A.B. v. Aviva Insurance Canada (18-004653)

The claimant sought entitlement to physiotherapy and the cost of an occupational therapy assessment conducted as part of a catastrophic impairment assessment. She also argued that HST was not part of the medical benefits limits. Adjudicator Ferguson accepted that HST was payable outside of the medical benefits limits. He concluded that the occupational therapy assessments were not payable because no physician was involved in completion of the OCF-19, and an occupational therapist was not qualified to complete the OCF-19 independently. The disputed medical benefits were also denied.