Physiotherapy treatment plan denied as injuries were pre-existing and similar previous treatment worsened the condition.
The applicant sought a medical benefit of $1,482.00 for a physiotherapy treatment plan following a motor vehicle accident.
The respondent denied the plan based on an insurer examination which concluded the treatment was not reasonable and necessary.
The adjudicator found that the applicant's back and neck injuries were pre-existing and not accident-related.
Furthermore, the proposed treatment was substantially similar to previous physiotherapy that had worsened the applicant's condition.
The application was dismissed and no interest was payable.
OLATOntario Licence Appeal TribunalJun 4, 2019
