Application for accident benefits for optometric services dismissed as vision changes were found to be age-related.
The applicant sought statutory accident benefits for optometric assessments and services following a rear-end motor vehicle accident.
The insurer denied the treatment plans based on an independent medical examination by a neuro-ophthalmologist, who concluded the applicant's vision issues were age-related presbyopia rather than accident-related impairments.
The Tribunal applied the 'but for' test for causation and preferred the evidence of the insurer's neuro-ophthalmologist over the applicant's optometrist and physiatrist due to his specialized medical training.
The Tribunal found the treatment plans were not reasonable and necessary, and dismissed the application.
OLATOntario Licence Appeal TribunalJul 28, 2023
