Unionville Catastrophic injury Lawyers
After sustaining catastrophic impairments in a motor vehicle collision, your life will likely never be the same. Many catastrophically impaired survivors of car accidents suffer enduring physical hardships, psychological trauma, and economic challenges. The lifetime costs of these injuries can be destabilizing for accident survivors and their families. However, certain costs related to their injuries may be offset by the accident benefits available to them from their insurance providers.
In accordance with the province of Ontario’s Statutory Accident Benefits Schedule (SABS), all basic auto insurance plans must include a mandatory minimum amount of accident benefits. Individual policyholders may choose to pay for additional coverage.
The amount of accident benefits available through basic auto insurance plans are dependent on the severity of the injuries sustained by the claimant. The mandatory minimum amounts are as follows:
- Minor injuries: $3,500 in medical and rehabilitation benefits
- Non-minor, non-catastrophic injuries: $65,000 for the combined total costs of medical, rehabilitation, and attendant care benefits for 5 years
- Catastrophic injuries: $1 million in combined medical, rehabilitation, and attendant care benefits for life
According to the SABS, in order to meet the threshold of catastrophic impairment, a motor vehicle accident victim must have sustained at least one of the following as a result of their collision:
- Paraplegia or Tetraplegia
- Severe impairment of ambulatory mobility or use of an arm; or Amputation
- Loss of Vision of Both Eyes
- Traumatic Brain Injury (TBI) meeting the Glasgow Outcome Scale-Extended (GOS-E) criteria
- Physical Impairment or Combination of Physical Impairments (which results in 55% or more of whole person)
- Mental or Behavioural Impairment (excluding Traumatic Brain Injury) Combined with a Physical Impairment (which results in 55% or more impairment of the whole person)
- Marked impairment in three or more areas of function that precludes useful functioning; or an Extreme impairment in one or more areas of functioning due to mental or behavioural disorder
A physician familiar with the accident survivor’s injuries and prognosis must submit a recommendation to insurers attesting that they believe their patient’s accident-related injuries meet the threshold of catastrophic impairment. They do so by completing an OCF-19 form which must be included in the applicant’s accident benefits claim.
Unfortunately, a physician’s completed application for a determination of catastrophic impairment does not automatically grant their patient access to higher accident benefits coverage. As it happens, insurers frequently dispute the claims of catastrophically impaired accident survivors. This can occur for a variety of reasons, such as insufficient medical documentation, conflicting medical opinions, or concerns about the validity of the claim.
Insurers may require an injured accident survivor to submit to an independent medical examination to confirm their original physician’s findings, offer unfairly low settlement amounts, or deny their claim for benefits outright.
If you find yourself in these unfortunate circumstances, working with our Unionville catastrophic injury lawyer may prove advantageous. Our catastrophic injury lawyers serving Unionville are familiar with the unfair tactics used by insurance providers to give injured accident victims less than what they are rightfully owed. To learn more, schedule a free initial consultation with Preszler Injury Lawyers today.
How We May Be Able to Help
Our Unionville catastrophic injury lawyers have combined decades of experience helping deserving clients in the local community receive the fair treatment and compensation to which they should be entitled. With our assistance, you may be able to easily resolve your dispute with your insurer and get the coverage you need to get your life back on track.
If you were involved in a motor vehicle collision and sustained injuries as a result, do not hesitate to contact us today to receive a free initial consultation on your case.