Insurer ordered to pay for chiropractic treatment plans where applicant demonstrated ongoing chronic pain.
The applicant was injured in a motor vehicle accident and sought payment for two chiropractic and physiotherapy treatment plans totaling approximately $4,000.
The insurer denied the plans based on an insurer's examination concluding the applicant had reached maximum medical recovery.
The Tribunal found the treatment plans were reasonable and necessary, preferring the evidence of the applicant's treating practitioners who diagnosed chronic pain and noted ongoing functional impairments.
The Tribunal ordered payment of the treatment plans with interest, but declined to order a special award, finding the insurer's reliance on its medical assessment was not unreasonable.
OLATOntario Licence Appeal TribunalApr 3, 2020
