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A case manager is a person appointed by your insurer or health service to coordinate your recovery plan. They work with your medical team to determine what services and funding you are entitled to. Building a good working relationship with them is key.
Write down what you are struggling with day-to-day. Be specific: I cannot bend to clean the bathroom, I cannot carry groceries, I need help with laundry. Specific examples are much more effective than general statements like I need help around the house.
Ask specifically: Am I entitled to domestic assistance? What in-home support does my plan cover? Can I choose my own provider? How many hours per week am I approved for? Do not be afraid to ask for written confirmation of what has been approved.
If your case manager says you do not qualify, ask them to explain the reason in writing. You have the right to seek a review of decisions. Speaking to a patient advocate or contacting WSRC for guidance can also help — we have helped many clients navigate these situations.
WSRC coordinators regularly liaise with case managers and insurance companies. If you would like us to assist in confirming your eligibility or advocating for appropriate services, contact us on 02 8111 5085.
Need support?
Our team can help you navigate your funding options and have the right support in place — usually within 48 hours.