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Applicant v. Aviva Insurance Canada (17-006252)

  • July 23, 2018

The claimant sought entitlement to NEBs, physical therapy, and various assistive devices. Adjudicator Kershaw awarded NEBs and the assistive devices but denied further physical therapy. NEBs were awarded because the claimant had gone from an independent retiree to one dependent on others to assist with activities of daily living. She no longer drove and was unable to attend most of the religious activities she previously performed. Her grandson attended her home regularly to assist with dishes, cooking, cleaning, and laundry. A new mattress was approved because it would provide pain relief. Further physical therapy was denied because the plaintiff’s range of motion had reached maximum medical recovery and there were no records submitted to show further recovery would result.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits, Non-Earner Benefits
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