Michigan Limited PIP Case Management can be especially important after a serious Motor Vehicle Crash (MVC) when an injured person discovers that their Auto No-Fault policy has a $250,000 or $500,000 Personal Injury Protection (PIP) medical benefit limit.
Discovering that you selected a $250,000 or $500,000 Personal Injury Protection (PIP) medical benefit limit can become especially concerning after a serious Motor Vehicle Crash (MVC).
Medical treatment, rehabilitation, diagnostic testing, therapy, equipment, home care, and other necessary services can quickly consume available PIP benefits. At the same time, an injured person may be trying to understand an unfamiliar healthcare system, coordinate multiple providers, communicate with an insurance company, and determine what care is needed next.
FaST Case Management™ is a specialized program developed by AICM – Michigan to provide focused, cost-effective case management for individuals with limited Michigan Auto No-Fault PIP medical benefits.
The program provides professional case management for up to 30 days, with the possibility of extension when appropriate.
That’s where AICM – Michigan comes in.
FaST Case Management™ may be appropriate for an individual who has been injured in a Motor Vehicle Crash (MVC) and has a $250,000 or $500,000 PIP medical benefit limit under a Michigan Auto No-Fault policy.
It can be particularly valuable when an individual or family:
FaST does not replace medical providers, attorneys, or insurance professionals. The Case Manager’s role is to help coordinate the many moving parts involved in an individual’s care.
When an injured person has limited Personal Injury Protection (PIP) medical benefits, every dollar matters. Medical treatment, rehabilitation, diagnostic testing, equipment, transportation, and other accident-related services may all be paid from the same limited pool of benefits.
Without early coordination, benefits can be used quickly—sometimes before the injured person receives the services they will need most.
AICM – Michigan's Fast Case Management helps establish a coordinated plan early. Our case managers identify immediate needs, communicate with medical and rehabilitation providers, help reduce unnecessary or duplicated services, and monitor the use of available PIP benefits.
The goal is not to limit necessary care. The goal is to make sure limited resources are used wisely while helping the injured person receive appropriate care at the right time.
With limited PIP benefits, good case management isn't just about coordinating care. It's about protecting the resources available to support recovery.
An individual does not need to wait until PIP medical benefits are nearly exhausted to contact AICM – Michigan.
When a person knows that the policy contains a $250,000 or $500,000 PIP medical limit—and the injuries are likely to require significant treatment or rehabilitation—early case management can provide more opportunity to organize care, identify outstanding needs, improve communication, and understand the available resources.
Even when substantial PIP benefits have already been used, however, it may still be worthwhile to speak with AICM – Michigan about the situation.
FaST Case Management™ is intentionally focused. During the initial 30-day period, AICM – Michigan identifies the individual's most immediate needs and works to accomplish as much as reasonably possible.
Priorities may include:
Understanding the case – Reviewing available information and identifying immediate concerns.
Organizing care – Determining what treatment has been recommended, what has already been arranged, and what remains outstanding.
- Connecting resources – Helping identify providers, services, equipment, rehabilitation programs, or other needed resources.
- Improving communication – Helping coordinate information among the individual, providers, attorney, insurer, and other involved parties.
- Planning the next steps – Developing a clearer path forward so the individual and family understand what needs to happen next.
If continued case management is needed beyond the initial 30 days, an extension may be considered based on the individual's needs and available resources.
During the focused case management period, an experienced AICM – Michigan Case Manager evaluates the individual’s circumstances and helps identify immediate medical, rehabilitation, and care-coordination needs.
AICM – Michigan is an independent case management company.
Our Case Managers coordinate with insurance companies, attorneys, physicians, rehabilitation providers, and other professionals, but our case management decisions remain focused on the individual’s medical, rehabilitation, and functional needs.
That independence is particularly important when PIP medical benefits are limited.
The objective is not simply to manage a dollar amount. It is to help the individual make better sense of a complicated situation and coordinate appropriate resources during an important period of recovery.
We review available information to identify current providers, treatment recommendations, outstanding referrals, scheduled appointments, rehabilitation needs, and barriers affecting care.
Assist with communication and coordination among physicians, specialists, therapists, rehabilitation providers, home care providers, and other professionals involved in recovery.
When additional care is needed, AICM – Michigan can help identify appropriate physicians, specialists, therapists, rehabilitation programs, home care, Durable Medical Equipment (DME), and other resources.
When appropriate information is available, the Case Manager can work with the individual, insurance representatives, attorneys, and providers to help maintain awareness of the available PIP medical benefit and expenses associated with the claim.
Delays in treatment, missing referrals, transportation problems, difficulty locating providers, communication failures, and unanswered questions can interfere with recovery. The Case Manager works to identify these barriers and help develop practical solutions.
Complex cases frequently involve the injured individual, family members, physicians, therapists, attorneys, insurance representatives, and other professionals.
FaST Case Management™ provides a central point of coordination to help keep everyone informed and focused on the individual’s care.
Referrals may come from:
A formal referral is not necessary simply to have a conversation with AICM – Michigan about whether FaST Case Management™ may be appropriate.
If you were injured in a Motor Vehicle Crash and are unsure whether your Michigan Auto No-Fault policy provides $250,000, $500,000, unlimited, or another level of PIP medical coverage, determining your coverage is an important first step.
Your Auto No-Fault declarations page generally identifies the PIP medical coverage selected under the policy.
AICM – Michigan can help you identify the information needed to better understand the case and determine whether FaST Case Management™ may be appropriate.
Additional information about Michigan Auto No-Fault insurance and PIP medical coverage is available from the Michigan Department of Insurance and Financial Services.
Limited PIP medical benefits can make an already complicated recovery even more difficult to navigate.
You do not have to wait until the benefits are exhausted—or until the situation becomes overwhelming—to ask for help.
AICM – Michigan can review the circumstances, discuss your current needs, and help determine whether FaST Case Management™ is appropriate.