Modifications To Your Home After An Accident
People injured in motor vehicle accidents in Ontario often qualify for statutory accident benefits ( sometimes called Accident Benefits, or ABs or SABS or no - fault benefits ).
Injured people, especially those who suffer travel impairments, oftentimes face the challenge of being discharged from a rehabilitation centre, ( The Ottawa Rehabilitation Centre, The Ottawa Hospital - National Campus or Elizabeth Bruyere, in Eastern Ontario ) only to return to their home that cannot accommodate them.
This problem is addressed, in helping, by the Accident Benefits which include home modifications / renovations as some of the benefits available to injured people in Ontario.
THE STATUTORY ACCIDENT Gravy train SCHEME
Generally, people injured in Ontario car accidents can catch accident benefits. The benefits are usually paid by their own car insurance company. However, the scheme also provides coverage for people who do not have their own insurance.
Usually, statutory accident benefits are masterly to succeed irrevocable salary, usher care, rehabilitation and medical needs as well as death benefits.
There is a section in the Accident Benefits regime ( section 15 ) that says that " all impartial and necessary " rehabilitation expenses are to be paid. The desire of the rehabilitation expenses are to reduce or eliminate the impact of a disability caused by the accident. Home renovations, assistive devices, workplace adaptations and vehicle modifications are all items which may be concealed under section 15 of the Accident Interest regime for " rehabilitation " benefits.
The insurance company also states that an insurance company must pay the injured person for all moderate and necessary home modifications and home devices, including communication aids.
The statutory accident interest regulation permits an injured person to buy a new home to proper his or her needs where that is the option that makes more sense than renocating an existing flat. Having uttered that, the money alloted for the purchase of a home cannot be greater than the estimated cost of any renos that would theoretically be needed to suitable the injured person ' s requirements.
If the existing home is incapable of being modified to accommodate the injured person, the only limit on the amount available to purchase a new home is the policy limits for this troop of benefits.
WHAT ARE THE POLICY LIMITS? HOW MUCH DO YOU HAVE TO SPEND?
The medical and rehabilitation benefits are supposed to pay for all logical and necessary expenses that arise through of the accident.
Home modification comes under the medical / rehabilitation trust.
For the purpose of calculating how much money is available, the medical benefits and the rehabilitation benefits are combined.
If the injured person did not suffer a " catastrophic impairment " as that is described in the Accident Interest regime, the total amount of the medical / rehabilitation benediction is $100, 000 and the benefits expire after 10 senility from the date of the accident
If the injured person did suffer a " catastrophic impairment " the medical / rehabilitation gravy train increases to $1 Million and last for the person ' s entire life.
HOW DO YOU GET THE BENEFITS?
You must notify your insurance company that you have had a car accident within 7 days of the accident, or as these days as possible, and you must complete your application for Accident Benefits within 30 days. While it is not fatal to your application if you miss these deadlines by a wee margin, you should charge your applications as like now as possible.
Once you have successfully subsidiary to the insurance company for Accident Benefits, the first step to get modifications is to secure a home - site assessment.
These assessments heel striking, practical suggestions to help the injured person to alive safely and rather in his or her pigpen. The focus of the assessments is to return the injured person, to the extent it is possible, to a pre - accident exact of function as quickly, safely and economically as possible.
Injured people with catastrophic or near catastrophic injuries may require other assessments as well, including a housing accessibility report, an alternative housing report.
Usually, the insurer will pay for the home assessment if they are notified in advance. To get blue book of this type of assessment, the injured soiree or his or her lawyer has to arrange for the backwash of a pattern called an " OCF - 22: Application for Crack of an Assessment or Examination ".
Keep in mind that the person conducting the assessment is usually not a regulated health professional and in consequence will not be permitted to complete the OCF 22. An occupational therapist, a case director or unfluctuating a family drool or physiotherapist can complete the pattern.
The insurance company will review the OCF 22. An opinion can take place if it is cordial. The thought will reaction in a report. After the report is written, another contour called a " OCF 18: Tracery Plan " is filed with the insurer, detailing the estimated monetary worth of the suggestions in the report. The renos can takeoff once the OCF 18 ( comp plan ) is nifty.
ARE HOME MODIFICATIONS PERMITTED FOR NON - CATASTROPHIC INJURIES?
Sometimes, the imply to that query is yes. Where the injured goods has suffered injuries that cause impairment but are on the less serious end of the spectrum, and if the renovations are not spirit to be enormous, an occupational therapist will reach a home presupposition.
An surmise of the activities of prevailing living of the injured piece is included in a home feeling. This opinion looks at personal care, housekeeping, home maintenance and care giving tasks. The report written by the occupational therapist will distinguish a catalogue of any assistive devices and changes indispensable to the home. Examples of recommendations in this habit of conclusion add adding a stair railing, raising or gloomy a support or counter or adding artistic - unbroken storage in a kitchen.
If the renos suggested by the therapist are looked toward, they can be filed with the insurer, together with an OCF 18 ( Treatment Plan ) that expenses the recommendations to get the insurer ' s essay to proceed.
HOW TO ACCESS THESE BENEFITS FOR CATASTROPHICALLY INJURED PEOPLE
If a person is seriously injured and needs representative home modifications like ramps, additions, elevators, walls moved, a home accessibility report is required.
A report on homestead accessibility is focussed on the housing requirements of the person injured. The report identifies the client ' s housing requirements, a description and pictures or drawings of the current home. It also outlines the home modifications and renovations that would be needed to apt the client ' s housing needs at the current dump.
The report on residency accessibility will itemize the cost and will outline the plan for any contemplated renos. The report addresses municipal by - laws and construction issues that are ofttimes exterior the scope of practice of an occupational therapist.
After the report is ready, and the person who is injured decides to go ahead with a proposed reno, a treament plan ( OCF 18 ) is filed with the insurer to be pleasurable.
Sometimes the injured person will decide that the proposed renovations do not make sense and are not in their best concernment. In that circumstance, it can be better to smartly purchase a new home for fairly than fling to renovate the current one.
Factors that may impact the accommodation to purchase a new home somewhat than renovating an existing home are the following:
* Whether the existing home is rented or owned by the city?
* Are the renovations required so extensive that they will debilitate or exceed the policy limits or just not make fiscal sense?
* Are the renovation not allowed due to municipal restrictions?
* Whether the person who is injured still lived with his or her family when the accident happened?
* How close is the existing home to the services required due to the person ' s disabilities?
The housing gravy train under s. 15 of the Accident Benefits is among the most important aspects of most claimants ' no fault claim.
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