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Maximum Limits on Medical, Rehabilitation and Attendant Care Benefits (Province of Ontario)

June 1, 2009

19. (1) The sum of the medical and rehabilitation benefits paid in respect of an insured person shall not exceed, for any one accident,

(a) $100,000; or
(b) if the insured person sustained a catastrophic impairment as a result of the accident, $1,000,000. O. Reg. 403/96, s. 19 (1).

(2) The amount of the attendant care benefit paid in respect of an insured person shall not exceed, for any one accident,

(a) $1,000,000, if the insured person sustained a catastrophic impairment as a result of the accident;
(b) nil, if the accident occurred after April 14, 2004 and the insured person sustained an impairment that comes within the Grade I Whiplash Guideline or the Grade II Whiplash Guideline; or
(c) $72,000 in any other case. O. Reg. 458/03, s. 7

(3) If the optional medical, rehabilitation and attendant care benefit referred to in section 27 was purchased and applies to the insured person, the maximum limits fixed by the optional benefit apply and subsection (1) and clauses (2) (a) and (c) do not apply. O. Reg. 458/03, s. 7.

(4) For the purpose of subsection (1), the medical and rehabilitation benefits paid in respect of an insured person include any amount paid in respect of the insured person under section 17. O. Reg. 403/96, s. 19 (4).

Housekeeping $100/week up to 104 weeks

Visitation Expenses – no limit

Lost Education Expenses – $15,000

Non-Earner $185/week payable if test is met after 26 weeks – complete disability

IRB $400/week maximum payable to 104 weeks, after test change to complete disability

Caregiver Benefit $250/week, each additional child is $50.00 to 104 weeks, after test change to complete disability