Insurer ordered to pay $57,078.50 for long-term massage therapy deemed reasonable and necessary for chronic pain.
The applicant was injured in motor vehicle accidents in 1997 and 2003, developing chronic pain.
She sought payment for massage therapy incurred between 2002 and 2008, which the insurer denied on the basis that ongoing passive therapy was not reasonable and necessary.
The arbitrator found that the massage therapy was reasonable and necessary as supportive care to manage the applicant's chronic pain and allow her to maintain her function and participate in active therapies.
The insurer was ordered to pay $57,078.50 for the incurred massage therapy, plus interest.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesJan 23, 2009
