Tribunal grants partial accident benefits for physical and psychological treatments but denies cognitive and occupational therapy assessments.
The applicant sought various medical and rehabilitation benefits following a motor vehicle accident.
The Licence Appeal Tribunal found that the applicant was entitled to funding for physiotherapy, Botox injections, a mental health driving assessment, a virtual social work assessment, a sleep study, an oculo-visual assessment, and prescription medication, as these were reasonable and necessary to treat his accident-related impairments, including a mild traumatic brain injury.
However, claims for a functional cognitive assessment, an attendant care assessment, and occupational therapy were denied because the applicant demonstrated an ability to engage in pre-accident activities and perform necessary tasks independently.
The Tribunal also denied the applicant's request for a special award, finding that the insurer reasonably relied on its assessors' opinions.
OLATOntario Licence Appeal TribunalAug 30, 2023