Michigan auto accident injury victims often utilize case managers to assist them in their medical treatment. Case managers are typically nurses or vocational rehabilitation counselors and play a very important role in helping an injured person with their road to recovery. The use of case managers is especially important when the injuries are catastrophic, such as a traumatic brain injury or spinal cord injury.
Case management services are actually a part of the medical benefits that an injured person is entitled to receive under the Michigan No-Fault laws and the car insurance policy. There is no limit on the amount of case management services that can be received. The only limitation is that the case management services must be reasonable and necessary for your care, recovery, and rehabilitation.
What is the Role of a Nurse Case Manager after a Car Accident?
Case managers help the patient after a car accident with:
- Coordinating medical care with multiple doctors and clinics
- Finding the best medical specialists for a patient's needs
- Getting doctor's notes and physicians orders
- Scheduling doctor's appointments and locating the best physicians
- Helping the patient with home modifications, such as ramps
- Helping the patient obtain necessary medical appliances, like wheelchairs and hospital beds
- Communicating with the insurance company on behalf of the patient
- Other services to assist the client with their care, recovery, and rehabilitation
Can I Hire my Own Nurse Case Manager after my Auto Accident?
Many times, the No-Fault insurance company will push its own nurse case manager on the injured person. We often advise against this practice. The insurance company nurse case manager will often have the interests of the insurance company before the interests of the client. This often results in the termination of medical treatment and other benefits.
The insurance adjuster will not tell you that you can hire your case manager, but you have the absolute right to choose your own nurse case manager or case management company. If you find someone that you like better than the one appointed by the insurance company, you can "fire" the insurance case manager and hire your own. The insurance company must pay the person that you chose to provide these services.
Who Pays the Nurse Case Manager Fees?
The no-fault insurance company is responsible for paying all nurse case management expenses. You must show that these are necessary for your care and recovery after the accident. Most often, a physician will write a prescription for these services.
Like other medical benefits, the injured person can receive this service for the rest of his or her life if it is necessary. A written claim must be submitted to the insurance adjuster assigned to your claim. Usually, case managers will send their reports and bills directly to the insurance adjuster. The fees are paid directly to the case manager.
Our Michigan No-Fault Insurance Lawyers
If the insurance company refuses to pay nurse case manager benefits, your only recourse is to file a lawsuit against the insurance company that demands payment for the services. Contact our experienced no-fault insurance attorneys now at (800) 606-1717 to speak with one of our experienced lawyers.
We will represent you under our No Fee Promise, which means there are no legal fees unless you receive a settlement. If your case is unsuccessful for any reason, you owe us nothing. We put that in writing for you.