2 total
Tribunal approves optometric and dietary assessment plans but denies further psychological and physical therapy benefits.
The applicant sought statutory accident benefits following a motor vehicle accident.
The Licence Appeal Tribunal considered entitlement to multiple treatment plans for psychological, optometric, dietary, and physical rehabilitation services.
The Tribunal granted the plans for optometric services and a dietary assessment, finding them reasonable and necessary based on the medical evidence and the applicant's positive response to vision therapy.
The Tribunal denied the remaining plans, including psychological and physical therapy, finding that the applicant either failed to prove they were reasonable and necessary, failed to exhaust collateral benefits, or incurred expenses prior to submitting a plan.
The claim for a special award was dismissed, but interest was awarded on overdue benefits.
Insurer ordered to pay $16,870 for psychological, physiotherapy, and vision therapy benefits plus interest.
The applicant sought medical and rehabilitation benefits under the Statutory Accident Benefits Schedule following a motor vehicle accident.
The respondent insurer denied treatment plans for psychological services, physiotherapy, and vision therapy based on the opinions of its assessors.
The Licence Appeal Tribunal found that the applicant met her burden of proving the treatments were reasonable and necessary, preferring the evidence of her treating practitioners over the respondent's assessors.
The Tribunal ordered the respondent to pay $16,870.79 for the disputed treatment plans plus interest, but declined to make a special award under Regulation 664.
No linked lawyers found.
No linked judges found.
