Dentist Going Out of Network: Sample Patient Letter
This letter template provides a professional and informative approach to notifying your patients that you are going out of network with their insurance provider. Remember to replace bracketed information with your specific details.
[Your 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 a significant change regarding our participation with [Insurance Company Name] insurance. Effective [Date], our practice will no longer be an in-network provider for [Insurance Company Name].
This decision was made after careful consideration and is due to [briefly explain reason, e.g., contract renegotiation difficulties, changes in reimbursement rates, etc.]. We value your continued care and want to assure you that we remain committed to providing you with the highest quality dental services.
What This Means for You:
Going out of network means that your insurance company will no longer directly reimburse our practice for your dental services. However, you can still submit your claims to [Insurance Company Name] for potential reimbursement. They may reimburse a portion of your charges, depending on your specific plan. We will provide you with a detailed statement of your charges which you can use to file this claim. We strongly advise you to review your insurance policy details to understand your coverage and out-of-pocket expenses.
Frequently Asked Questions (FAQs)
How will this affect my dental treatment?
Your dental treatment will continue as usual. We will continue to provide you with the same high-quality care you have come to expect from our practice.
What will my out-of-pocket costs be?
Your out-of-pocket costs will depend on your specific insurance plan and the services you receive. We will provide you with a clear and detailed estimate of the costs before we begin any treatment. You can contact [Insurance Company Name] directly at [Phone number] or [Website] to discuss your coverage.
Will you still accept my insurance?
While we are no longer in-network with [Insurance Company Name], we will still gladly accept your insurance card and help you file a claim. We will provide you with the necessary forms and information to assist in the process.
What should I do now?
We encourage you to contact [Insurance Company Name] to understand your coverage options and benefits fully. If you have any questions or concerns, please do not hesitate to contact our office at [Phone number] or reply to this email.
We appreciate your understanding and continued patronage. We value you as a patient and look forward to continuing to provide you with excellent dental care.
Sincerely,
[Your Name/Practice Name] [Your Contact Information]
Note: Consider adding a section about alternative in-network providers if you're aware of any in your area that offer similar services. You might also want to include information about payment plans or financing options to ease the financial burden for your patients. This letter should be tailored to your specific circumstances and reviewed by legal counsel to ensure compliance with all relevant regulations.
