Articles Posted in Treatment Plan

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Last week a person called and told me about their car accident. It was pretty serious accident which took place at high speeds. The photos of the damage to the vehicles were frightening. Air bags deployed, cracked windshields, crushed bumpers, crumpled hoods and side panels. You couldn’t recognize the makes or models of the vehicles involved in the crash. It was like a scene out of a demolition derby, only it wasn’t an organized event for sporting entertainment. . It was real life. Everyone involved in the crash were luck to be alive.

The people involved in the car accident were rushed by ambulance to hospital. The x-rays and other digital imaging didn’t show any objective injuries. So, the doctors discharged the accident victims telling them to take some Tylenol or Advil, go see their family doctor, and to look in to getting physiotherapy. This might seem strange for some people who aren’t familiar with how car accident cases work, or with how Ontario hospitals work. But as a personal injury lawyer, I see this discharge routine all too frequently. If there isn’t anything broken, or which shows up on any scan or test, people are discharged from hospital fairly quickly in order to make room for the next patient to arrive. The responsibility is then on the client to see his/her family doctor, and arrange for physiotherapy.

But how do you go about arranging for physiotherapy, and who will pay for it?

These are great questions! It sounds easy enough to get physiotherapy, but it isn’t as easy as you would think.

The easiest way to get treatment after a car accident is to find a clinic near your home. Going to a clinic that’s hard to get to isn’t convenient for regular attendance at physiotherapy which is generally what’s required to see results. Once you’ve found a clinic nearby, the easiest way of getting treatment is paying for it out of pocket right there on site.

But that’s not fair considering that you weren’t at fault for the car accident; and considering that you have car insurance which is supposed to pay for this sort of treatment. Paying out of pocket also isn’t always an option due to financial constraints and because paying for regular treatment over the course of time gets very expensive.

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After a car accident, an innocent accident victim needs care and treatment to recover from their accident related injuries.

Treatment like physiotherapy, massage, chiropractic care and seeing a psychologist are not free. These items are not covered by OHIP for accident victims. If you want any of this sort of treatment, you will either need to pay out for it out of your own pocket, have an insurer agree to pay for it; or work out some deal with the provider that they provide care now; and that someone (you or an insurer) pays for it later. If the insurer doesn’t agree to pay under this last model, you are the one who will end up paying for it personally.

This is when the OCF-18 Treatment Plan comes in to play. This is essentially a permission slip; whereby the service provider puts forth a plan to provide treatment to an injured accident victim at a set rate. The insurer will either approve (or partially approve) for the treatment. Or they will deny it.

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