OLATOntario Licence Appeal TribunalApr 4, 2024
