Dental Savings Plan for Patients: How to Drop PPOs for Good

March 16, 2026
Written by: Jordon Comstock

Dental Savings Plan for Patients: How Dr. Dan Nelson Built Freedom & Dropped All PPOs

🪝 The Hook: What If You Didn’t Need Insurance Anymore?

Imagine walking into your practice and not seeing massive write-offs.

No 40% adjustments.
No reimbursement games.
No “we can’t pay you that much.”

Just collections.

That’s exactly what happened when Dr. Dan Nelson and his team at Elevation Association built a powerful dental savings plan for patients — and eventually dropped every PPO contract, including Delta Dental.

This wasn’t a reckless move.

It was strategic.

And it worked.


😤 The Problem: Insurance Was Crushing the Model

Before going fee-for-service, Dr. Nelson faced the same pain most dentists are feeling right now:

  • Reimbursements hadn’t meaningfully increased in over 20 years

  • Overhead was climbing (inflation, wage growth, hygiene shortages)

  • Write-offs hit up to 60% on some procedures

  • Production stayed high… but margins kept shrinking

The math stopped working.

They were working harder, running faster, and earning less.

That’s not growth.

That’s burnout disguised as success.

Something had to change.


💡 The Epiphany: Build the Parachute Before You Jump

Instead of rage-canceling PPOs overnight (terrible idea), Dr. Nelson did something smarter.

He built a dental savings plan for patients years before dropping insurance.

Why?

Because you don’t jump without a parachute.

The savings plan became the foundation for:

They didn’t replace insurance overnight.

They built an alternative first.

That’s the difference between chaos and strategy.


🦷 What Is a Dental Savings Plan for Patients?

A dental savings plan for patients is an in-house membership program that allows patients to:

  • Pay a monthly or annual fee

  • Receive preventive care included

  • Get discounts on additional treatment

  • Avoid insurance hassles

No deductibles.
No waiting periods.
No third-party middleman.

Patients pay the practice directly.

The practice controls the model.

Simple. Powerful. Profitable.


🚀 How Elevation Association Built a Powerful Savings Plan

Dr. Nelson and his team didn’t treat their savings plan like a “discount club.”

They treated it like a business system.

Here’s what they did right:

1️⃣ They Made It Part of Their Identity

The team understood the mission:

“We are building independence from insurance.”

This wasn’t optional. It was strategic.

Everyone rowed in the same direction.


2️⃣ They Incentivized Growth

The top-growing membership practices all do this.

They bonused team members on new member enrollments.

Why?

Because alignment drives growth.

When front desk believes in the plan and is rewarded for it, enrollment increases dramatically.


3️⃣ They Used BoomCloud™ to Scale

Trying to manage a savings plan on spreadsheets?

That’s how you create a mess.

Using BoomCloud™:

  • Automated recurring billing

  • Managed renewals

  • Tracked MRR & ARR

  • Monitored retention

  • Generated reporting

The software removed administrative friction and allowed the plan to scale without chaos.

That’s critical.

Because complexity kills momentum.


💰 The Financial Impact: MRR Changes Everything

Here’s where it gets exciting.

When you build a dental savings plan for patients, you create:

Example:

400 members × $35/month = $14,000 per month
That’s $168,000 per year before treatment.

Now imagine 600 members.

You’re building stability.

And stability gives you confidence.


📉 The Transition: Dropping PPOs the Smart Way

After years of building their savings plan, Dr. Nelson’s team:

  • Tracked KPIs relentlessly

  • Monitored attrition

  • Strengthened communication

  • Built outreach systems

  • Prepared patients early

When Delta Dental finally got dropped?

They were ready.

Yes, there was some schedule fallout.

Yes, hygiene had temporary holes.

That’s normal.

But the recurring revenue cushion and strong patient relationships prevented collapse.

And within about a year, things regulated.

Then something amazing happened…


🔓 The Freedom

Dr. Nelson described it perfectly.

It felt like removing a ball and chain.

No more massive write-offs.

No more reimbursement fights.

No more running from op to op just to survive margins.

They slowed down.

They regained control.

They practiced dentistry on their terms.

That’s the real goal.


📊 Why a Dental Savings Plan for Patients Increases Loyalty

Patients on membership plans:

  • Show up more consistently

  • Accept more treatment

  • Stay longer

  • Refer more friends

  • Spend 2X–4X more over time

Why?

Because they feel connected to the practice — not their insurance card.

Insurance builds transactional relationships.

Membership builds relational loyalty.

And loyalty builds lifetime value.


⚠ Common Mistakes Dentists Make

If you’re considering building a dental savings plan for patients, avoid these:

❌ Underpricing the plan
❌ Not training your team
❌ Canceling PPOs too fast
❌ Treating it like a simple discount
❌ Not tracking retention

Dr. Nelson’s success wasn’t luck.

It was preparation.


🧠 The Bigger Picture: Control Your Business Model

Insurance companies are consolidating.

They’re buying practices.

They’re influencing education.

Reimbursements remain stagnant.

You can’t control insurance.

But you can control your business model.

A dental savings plan for patients puts power back where it belongs — with the provider.


❓ FAQs About Dental Savings Plans

Will patients actually join?
Yes. Especially uninsured patients and even many insured patients looking for simplicity.

How long does it take to build momentum?
Typically 6–12 months to build meaningful recurring revenue.

Is it risky to drop PPOs?
If you build your savings plan first and transition strategically, risk is manageable.

Do patients understand it?
When positioned clearly and confidently, absolutely.


🎯 Final Thought

The goal isn’t just to drop PPOs.

The goal is to build something better.

Dr. Dan Nelson and Elevation Association didn’t rage against insurance.

They replaced it with a smarter model.

A powerful dental savings plan for patients built with BoomCloud™ gave them:

  • Predictable revenue

  • Higher collections

  • Stronger loyalty

  • Operational control

  • And freedom

That’s not theory.

That’s execution.


📥 Ready to Build Your Own Dental Savings Plan?

Download the million-dollar membership plan ebook
👉 https://boomcloud.myclickfunnels.com/million-dollar-book

Take The Six-Figure Patient Membership Plan Course
👉 https://www.boomcloudapp.com/six-figure-membership-course

Schedule a Demo of BoomCloud™ & Learn how to manage & grow your membership plan
👉 https://boomcloudapps.com/demo-schedule

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Jordon Comstock

Author Bio

Jordon Comstock is the Founder & CEO of BoomCloud™, a software that allows practice, clinic & spa owners to build, manage and scale a membership program. This helps practice & clinic owners to create recurring revenue & improve loyalty via membership programs. Jordon is passionate about Music, Hawaii, Healthcare businesses like: dentistry, optometry, med spas and massage spas. Schedule a demo of BoomCloud™ and learn how membership programs can improve your business. Here are more dental books to improve your practice

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