How Much Does ICBC Cover?

Effective April 1 2019

MASSAGE THERAPY Coverage
Initial Assessment Treatment (45 minutes) 100%
Standard Treatment (30 minutes) 100%
PHYSIOTHERAPY  Coverage
Initial Assessment Treatment (45-50 Minutes depending on location) 100%
Standard Treatment (30 Minutes) 100%
CHIROPRACTIC Coverage
Initial Assessment Treatment (30 Minutes) 100%
Standard Treatment (15 minutes) 100%
 ACTIVE REHABILITATION (KINESIOLOGY) Coverage
Initial Assessment Treatment (60 Minutes) 100%
Standard Treatment (30 Minutes) 100%

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, or Active Rehabilitation 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 patients 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 may not be able to afford the financial costs associated with their health care. Under this program we cover the costs of your treatments until you receive your settlement.

5 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-Claim604-520-8222 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                

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. See Your Doctor

This step can occur before seeing us but it’s not necessary prior to beginning treatment for soft tissue injuries. It is highly recommended that you meet with a Medical Doctor so they have a complete and thorough record of your injuries on file. Your doctor’s file will be a very important part of your claim for injury compensation.

4. Talk to an Injury Lawyer

At painPRO we work with some of Vancouver’s top Injury Lawyers and can make a personal introduction for you. A good injury lawyer should give you a free initial consultation. Having an experienced injury lawyer working for you will assist you in understanding the process better and answer your questions.

Your lawyer will also want you to keep a diary of expenses and other issues relating to your accident. Things like time off work, pain severity and frequency, difficulties in normal daily activities, treatment costs, and general impact on the quality of life.

5. Get Cost of Treatments Covered

Although ICBC will cover your initial treatment costs, and in some cases all of them, everyone’s recovery from auto accident injuries is different. Many injury claims can take years to resolve and getting the treatments you need are critical to improving your recovery. Over time this can become a very expensive process and most people need financial help.

In many cases your lawyer will cover the costs of your treatments and will pay us directly while your claim is being settled with ICBC.

There are times when a lawyer is not in a position to pay for your treatment costs and this is why we have created the Recovery Support Program. This program has been designed to financially support your injury recovery so you don’t have to stress how you’re going to pay for it. This could represent thousands of dollars over the course of your settlement process. Services such as Massage Therapy, Physiotherapy, Chiropractic, and Active Rehabilitation treatments critical to your injury recovery are covered under this program.

“We take your treatment experience seriously and do everything possible to make you a raving fan of the painPRO Difference.”

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