In Canada, we are fortunate to have a universal health care system. Many services are covered by OHIP. But others services are not.
When an accident victim needs services which are not covered by OHIP, a personal injury lawyer will help the injured party get the insurance company to pay for those services.
These services include but are not limited to:
All of these services will assist the injured party in their road to recovery. Many accident victims find that working with any of the therapists, doctors, or counselors mentioned above is very helpful towards achieving their rehab goals. A personal injury lawyer, such as the lawyers of Goldfinger Injury Lawyers, can help set you up with the right rehab professionals to ensure that you get the best treatment possible.
Do I have to pay the rehab professionals for their treatment?The quick answer to this question, is that "no", you don't need to pay the rehab professionals for their treatment if your personal injury lawyer can get the insurance company to pay. Here's how it works:
The health care provider submits a Treatment Plan on one of those confusing Accident Benefit Forms (OCF-18). The form is then submitted for approval to the insurance company.
The insurance company, then acts as judge, jury and executioner and determines whether or not that treatment plan is "reasonable and necessary". If the insurance company deems the treatment plan to be "reasonable and necessary", then the treatment plan is approved and the injured party can get treatment.
If the insurance company does not deem the treatment plan to be "reasonable and necessary", then the treatment plan is denied and the injured party either won't get treatment, or will have to pay for the treatment out of their own pocket if they have the means to do so. This can be very costly for the injured party to do because this treatment is expensive.
This system, whereby the insurance company determines on their own whether or not the treatment plan is "reasonable and necessary" angers many accident victims because it puts all of the power in the hands of the insurance companies.
A good personal injury lawyer will sue the insurance company in the event a treatment plan is denied to ensure that their client, the injured party, gets the treatment which they deserve.
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