Dr. Trofimova

The applicant was injured in a motor vehicle accident and sought statutory accident benefits for various treatment plans and assessments.

The insurer denied the benefits, arguing the applicant's injuries fell within the Minor Injury Guideline.

The Tribunal found that the applicant's chronic pain and the medical evidence supported that his injuries were not minor.

The Tribunal ordered the insurer to pay for four treatment plans for physical therapy and an orthopaedic assessment, finding them reasonable and necessary.

An in-home assessment was deemed incurred because the insurer unreasonably denied it without adequate medical reasons.

However, a cognitive assessment recommended by a chiropractor was denied as it was beyond the chiropractor's scope of practice and unsupported by psychological evidence.

The applicant was injured in a motor vehicle accident and sought medical benefits beyond the $3,500 limit prescribed by the Minor Injury Guideline (MIG).

The applicant argued that his injuries fell outside the MIG due to psychological impairments, chronic pain, and a pre-existing condition.

The adjudicator found the applicant's medical evidence inconsistent, particularly noting the lack of psychological complaints or referrals in his family physician's clinical notes.

The adjudicator concluded that the applicant sustained predominantly minor injuries and was subject to the MIG limit.

The application for further benefits was dismissed, and neither party was awarded costs.