Physiotherapy plan approved and 10% award granted for delayed psychological treatment; remaining benefits denied.
The applicant sought various medical and rehabilitation benefits following a motor vehicle accident.
The Licence Appeal Tribunal found that only the physiotherapy treatment plan was reasonable and necessary, relying on the recommendation of the applicant's family physician.
The remaining claims for massage therapy, chiropractic treatment, occupational therapy, a qEEG assessment, and various other expenses were denied due to insufficient medical evidence or because they were incurred prior to the submission of a treatment plan.
The Tribunal also awarded the applicant 10% of the amounts withheld for two psychological treatment plans, finding that the respondent unreasonably delayed funding despite having sufficient evidence to approve them.
OLATOntario Licence Appeal TribunalApr 1, 2021
