Tribunal approves hot tub and physical therapies for chronic pain but denies special award.
The applicant, who sustained a catastrophic impairment in a 2000 motor vehicle accident, sought various medical and rehabilitation benefits under the Statutory Accident Benefits Schedule.
The Licence Appeal Tribunal found that treatment plans for massage therapy, physiotherapy, aqua therapy, and a hot tub were reasonable and necessary to address the applicant's chronic pain.
However, claims for a Costco membership, private pool therapy, a rehabilitation support worker, and occupational therapy were dismissed as the applicant failed to prove they were reasonable and necessary.
The Tribunal also denied the applicant's request for a special award under s. 10 of Regulation 664, finding that the insurer did not unreasonably withhold or delay benefits by relying on its s. 44 assessments.
OLATOntario Licence Appeal TribunalJul 4, 2023