Social Service agencies offer limited services to indigent individuals who otherwise may receive no services at all. The very wealthy often have no trouble obtaining the care they need because they are used to asking for it and can afford to pay quite a bit for it. If you are neither indigent nor extremely wealthy, often times your needs fall through the cracks. There are fewer follow-ups, very little outreach, and no service which is as comprehensive as what private geriatric care management can provide.