George Bougadis

The applicant was injured in a motor vehicle accident and sought various medical and rehabilitation benefits, as well as the cost of several assessments, which the respondent insurer denied.

The Licence Appeal Tribunal found that the applicant was entitled to the cost of a top cover foam mattress, chiropractic, physiotherapy, and massage services, and an orthopaedic assessment, as these were reasonable and necessary for her recovery.

However, the Tribunal dismissed the claims for a psychological assessment and an occupational therapy assessment, finding them unnecessary given prior assessments and a lack of supporting evidence.

The applicant was also awarded interest on overdue payments.

The applicant sought medical benefits for psychological treatment following a motor vehicle accident.

The respondent insurer denied the treatment plans.

The Licence Appeal Tribunal found that the applicant failed to prove the treatment plans were reasonable and necessary.

The applicant had returned to work, was independent in self-care, and denied a desire for psychotherapy.

Insurer examinations concluded the applicant did not evidence clinically significant symptoms of mental illness and had reached maximum medical improvement.

The application was dismissed.