Dentist Going Out of Network: Sample Patient Letter
This letter template provides a professional and informative way for dentists to notify patients of their decision to go out of network with specific insurance providers. Remember to personalize this template with specific details relevant to your practice and the patient's situation. Legal counsel should be sought to ensure compliance with all applicable state and federal regulations.
[Your Dental Practice Letterhead]
[Date]
[Patient Name] [Patient Address]
Subject: Important Information Regarding Your Dental Insurance Coverage
Dear [Patient Name],
This letter is to inform you of an important change regarding our participation with [Insurance Company Name] insurance plans. Effective [Date], our practice will no longer be in-network with [Insurance Company Name]. This means that your dental services will no longer be covered under your current [Insurance Company Name] plan at the in-network rate.
We understand this change may impact your dental care, and we want to assure you that we remain committed to providing you with high-quality dental services. We value your trust and appreciate your long-standing relationship with our practice.
This decision was made after careful consideration of several factors, including [briefly explain your reasoning, e.g., contract negotiations, reimbursement rates, etc.]. We are confident that this change will ultimately allow us to continue providing you with the best possible care.
What does this mean for you?
Going out-of-network means that while you can still receive treatment at our office, your insurance company will reimburse you at a lower rate (the out-of-network rate). This means you may be responsible for a larger portion of the cost of your treatment.
We encourage you to contact [Insurance Company Name] directly at [Phone Number] or [Website] to understand your out-of-network benefits and what your copay, deductible, and coinsurance will be. We are happy to provide you with a detailed treatment plan and estimated costs prior to any procedures.
What are my options?
- Continue Treatment at Our Practice: You can still receive treatment at our practice, understanding that you will likely have a higher out-of-pocket expense.
- Find an In-Network Provider: You may wish to find a dentist who is in-network with [Insurance Company Name]. Your insurance provider can provide a list of dentists in your network.
- Explore Alternative Payment Options: We offer various payment options, including [list payment options, e.g., financing plans, payment plans, etc.], to help make dental care more affordable. Please inquire about these options if you would like to discuss them further.
We value your continued patronage and are here to answer any questions you may have. Please do not hesitate to contact our office at [Phone Number] to schedule a consultation or discuss your options.
Sincerely,
[Your Name/Practice Name] [Your Title] [Contact Information]
Note: This is a sample letter and may need to be adjusted based on your specific circumstances and legal requirements. It is crucial to consult with legal counsel to ensure compliance with all relevant regulations.
