Chiropractic treatment plan approved; applicant demonstrated reasonable and necessary benefit from ongoing care.
The applicant was injured in a motor vehicle accident and sought $2,456.20 for a chiropractic treatment plan under the Statutory Accident Benefits Schedule.
The respondent insurer denied the plan based on an insurer's examination report.
The Tribunal found the treatment plan was reasonable and necessary, placing significant weight on the clinical notes of the applicant's physiatrist and rehabilitation consultant, which confirmed the applicant derived benefit from the treatments.
The Tribunal ordered the respondent to pay the treatment plan along with interest on overdue amounts.
OLATOntario Licence Appeal TribunalMay 9, 2025
