ICBC Insurance Claim

How Much Does ICBC Cover?

Effective Oct 1 2023

ICBC is making major changes, effective April 1 2019, to significantly improve access to treatment for people involved in MVA related accidents. This new coverage will relate to all new and existing ICBC claims. This means anyone with an open claim approved prior to April 1 2019 will benefit from these changes after April 1 2019 on any remaining treatments before their claim end date. 

IMPORTANT NOTE

1. ICBC will NOT pay for any amounts above the new approved treatment limits. If longer treatments are requested the extra treatment fees will be at your expense and will NOT be reimbursed by ICBC as part of your settlement.
2. ICBC Claims only allow for one Initial Assessment during the term of the claim.
3. ICBC allows only one treatment claim per day per therapy type. Multiple Standard Treatments for one therapy cannot be combined on the same day to allow for longer treatments. In other words you can’t book two Standard Registered Massage Therapy treatments on the same day in order to get a 60 minute treatment.
4. ICBC does allow one treatment per therapy type on the same day. This means patients can book separate Registered Massage Therapy, Physiotherapy, Chiropractic, Active Rehabilitation, Clinical Counselling, or Acupuncture treatments on the same day.
5. If MVA date occurred prior to April 1 2019 the total allowable treatments under the claim will not change. (see below for old treatment amounts by therapy)
6. ICBC does not pay for treatment No Shows or Late Cancellations. It is the patients responsibility to pay these amounts as we have reserved the treatment time specifically for you. We reserve the right to cancel all future treatments until the full amount owing is paid.

It’s important to note that our ICBC direct billing service is a courtesy service and not a guarantee that all direct billings will be approved or paid by ICBC. It remains the patient’s responsibility to pay for all unpaid treatments by ICBC should direct billing problems occur. Patients will be able to collect these payments directly from their ICBC adjuster.

We have also developed the Recovery Support Program for those who do not qualify under ICBC Part 7 Benefits above. Under this program, we work with your lawyer to cover the costs of your treatments. Call our Recovery Support Team to find out more…604-683-7246.

3 Steps To Successful Recovery After an Auto Accident

1. Contact ICBC

First of all – if you’ve been injured in an accident the first step is to report your claim to ICBC. You can call them directly at ‘Dial–A-Claim’ 604-520-8222 or complete their easy online claims process.

Once you have your ICBC Insurance claim number you are eligible to start receiving Massage Therapy, Physiotherapy, Chiropractic, and Active Rehabilitation (Kinesiology) treatments for your injuries.

Regardless of who is at fault, all parties involved in an automobile accident are eligible for ICBC treatment benefits.

2. Get an Effective Treatment Plan

The next step is to Call Us 604-683-PAIN(7246) and get your treatments started right away. Our experienced recovery team will help walk you through the process of getting the necessary treatments needed to get you feeling better, fast.

We will require:

a) Your First and Last Name

b) Your ICBC Insurance Claim number

c) MVA Date

Our goal is to get your treatments started within a few days of your accident since this helps improve your recovery time. *Please note that approval depends on the speed at which your ICBC Customer Claims Specialist (adjuster) responds to the request and may take longer than 72 hours.

The following treatment limits are pre-approved once you have your claim number. These treatments must occur within 12 weeks of your accident date. After 12 weeks any new or unused treatments will require approval from your ICBC Customer Claims Specialist (adjuster).

                                        MVA after April 1 2019          MVA before April 1 2019

Massage Therapy               12 Treatments                              12 Treatments

Physiotherapy                     25 Treatments                              20 Treatments

Chiropractic                         25 Treatments                              No Limit

Active Rehabilitation        12 Treatments                              12 Treatments 

Clinical Counselling          12 Treatments                               NA

Registered Acupuncture  12 Treatments                              NA

On your first visit our health care professionals will assess your condition and make recommendations for an injury specific treatment plan. If you haven’t already done so, we may refer you to a Medical Doctor who understands the complexities of motor vehicle injury’s as there may be underlying problems not clearly evident at the time of your appointment. It is important to understand that unaddressed soft tissue injuries can significantly reduce the quality of your life and create long term financial hardship for you and your family.

3. Get Cost of Treatments Covered

As long as your accident claim is approved ICBC will cover your treatment costs for the first 12 weeks after your motor vehicle accident. It’s important to remember that everyone’s recovery from automobile accident injuries is different and you may find additional treatments are required after 12 weeks.

If further treatments are required our ICBC Support team will contact your Customer Claims Specialist (adjuster) to seek approval for additional treatments. As long as you are diligent in following your personalized treatment plan established by our healthcare team, and there is a legitimate need for additional treatments, ICBC may approve the request.