The applicant was injured in a motor vehicle accident and sought various medical benefits and the cost of assessments from her insurer under the Statutory Accident Benefits Schedule.
The insurer denied the claims, arguing they were not reasonable and necessary.
The Licence Appeal Tribunal found that one treatment plan for chiropractic, massage, acupuncture, and physiotherapy was reasonable and necessary, awarding $4,282.62 plus interest.
However, the Tribunal dismissed the remaining claims, including a $26,400 catastrophic impairment assessment, finding that the applicant's ongoing cervical spine issues were likely due to a progressive degenerative condition rather than the accident.
Claims for vocational and physiatry assessments were also dismissed as the applicant's condition was well-documented and she had successfully retrained and obtained employment.
