Tribunal partially grants accident benefits, approving one chiropractic plan but denying further treatment.
The applicant was injured in a motor vehicle accident and sought medical benefits for two chiropractic treatment plans and one psychological treatment plan under the Statutory Accident Benefits Schedule.
The respondent denied the plans based on insurer's examinations.
The Licence Appeal Tribunal found the first chiropractic treatment plan reasonable and necessary, noting the applicant's ongoing pain and the physical impairments documented even in the respondent's own medical examination.
However, the Tribunal dismissed the claims for the second chiropractic plan and the psychological plan, finding insufficient evidence of ongoing physical impairment and concluding the applicant had already reached her psychological treatment goals.
The applicant was awarded the cost of the first chiropractic plan plus interest.
OLATOntario Licence Appeal TribunalJul 6, 2020
