Application for accident benefits dismissed as requested assessments were not reasonable and necessary.
The applicant sought statutory accident benefits following a 2016 motor vehicle accident, specifically claiming costs for an attendant care assessment and a physiatry assessment.
The respondent denied the benefits, arguing the applicant's knee issues were pre-existing and not accident-related.
The Tribunal found that while the accident was a necessary cause of the applicant's knee pain, the requested assessments were not reasonable and necessary.
The medical evidence and surveillance did not support ongoing accident-related functional impairments that would justify the assessments years after the accident.
The application was dismissed.
OLATOntario Licence Appeal TribunalAug 16, 2024
