The appellant's estate appealed a decision of the Health Services Appeal and Review Board denying reimbursement for out-of-country medical treatment.
The appellant, suffering from advanced ovarian cancer, travelled to Germany for chemotherapy and experienced a perforated bowel requiring immediate surgery.
The Board found that the bowel perforation was not 'unexpected' given her underlying condition, and thus did not qualify as an insured service under the regulations.
The Divisional Court applied a reasonableness standard of review and upheld the Board's decision, finding it was supported by medical evidence that the complication was predictable.
