Case manager questions

Hello, I been on LTD for over 2 years.

Im with a Union at my employer.

I been off with Post covid symptoms that are making me unable to work.

My insurance company wanted my doctor to complete my medical update and my doctor says I still can’t work and its uknown when ill be able to work.

So my case manager told me he got my medical uodate and still got an update from me.

So now the case manager told me in December he’ll check in with me in January . I also habe two appointments at the end of January.

Is it normal for a case manager to check in again so soon ?

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Whenever you let them know your next dr appointment you are probably on their radar for an update. Are you past the change of definition or do you have a 3 year own occupation?

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I havent passed my 3 year yet. But our union has an agreement where its at 1 year they update the change of definition. Im at any occupation. Im just confused why my case manager wants to call me so soon after he got an update from my doctor and already spoke to me a month ago.

Your insurance company probably thinks you may improve unexpectedly or quite quickly, even though your doctor doesn’t know when. But since you’re already over 2 years in, they may also be relying on a specialist’s input that they found nothing wrong with you, which the insurer can use against you to try to cut you off. My insurance company was following up monthly in the beginning, but then my family doctor requested my insurer to approve my claim for 6 months. My case manager then sent my family doctor a form to fill out with medical questions so that their internal medical advisor could review it to see if I could be approved for 6 months. Ever since, they reassess my claim every 6 months. Maybe you could ask your doctor to write a letter to your insurer asking that you’re approved for longer, to reduce anxiety so that you can focus on your treatments?

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Yeah I dont know, I’m stressed out about it to be honest.

I know it can be very stressful. I try to focus on what I can do, that way I’m somewhat distracted from ruminating on the stress itself. Ex) is there anything your doctor can still do for you (order tests, write letters ), any other health practitioners you can consult to obtain objective evidence or address your symptoms etc. I do understand it’s a bit tricky with Long Covid.

Your insurer could also be waiting to see what treatments may be recommended for you, after the upcoming appointments. For example, if there are any medications recommended, medications typically take a while to have an effect, so the insurer may schedule their next update based on that.

Have you asked for a copy of your claim file yet? I know some people in this forum will advise against asking for your file if you’re still being approved, as it could rock the boat, but since you’ve been on LTD for over 2yrs, I think it’s reasonable to obtain a copy for your own records. It would have information on what your insurer considers red flags about your claim that they need frequent updates even after 2yrs.

I should mention she just got assigned to me in December, my old case manager left with no warning. So not sure if her wanting to check in again after my appointments.