In addition to the various benefits to which you may be entitled, in some cases you can request reimbursement for various medical care or personal assistance at home.
SAAQ and refusal to reimburse medical treatment
If the SAAQ informs you that it stops paying for your treatments on the grounds that you are consolidated, not only is it important to challenge this decision with your lawyer, you must continue your medical treatment if you still deem it necessary – whether physiotherapy, occupational therapy, psychotherapy or other.
Indeed, the fact of continuing your treatments continues all the more to document your file to demonstrate your prejudice or the lack of consolidation.
Of course, you must keep all your receipts, since if we win our challenge to medical care, the SAAQ will be obliged to reimburse the treatments you paid for; all in accordance with the amount established in their laws and regulations.
When we challenge the SAAQ’s decision, it rarely agrees to grant more treatment. However, we will fight to get you reimbursed for the expenses you have continued to bear until there is consolidation. In addition, we will at the same time contest the consolidation date established by the SAAQ.
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SAAQ and personal help at home
If you are unable to take care of yourself and perform your household tasks, from the simplest (dressing) to the most complex (washing your floor or moving), you can ask the SAAQ for personal help at home.
The SAAQ will send you a self-assessment grid to be completed by yourself on your ability to carry out your activities of daily living. Following receipt of your self-analysis, she will normally have you assessed and a decision on your degree of disability in connection with home help will be made. To consult the SAAQ’s self-assessment grid, click here.
The SAAQ uses an assessment table of your abilities established by an occupational therapist to determine whether or not you are entitled to personal assistance at home.
If you do not agree with the SAAQ’s decision, do not accept it without a fight. Our firm will help you contest its refusal to grant you all or part of the personal help at home that you think you need. To consult the detailed evaluation grid used by Me Lambert with his clients, click here.
We have seen in several of our files where the SAAQ had paid for bath accessories or specialized knives to justify the non-need to pay full home help. You will agree that this does not fully meet the needs of a person who would require personal help at home.
If the SAAQ stops granting you personal assistance at home, it is important to continue to fill out the forms and have the person who helps you sign so that you can be reimbursed for the said expenses. The sums can be considerable and can be calculated by tens of thousands of dollars.
Contact us for more information.
The SAAQ file
- SAAQ lawyer in Montreal
- Consolidation and road accidents (SAAQ)
- Compensation for bodily injury
- Compensation for psychological damage
- Claim for Income Replacement Compensation
- Return to work after a road accident
- Your compensation file at the SAAQ
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