If you’ve sustained a head injury in an accident, it’s
important to know about the brain injury laws in Ontario. You may be concerned
about how you’ll cover costs while dealing with your recovery.
Who Pays
Compensation?
If your brain injury is the result of an accident, the
Law Society of Upper
Canada lists a few places where you may be able to make a claim. The first,
and most obvious, is against the at-fault person’s insurance company. The
Financial Services Commission of Ontario also has a Motor Vehicle Accident
Claims Fund that provides compensation if you’ve been injured in an accident
and the at-fault person doesn’t have insurance. If you were injured at work,
the
Workplace Safety and
Insurance Board has a compensation system for injured workers. Contact a
lawyer as soon as possible after the accident so your lawyer can collect the
details, talk to witnesses, and deal with insurance companies and adjusters on
your behalf.
Who Pays for Health
Care?
The Ontario Ministry of Health and Long-Term Care has a
comprehensive list of who is responsible for costs after a
motor
vehicle accident. Ontario’s Statutory Accident Benefits Schedule requires
that the insurance company pay for any required non-professional health care
service, whether the services are provided at home or in a hospital, long-term
care home, or other community setting. If treatment exceeds the benefit
maximums, the Ministry of Health and Long-Term Care may fund some or all of the
services required. Limits may vary depending on the insurance company. The
limit may be a monthly or yearly cap on payments.
The insurance company is responsible for providing community
support services like meals and transportation. This can also include support
for family members helping you, home maintenance and repair, and access to
social or recreational services. If you need help with personal care or
housekeeping, the at-fault person’s insurance company is also responsible for
providing assistance with your personal hygiene, laundry, and housekeeping.
The Ministry of Health and Long-Term Care pays for all
physician services and hospital services. It also covers air ambulance service
and use of mental health facilities. Some in-home health services are also
covered, like nursing, occupational therapy, physiotherapy, speech-language
pathology services, and nutritional counselling. These professional services
can be provided in your home, at school, or in the community. If the Ministry
of Health and Long-Term Care does pay for services like housekeeping or
attendant care, the ministry will contact the insurer for reimbursement, not
you.
Your lawyer will know which services should be paid for by
the Ministry and which ones are the responsibility of the insurance company. By
ensuring that the proper claim has been filed, your lawyer will take care of
the details so you can focus on your recovery.
Since the brain is a complex organ, it takes a long time to
heal. An experienced brain injury lawyer knows this and can help you determine
the kind of support you’ll need so you can focus on rehabilitation. Knowing
about brain injury laws in Ontario can help you ask the right questions when
you’re looking for a lawyer.