Dentist Going Out of Network: Sample Patient Letter
Sending a letter to patients informing them that your dental practice is going out of network requires sensitivity and clarity. This sample letter aims to provide a professional and informative approach, minimizing disruption to patient care while ensuring compliance and transparency. Remember to replace bracketed information with your specific details.
[Your Practice Letterhead]
[Date]
[Patient Name] [Patient Address]
Subject: Important Information Regarding [Your Practice Name] and Your Insurance Coverage
Dear [Patient Name],
This letter is to inform you of a change in our practice's participation with [Insurance Company Name] insurance network. Effective [Date], [Your Practice Name] will no longer be a participating provider in their network.
This decision was not made lightly and follows a careful review of our contract terms and operational needs. [Optional: Briefly explain reason, e.g., unsustainable reimbursement rates, contract terms changes, etc. Keep it concise and avoid negativity towards the insurance company.]
What This Means for You:
This change means that your dental services at our practice will no longer be covered under your [Insurance Company Name] plan at the in-network rate. You will be responsible for paying the full cost of services at the time of treatment. However, we encourage you to submit a claim to [Insurance Company Name] directly for potential out-of-network reimbursement. They may offer partial coverage.
We Value Your Continued Care:
While this change affects your insurance coverage, we value you as a patient and want to ensure a smooth transition. We are committed to providing you with the highest quality dental care, regardless of your insurance status.
We are happy to discuss your options and answer any questions you may have regarding your treatment plan and payment options. We can also help you understand what you can expect from your insurance company regarding out-of-network benefits. Please call our office at [Phone Number] to schedule a convenient time to speak with us.
Understanding Out-of-Network Benefits:
How will my insurance cover out-of-network care?
Your out-of-network benefits are detailed in your insurance policy. We recommend reviewing your policy carefully or contacting [Insurance Company Name] directly at [Insurance Company Phone Number] to understand your coverage limits and reimbursement process. Generally, out-of-network coverage often involves a higher co-pay and lower reimbursement percentage compared to in-network services.
What are my payment options?
We accept [List Payment Methods, e.g., cash, checks, credit cards, financing plans]. We are happy to work with you to develop a payment plan that fits your budget.
Can I still receive care at your practice?
Absolutely. We welcome you to continue receiving care at our practice, and we are dedicated to providing you with exceptional dental services.
We appreciate your understanding and continued trust in our practice.
Sincerely,
[Your Name] [Your Title] [Your Practice Name] [Your Contact Information]
Disclaimer: This is a sample letter and may need modifications based on your specific circumstances and state regulations. It's recommended to consult with legal counsel to ensure compliance with all applicable laws and regulations before sending this letter to your patients.
