Tribunal partially approves treatment plans for catastrophically impaired applicant, allowing rehab assistant and physical therapies.
The applicant, who was deemed catastrophically impaired following a 2014 motor vehicle accident, sought payment for several treatment plans under the Statutory Accident Benefits Schedule.
The Tribunal denied the treatment plans for a sleep system and a scuba diving course, finding they were not reasonable and necessary as the applicant had a similar sleep system prior to the accident and was already engaging in other activities that supplanted the need for the scuba course.
However, the Tribunal approved the treatment plan for a rehabilitation assistant to help the applicant move homes, noting his physical and psychological impairments hindered his ability to do so independently.
The Tribunal also approved treatment plans for chiropractic, massage, and physiotherapy services, finding they provided necessary pain relief, but denied a duplicate chiropractic plan.
OLATOntario Licence Appeal TribunalOct 15, 2024