r/icbc • u/deadwanderingdaoist • 11h ago
Claims Almost 3 years of ICBC's Enhanced Care after a serious motorcycle accident
TLDR: No fault is great if ICBC would just do what they said they would.
In November 2023, I was involved in a serious motorcycle accident that left me with multiple injuries, including a torn tendon in my knee that required surgery, a severely broken wrist, broken elbow and hip injuries, nerve damage, and significant scarring on both legs and my hand, and neck pain and headaches.
Almost three years later, dealing with ICBC has honestly been one of the most frustrating experiences of my life.
The thing that bothers me most is that these injuries weren't some new complaints I suddenly started bringing up years later. They were documented from the very beginning. ICBC has had access to medical records detailing what happened to me, the surgeries I needed, and the injuries I sustained.
Yet somehow I've spent the last three years repeatedly trying to convince them to acknowledge injuries that have been in my medical records since the accident.
And throughout the process, I've dealt with what I can only describe as snide, dismissive comments from ICBC representatives and a constant feeling that my injuries were being minimized.
It's exhausting having to repeatedly explain injuries that are already documented, especially when the people handling your claim seem more interested in downplaying them than actually helping you recover.
The first few months were a complete mess.
When I was first injured, almost none of my medical benefits were properly explained to me. I had no idea what I was entitled to, what treatments were covered, or what I was supposed to be doing to make sure I received the support I needed.
My first adjuster would regularly stop responding to me for weeks, sometimes months. I'd send emails, follow up, and hear absolutely nothing until I eventually had to call ICBC and get a manager involved just to get someone to respond.
Meanwhile, I was recovering from a serious motorcycle accident and trying to figure out how I was supposed to afford rent.
I'd switched jobs shortly before the accident, and ICBC calculated my income replacement at an amount significantly below what I had actually been earning.
I ended up going back to work within 12 weeks, even though my doctors had specifically told me I shouldn't.
I was still in pain, still recovering, and working a physically demanding job. But the income replacement I was receiving wasn't enough to cover my rent, so I felt like I had no choice.
My wrist was still weak from the motorcycle accident, and while working I ended up severing a tendon in my finger because I couldn't properly support the glassware I was carrying.
That required another surgery and left me with additional permanent problems. It became a separate WorkSafeBC claim.
I can't help wondering whether that injury could have been avoided if my income replacement had reflected my actual earnings and I'd been able to follow my doctors' advice.
Then came the permanent impairment benefits, which have been an entirely different shit show.
For anyone unfamiliar with the system, ICBC's Enhanced Care provides compensation for certain permanent injuries based on percentages set out in provincial regulations.
You'd think that when someone has documented injuries, surgeries, and permanent physical limitations, ICBC would at least review whether those injuries qualify.
Apparently not.
In my experience, ICBC basically acted like none of my injuries qualified for permanent impairment compensation unless I specifically researched the regulations and pushed them to assess each one.
I had to figure out what permanent impairment benefits even were, read through the regulations myself, identify which injuries might qualify, and repeatedly ask ICBC to send them for assessment.
Keep in mind, all of these injuries were already documented in my medical records.
I wasn't asking them to take my word for anything. I was asking them to assess injuries that doctors had already examined, diagnosed, and treated.
Even then, I had to attend around five different doctors' appointments, essentially having the same injuries examined and documented over and over again before ICBC would accept the findings.
And what makes it worse is how often I was told that something wasn't covered or had already been compensated, only for it to turn out that it actually qualified once I kept pushing.
My wrist injury and reduced hip range of motion are two examples.
I was initially given information that made me believe those injuries weren't eligible or had already been accounted for. After repeatedly asking for them to be formally assessed, they ended up qualifying for permanent impairment payments.
So what would have happened if I'd just believed what I was originally told?
Would I have received any compensation for those injuries?
At this point, I've received $36,496.60 for a combined 20% permanent impairment rating. That includes compensation for my wrist/hand injury, scarring, reduced hip range of motion, and reduced elbow range of motion. About 16% of that was just because of scarring, even though my headaches, my broken bones that cause movement issues, and the hole in my knee that included two severed tendons and nerve damage are all much bigger issues and are either completely ignored as they aren't explicitly stated in the compensation document, or barely accounted for.
I'm not pretending that's an insignificant amount of money, and I'm not saying ICBC hasn't paid me anything.
But why did I have to spend years fighting to get injuries assessed that ultimately qualified under their own regulations?
And why did I have to deal with dismissive comments and have my injuries minimized along the way?
The difference between ICBC and WorkSafeBC has been pretty eye-opening.
WorkSafeBC definitely has its own problems. I'm dealing with a separate claim through them, so I'm not pretending they're perfect either.
But one thing I noticed is that WorkSafeBC actually arranged and paid for a medical professional to assess my permanent injuries.
Someone examined my injury and evaluated the resulting permanent impairment.
With ICBC, my experience has been completely different.
It feels like they just pretend you don't have any permanent injuries until you know enough about the regulations to force them to acknowledge them.
Instead of arranging a comprehensive assessment, I've had to identify the injuries myself, request that they be assessed, chase down medical records, attend repeated appointments, and constantly follow up to make sure anything is actually happening.
I genuinely don't understand why the responsibility for identifying and pursuing permanent impairment compensation seems to fall almost entirely on the injured person.
Especially when most people probably don't even know these benefits exist.
And after almost three years, I'm STILL trying to get two injuries assessed.
ICBC previously confirmed in writing that my knee tear and elbow fracture were pending further medical information.
My previous recovery specialist told me he would obtain updated records and resubmit both injuries to the benefit analysts.
I waited for an update and never received confirmation that he'd actually done it.
When I followed up recently, he told me he was no longer handling my claim and passed me along to another specialist.
Instead of following up with the previous adjuster to establish whether the reviews had already been submitted, the new specialist told me to go back to my doctor and get another medical report for ICBC to consider.
Seriously?
I've already spent years going to appointments, getting medical records, seeing specialists, and having the same injuries documented repeatedly.
And now I'm being asked to go back to the doctor again without anyone even confirming whether the previous specialist followed through on what he said he would do.
To this day, I still don't know whether those reviews were ever submitted.
I've specifically asked the new specialist to confirm whether the previous reviews were completed and to respond to the questions in my earlier correspondence.
I'm still waiting for those answers.
I've also had numbness down a large portion of my left shin since the original accident and surgery.
ICBC previously told me there wasn't enough medical evidence to consider nerve damage, despite the fact that I'd been reporting the sensory loss since the accident.
I recently went to VGH for nerve testing, where specialists documented significantly reduced sensation and concluded that it was most consistent with injury to small nerve branches from the original trauma or surgery.
So now I'm back to trying to get ICBC to consider that evidence too. Yet they probably won't as it's not in their guidelines.
I also have ongoing headaches and postconcussion symptoms that I've been seeing a neurologist for. I literally have to take pain killers several times a month and take time off work because of them, and have been doing that for 3 years. ICBC has already told me chronic migraines aren't compensable under the permanent impairment regulation, but I'm still trying to establish whether the other neurological issues have actually been assessed.
At this point, I genuinely feel like I've spent almost three years doing the job of my own claims adjuster.
I've had to research legislation, track down medical records, chase people for responses, request assessments that weren't being initiated, and repeatedly question decisions that sometimes turned out to be wrong.
And the entire time, I've felt like ICBC has been minimizing the severity of my injuries and treating me like I'm being unreasonable for expecting them to do their job.
I'm not expecting special treatment. I'm not expecting compensation for injuries that don't qualify.
I just expect an insurance company responsible for administering my medical and permanent impairment benefits to actually review the injuries I've sustained and give me clear, accurate information.
What bothers me most isn't even the money anymore.
It's that I have absolutely no confidence my injuries would have been properly assessed if I hadn't spent so much time advocating for myself.
And I can't help thinking about people who are older, don't speak English fluently, aren't comfortable researching legislation, or simply don't have the time or energy to spend years arguing with an insurance company.
How many people are told something isn't covered and just accept it?
How many people don't even know permanent impairment benefits exist?
How many people go back to work before they're medically ready because their income replacement isn't enough to survive on?
And how many people are living with permanent injuries that ICBC has never even considered compensating because nobody told them they could ask?
I understand ICBC has to follow the regulations and that not every injury qualifies for compensation. But I don't understand why it's apparently my responsibility to identify every permanent injury, figure out which section of the regulations applies, convince ICBC to assess it, and then repeatedly follow up to make sure the assessment actually happens.
Isn't the whole point of Enhanced Care supposed to be helping injured people recover?
Because from my experience, it feels like the system is designed around how much time and effort an injured person is willing or able to spend fighting for the benefits they're already entitled to.
I'd genuinely like to hear whether anyone else has experienced something similar, particularly with permanent impairment benefits, incorrect income replacement calculations, adjusters not responding, or being told injuries weren't covered only to have them approved later.
Has anyone had success escalating beyond their recovery specialist or getting ICBC to conduct a comprehensive review of their injuries?
I'm exhausted by this process. At this point, I just want some accountability and clear answers.
