Amandalouise really answered this question the best. there really isn't much left to say. I had a case manager for a while. I didn't feel I needed one but my pdoc kept insisting on one so I agreed to services. after about six months of my case manager not being able to do anything but check in on me she agreed it was a waste of her time to be providing services to me so closed my case. so if you truly don't need their services they will let you know. if not, they are good advocates to have on your side.