Application for psychological benefits dismissed; longer sessions and higher psychotherapist rate not proven necessary.
The applicant sought resolution of a dispute over statutory accident benefits following a motor vehicle accident.
The respondent had partially denied two treatment plans for psychological services, disputing the length of therapy sessions (1.5 hours vs. 1 hour) and the hourly rate of a psychotherapist ($149.61 vs. $100).
The Tribunal found that the applicant failed to prove that 1.5-hour sessions were reasonable and necessary, as the expert reports did not specify session length.
Furthermore, the Tribunal determined that the $100 hourly rate approved by the respondent for the psychotherapist was reasonable, distinguishing previous case law because the proposed treatment did not include Cognitive Behavioural Therapy.
The application was dismissed.
OLATOntario Licence Appeal TribunalJun 30, 2023
