Insurer ordered to pay rehabilitation expenses for elderly applicant, but at reduced kinesiologist market rates.
The 80-year-old applicant was injured in a motor vehicle accident and sought payment for rehabilitation treatment at a clinic.
The insurer refused to pay the full cost, disputing the frequency of treatment and the hourly fees charged.
The arbitrator found that the treatment was reasonable and necessary given the applicant's age and medical history, rejecting the insurer's suggestion that she could exercise at home.
However, the arbitrator reduced the hourly rate charged by the clinic to the market rate for kinesiologists, awarding the applicant $3,655.41 plus interest.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesNov 7, 2000
