Insured entitled to most disputed medical benefits for chronic pain and psychological impairments; FAE denied.
The applicant sought various medical and rehabilitation benefits following a motor vehicle accident, which the respondent insurer denied.
The Licence Appeal Tribunal found that the treatment plans for lidocaine injections, an EEG assessment, physiotherapy, a dietician assessment, assistive devices, and psychological services were reasonable and necessary to treat the applicant's chronic pain and psychological impairments.
The Tribunal denied the functional abilities evaluation due to the applicant's pain-focused behaviour rendering it inaccurate, and dismissed the claim for a Regulation 664 award.
OLATOntario Licence Appeal TribunalMay 23, 2018
