“Are You In-Network?” = The Most Annoying Question in Dentistry
“Hi, do you take my insurance?”
You already know that’s code for:
“If you’re not in-network, I’m ghosting you harder than a failed first date.”
But here’s the truth bomb most dentists are afraid to admit:
Staying in-network is costing you way more than going out of network.
Crazy, right? But true.
PPO write-offs, admin costs, and the emotional toll of dealing with dental insurance out of network rejections is draining your profits and stressing out your team.
Going out of network sounds scary, but when you replace it with a BoomCloud™-powered membership model, you gain control of your revenue, your schedule, and your sanity.
Story: How Dr. Lana Went Out-of-Network, Launched a Membership Plan, and Boosted Revenue by 3X
Meet Dr. Lana Bennett. She’s a general dentist in Charlotte, NC who was drowning in PPO chaos.
She was writing off 37% of her production.
Her team spent 20+ hours/week on claims, pre-auths, and chasing down payments.
So she took the leap.
She dropped her worst PPOs, went dental insurance out of network—and launched her very own in-house membership plan with BoomCloud™.
Plan Name: “Lana Smile Club”
$42/month or $450/year
Included:
-
2 cleanings/year
-
1 emergency exam
-
1 full set of x-rays
-
20% off all other services
-
Bonus whitening for referrals
Within 9 months, here’s what happened:
| Metric | Before Membership | After BoomCloud™ |
|---|---|---|
| MRR | $0 | $18,200 |
| Revenue per Patient | $478 | $1,160 |
| Patient Retention | 51% | 89% |
| Admin Time on Insurance | 22 hrs/week | 6 hrs/week |
| New Patient Conversion | 34% | 73% |
Spoiler alert: Patients didn’t care she was out-of-network.
They loved the value, clarity, and ease of her membership program.
Go Out-of-Network and Grow MRR with a Membership Plan Patients Love
Going dental insurance out of network doesn’t mean you’ll lose patients.
It means you’ll stop losing money.
And the easiest way to retain patients, even out-of-network?
Launch a custom membership plan with BoomCloud™.
BoomCloud™ gives you:
-
A beautiful, branded membership program
-
Real-time MRR & ARR dashboards
-
Automated billing & renewals
-
Mobile-friendly patient signup flows
-
⚖️ Legal-compliant templates for your state
-
Marketing tools to promote like a boss
Build your plan with BoomCloud™ today
From Fear of Going Out-of-Network to Total Freedom
Dr. Lana used to believe:
“If I go out-of-network, I’ll lose all my patients.”
But when she reviewed her write-offs and admin time, she had an “aha” moment.
She realized:
-
PPOs were her biggest source of stress and lowest ROI
-
Insurance didn’t help patients—it confused them
-
People wanted VALUE, not network validation
Now? She doesn’t beg PPOs for scraps.
She offers value-packed membership plans people are excited to pay for.
The Real Cost of Dental Insurance Out of Network PPO Participation
Here’s what PPOs are actually doing to your business:
-
Write-offs of 30–50% of your full fee
-
Weeks to months waiting for reimbursements
-
Staff burnout from appeal/rework cycles
-
Hidden costs that steal profit silently
**Out-of-network practices that implement a membership plan recover this lost revenue—**and then some.
Why Membership Plans Make Dental Insurance Out of Network Totally Workable
Your patients don’t need Aetna.
They need access to care, affordable preventive services, and clear pricing.
That’s exactly what BoomCloud™ makes easy.
Patients LOVE:
-
Easy monthly pricing
-
Transparent benefits
-
No surprise bills
-
Easy booking
-
Discounted treatments they actually use
And YOU love:
-
Recurring revenue
-
Better treatment acceptance
-
Patient retention
-
️ Less admin nonsense
MRR + ARR: Recurring Revenue > PPO Payouts
Let’s run the numbers.
⚕️ 350 members x $42/month = $14,700 MRR
That’s $176,400 ARR—without sending a single claim to Delta Dental.
Meanwhile, you offer value, keep your sanity, and grow faster without insurance handcuffs.
Revenue Per Patient: The Metric You MUST Track (Especially Out-of-Network)
The best practices in the country don’t obsess over new patients.
They focus on maximizing revenue per existing patient.
| Patient Type | Avg Annual Spend | Retention | Lifetime Value |
|---|---|---|---|
| PPO Patient | $420 | 2 years | $840 |
| Membership Patient | $1,180 | 4+ years | $4,720 |
Going out of network doesn’t shrink your business—it multiplies your margins.
BoomCloud™ Tools That Make Going Out-of-Network Easy AF
Custom Plan Builder
Stripe & Square Billing Integration
Mobile-Friendly Signup Page
Marketing Emails & Posters
MRR + ARR Dashboards
Compliance Documents by State
Referral Rewards + Promo Codes
Everything you need to transition from insurance prisoner to recurring revenue boss.
Cool Ideas to Replace Out-of-Network Plans With Your Own
Preventive Club – $29/mo – 2 cleanings, 1 exam, 1 x-ray
Family Plan – $99/mo – Covers 4 members
Cosmetic Plan – $49/mo – Whitening + elective discounts
VIP Smile Club – $69/mo – Priority access, 25% off treatment
All launchable in under an hour with BoomCloud™.
FAQs About Going Out-of-Network With Memberships
Will I lose all my patients if I go out-of-network?
Nope. Not if you offer a valuable, easy-to-understand membership plan. Most patients care more about YOU than their insurance.
Is it legal to offer my own plan?
Yes. BoomCloud™ includes legal templates and compliance tools specific to your state.
Can I still accept insurance even with a membership plan?
Yes! Many dentists are hybrid—phasing out bad PPOs while keeping some and offering memberships as a better option.
Do patients really like this model?
They love it. Especially those who are uninsured or tired of insurance red tape. Expect better loyalty and case acceptance.
How long does it take to set up BoomCloud™?
Less than a day. Full onboarding support included.
Conclusion: Out-of-Network Is Not the End—It’s the Upgrade
You don’t have to stay stuck in the insurance hamster wheel.
Going dental insurance out of network is the ultimate power move—if you back it up with a killer membership plan that delivers real value.
BoomCloud™ is your toolkit.
MRR is your new favorite acronym.
And recurring revenue? Your ticket to freedom.
Visit BoomCloudApps.com and make the switch today
Inbound Link Suggestions:
Outbound Link Suggestions:
