Tribunal approved 1.5-hour psychological sessions but denied speech language assessment lacking clinical examination.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits for psychological services and a speech language pathology assessment.
The respondent insurer partially denied the psychological treatment plan, arguing that 1-hour sessions were sufficient rather than the 1.5-hour sessions recommended by the treating psychologist.
The respondent also denied the speech language pathology assessment.
The Licence Appeal Tribunal found that the 1.5-hour psychological sessions were reasonable and necessary, preferring the treating psychologist's recommendation.
However, the Tribunal denied the speech language pathology assessment, finding insufficient evidence of a speech impairment, as the pathologist had not examined the applicant before recommending the assessment.
The applicant was awarded the balance for the psychological services with interest.
OLATOntario Licence Appeal TribunalJan 28, 2020
