Question:
Case Manager, How do I get one?

My Dr. Keeps bringing up getting a case manager. How do I get one? Ive just started my monthly weigh ins (required for 6 months before operation is considered by insurance) and want everything to go as smoothly as can be. Any help would be great. Thanks!    — Maryanne L. (posted on February 4, 2010)

February 4, 2010
A case manager,I have never heard of that.
   — davonjack

February 4, 2010
A Case Manager is a nurse who will follow a patient for a variety of reasons. Most commonly, patients with multiple health issues or very complex issues are assigned a case manager by the Health Plan. The case manager will check in with you periodically and can help to coordinate care, referrals and things like special medical equipment. I suggest you first contact your health plan member service / customer service department. You should find a toll free telephone number for member services on the back of your insurance card. Ask them if your health coverage includes case management and if you can be assigned to a case manager. In some instances, a Health Plan may require a physician referral. So, if you have case management as a covered benefit, your Physician could send in a referral for you to be followed by a case manager. Hope that helps you to get started. Good luck! -Nancy
   — looking4ward

February 4, 2010
Nancy has it right. I have a case manager through my health insurance. Before my RNY I had type 2 diabetes and I still have a case manager for that even though my diabetes is completely under control.
   — Muggs

February 5, 2010
I called my insurance company and seems my company did not opt for that feature so I cannot get a case manager. Very frustrating...but at least they cover WLS...
   — texastreat

February 6, 2010
I actually HAVE a case manager and have no idea why I do and what she is doing for me. She calls ever so often and asks if I have any questions( I don't know what she's supposed to be doing so I don't know what do ask for). All I do know is that she was about to close my case but I told her to keep it open because I was having rny. Maybe I can learn here how I can best use her services, whatever they may be.
   — mellyw

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