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A Personal Care Assistance (PCA) assessment is an evaluation — usually completed by an occupational therapist — of how much help you need with everyday activities while you recover from a crash. ICBC uses it to determine personal care assistance benefits under your claim, and it’s especially relevant for serious, longer-term, or catastrophic injuries.
It looks at the daily tasks you can’t safely do on your own right now — things like bathing, dressing, meal preparation, moving around your home, and caring for children — and quantifies the support you need. An occupational therapist observes and measures your function, then documents the level and type of assistance required so ICBC can match it to the right benefits.
Occupational therapists are the professionals who typically carry out PCA assessments, because assessing function in real daily activities is central to OT practice. The OT visits you — often at home, where the barriers are — completes the assessment, and provides ICBC with a report supporting your personal care needs.
You’d usually need a PCA assessment when your injuries are significant enough to affect your independence at home — for example after a serious orthopedic injury, a brain injury, or a catastrophic injury. For the most serious injuries, ICBC offers higher coverage for personal care assistance and other additional benefits; your recovery specialist can tell you if you qualify.
Talk to your health care provider and your ICBC recovery specialist — since OT isn’t auto-pre-approved, the assessment is arranged through your recovery specialist once it’s recommended. A clinic experienced with ICBC can coordinate this for you so it happens quickly.
Swift Health’s occupational therapists complete PCA and home assessments across the Lower Mainland, working directly with ICBC recovery specialists, and we can come to you. See our ICBC treatment page.
Who does a PCA assessment for an ICBC claim? An occupational therapist typically completes it, often during a home visit.
Does ICBC cover personal care assistance? Yes — personal care assistance is an ICBC benefit, with higher coverage available for catastrophic injuries. Eligibility is confirmed with your recovery specialist.
Where does a PCA assessment happen? Usually in your home, where an OT can see the real barriers to your daily activities.
Source: ICBC — Accessing treatment during your first 12 weeks of recovery (icbc.com).
We direct bill ICBC and can usually book you in without any wait for approval. Contact Swift Health to get started.