Tribunal awards $21,450 for in-patient addiction treatment, finding polysubstance abuse was caused by accident-related opioid prescriptions.
The applicant sought statutory accident benefits following a motor vehicle accident, claiming a catastrophic impairment and entitlement to medical benefits for an in-home assessment and an in-patient addiction treatment program.
The applicant passed away shortly after the hearing, rendering the catastrophic impairment issue moot.
The Tribunal found that the applicant's polysubstance abuse disorder was directly caused by the accident due to the prescription of opioid medication for accident-related pain.
The Tribunal granted the $21,450.00 treatment plan for the addiction centre as reasonable and necessary, but denied the $1,709.45 assessment plan because it was incurred before submission.
The claim for an award under Regulation 664 was dismissed as the insurer's position was not unreasonable.
OLATOntario Licence Appeal TribunalMar 27, 2023
