The appellant doctor performed a septorhinoplasty on a patient and charged professional and facility fees for the rhinoplasty component, claiming it was uninsured.
The Ministry of Health determined the entire procedure was medically necessary and therefore an insured service, requiring the doctor to reimburse the patient.
The Health Services Appeal and Review Board confirmed the Ministry's decision.
On appeal and judicial review, the Divisional Court upheld the Board's decision, finding its interpretation of the Schedule of Benefits was correct and its factual determination that the rhinoplasty was medically necessary was reasonable.