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N.S v. Wawanesa Insurance Company (19-000300)

  • January 22, 2020

The claimant sought a determination that her impairments were outside of the MIG and entitlement to medical benefits proposed in two treatment plans. Adjudicator Boyce found that the claimant’s psychological and/or neurological impairment took her outside of the MIG, based on the medical opinions of her assessors. The claimant was subsequently found entitled to payment for a psychological assessment. However, Adjudicator Boyce found a chiropractic treatment plan not payable as it was not reasonable and necessary. The claimant failed to demonstrate that her pain was caused by the accident or that she required further facility-based intervention to achieve relief.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits, Minor Injury Guideline
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