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Fort Belvoir Community Hospital
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What is Case Management?
It is a process, managed by your healthcare team, to help you and your family find medical solutions. The case manager is your team coach and advocate. Together, you develop a plan of care to promptly control your illness, injury, or situation, and navigate through the maze of medical care progressing toward your medical goal.
Generally, patients with complex problems and considerable medical expenses receive case management support. Problems may be one or a combination of medical, social, financial, or mental health.
Who is eligible?
TRICARE Prime patients
Participation is voluntary
Bone marrow transplants
Dual medical & psychiatric diagnosis
Dual psychiatric & substance abuse diagnosis
High drug costs
Neonates in NICU
Spinal cord injuries
Other categories considered:
Catastrophic illness or injury
Chronic or terminal illness
Multiple medical problems
Functional / Physical deterioration
Lack of family / Social support
Non compliance / resistance to treatment
Inability to follow treatment
Multiple Emergency Department visits / Providers
How long will Case Management services last?
Services last until your Case Management goals are reached or until you and your case manager decide they are no longer necessary and/or helpful. Case management may be resumed at a later time if needed.
Is there a fee?
Case management is a TRICARE / Prime benefit. There is no additional charge and no billing to your insurance for this service.
Your specific services may be:
Advocacy for your needs
Individualized care plan
Link to helpful community or other federal support systems
Liaison with discharge planners should you be admitted
Clarification of your medical insurance
Help to self-manage your situation for positive health outcomes
Coordination of services among your providers
Scheduled needed services
Assistance during transitions of care
Referral to Case Management:
Electronic Referral: Ask your Primary Care Manager (PCM) to write a consultation to Case Management services.
Self-Referral: You can self-refer by calling (571) 231-2755.
Visit: Main Elevators, Oaks Pavilion, Lower Level, Room OL.237
Fax: (571) 231-6651.
Who will be my Case Manager?
You will work with a registered nurse and/or social worker. Everyone has the same goal — to help you reach optimum health as soon as possible.
Will my Primary Care Manager be informed of these plans and services?
Your PCM is part of the team that helps you make plans and decisions about your health goals. Based on these goals, your case manager develops a plan and continually updates it as you progress. The PCM and you have the final say about your care.
Along the way, we share with you:
Your progression according to the case management plan
Our professional evaluation of family dynamics affecting response to treatment
Medical insurance coverage as it impacts identified medical needs
Be cared for with courtesy and respect
Be told about your health care problems
Be told how your problems are usually treated and share in the planning
Be told what you can expect from treatment
Agree to your treatment
Refuse any part of your treatment
Be counseled about what complications could occur if you refuse a treatment
Be discharged from the case management program at any time you wish
Treat the case manager with courtesy and respect
Ask questions about any part of the care you do not understand
Discuss with the case manager any changes in your condition or how you feel
Talk to the case manager about other health problems you have had in the past
Inform the case manager about all medications and remedies you are using
Follow through on shared goals
Let the case manager know if you are having problems following any instructions
Let the case manager know if you decide not to follow the plan of care
Weekdays: 7:30 a.m. to 4 p.m.
Office: (571) 231-2755
Fax: (571) 231-6651
Oaks Pavilion, Lower Level, Room OL.237
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FOIA Service Center
9300 DeWitt Loop
Fort Belvoir, VA 22060
Information: (571) 231-FBCH (3224)
TTY: (571) 231-1799
Appointments: (855) 227-6331