S.S. v. RBC Insurance Company (17-000782)

The claimant sought entitlement to a medical treatment plan for physiotherapy. The insurer denied the plan as not reasonable and necessary. The insurer also noted that while the claimant was removed from the MIG on psychological grounds, the restrictions of the MIG applied to the physical treatment sought. Adjudicator Therese Reilly reviewed the medical evidence and determined the treatment plan claimed was not reasonable and necessary. The applicability of the MIG was therefore not considered. The claimant also sought a special award, which was not granted given the ruling on the benefits claimed.