Dropping Dental Insurance Paves the Way Forward

It’s the moment of truth for dentists across the nation. The once-reliable dental insurance model is now a dinosaur in the fast-evolving, fiercely competitive healthcare sector. But why are we cheering as such a well-established pillar begins to crumble? In this extensive analysis, we’ll shine a spotlight on the bold move of dropping dental insurance and explore pioneering ways to ensure not only the survival but the thriving of your dental practice. Whether you’re a seasoned clinician or a dental office manager, these insights could rewrite your professional future.

The Current Landscape of Dental Insurance

You probably don’t need a perfectly white smile to see the truth—traditional dental insurance is riddled with complications. For patients, the high premiums, deductibles, and coverage caps can be akin to pulling teeth. For dental practices, the burdensome administrative work to process claims and the low reimbursement rates bite into profits with ferocity.

The average dental practice spends hundreds of hours managing insurance and collects only 60-80% of the fees charged to patients. Yet, the bureaucracy persists in a symbiotic—but increasingly strained—relationship between insurance providers and dental offices.

Emerging Trends in Dental Coverage

Frustrations with the current insurance model have birthed innovation in dental coverage. Direct Primary Care, or its dental counterpart, the Patient Membership Plan, offers simplicity and a direct financial connection to patients. This exclusive-membership approach brims with potential. By sidestepping the middleman, dental offices can reduce complexity, offer better pricing to patients, and secure consistent, predictable income.

This is not the only beacon of hope for those seeking alternatives. Third-party payment administrators (TPA) are on the rise, offering a more personalized experience to patients while also streamlining the administrative process for providers.

The Pros and Cons of Dropping Dental Insurance

The idea of shedding the shackles of dental insurance is tantalizing. Greater autonomy, reduced paperwork, and enhanced patient loyalty and satisfaction could be the panacea for your practice. Yet, the transition is not without its risks. There’s the immediate financial impact, the potential for patient loss, and the need to swiftly adapt to new financial models.

However, those who have taken this leap often report a significant increase in profitability, a renewed focus on patient care, and an enhanced ability to attract and retain a loyal patient base.

Launching a Patient Membership Plan

A Patient Membership Plan might just be the oasis both patients and practices are desperately seeking. This customizable, patient-centric approach to care offers a breath of fresh air, effectively weaning dentists off the questionable benefits of dental PPOs. With a Patient Membership Plan, practices can redefine patient relationships, ensure long-term treatment plans, and—as a bonus—cultivate a steady, predictable revenue stream.

What is BoomCloud™?

BoomCloud™ emerges as a groundbreaking solution that revolutionizes how dental practices manage and offer membership plans. It is a comprehensive software platform designed to facilitate the efficient creation, management, and growth of dental membership programs. This tool is indispensable for practices aiming to transition away from traditional insurance models, empowering them to establish a direct, value-driven relationship with their patients.

BoomCloud™ streamlines the administrative side of membership plans, eliminating the complexity and overhead associated with insurance dependencies. It provides robust features including automated billing, subscription management, and detailed reporting, which not only simplifies operations but also maximizes profitability and enhances patient satisfaction. By leveraging BoomCloud™, dental practices can unlock a sustainable, forward-thinking approach to dental care, ensuring stability and growth in an ever-changing healthcare landscape.

Watch a Demo of BoomCloud™

The BoomCloud™ Platform helps practices create & grow patient membership plans! Practices that grow their membership plan generate predictable recurring revenue, reduce dependence on PPOs & increase case acceptence by 3X. Build a better practice with your own membership program!

dental membership software

Strategies for Operating Without Dental Insurance

Transitioning out of the traditional dental insurance model requires strategic finesse. Educate your team on the benefits of the new model, invest in clear communication to your patients, and be bold in your marketing efforts. Creating a seamless patient experience from enrollment to treatment is key in this phase of transformation.

Case Studies

The theoretical can be comforting, but the practical is what defines success stories. Real-world examples of dental practices that have navigated away from dental insurance serve as inspiration and instruction. These luminaries in dentistry illuminate potential pathways for your own practice.

Implementing Change in Your Practice

Change, as we know, is a constant. Navigating this change in your dental practice involves a careful orchestration of internal and external communication, operational adjustments, and a commitment to the long-term benefits of the new model.

The Future of Dental Coverage

Peering through the mists of uncertainty, we discern a dental landscape that is dictated not by third-party mandates, but by the mutual understanding between a provider and their patients. Digital advancements, consumer-driven models, and a focus on preventive care are set to redefine how dental coverage is structured and administered.


The decision to drop dental insurance is not one to be taken lightly. But as with all great shifts in industry paradigms, there is a period of disruption—and an even longer period of innovation. By considering the perspectives, strategies, and successful implementations outlined in this comprehensive guide, you, the dental professional, have the equipment needed to face the future with certainty and strength. Remember, the best smiles are those that reflect a commitment to progress, innovation, and unyielding excellence. It’s time to shape the future of dentistry, one considerate step at a time.

Additional Resources and Links

In our endeavor to deliver unmatched value and insights to dental professionals navigating the complex landscape of dental coverage, we have curated a selection of essential resources and links. These tools are designed to further empower your practice, providing you with the knowledge and instruments to thrive in an evolving healthcare environment.

  • Veritas Dental Resources: Veritas stands at the forefront of combating the challenges posed by insurance companies. Their expert consulting services and resources offer practices tactical advice on fee negotiations, optimizing insurance reimbursements, and strategies for insurance independence. Explore their offerings at Veritas Dental Resources.
  • The DentalPreneur Podcast: Driven by Dr. Mark Costes, The DentalPreneur Podcast is a treasure trove of insights, strategies, and interviews with leading figures in dentistry. Covering a broad spectrum of topics from financial management to innovative dental practices, this podcast is a must-listen for those looking to break free from traditional dental insurance models. Tune in here: The DentalPreneur Podcast.

Leveraging these resources will not only augment your understanding of the industry challenges but also equip you with actionable strategies to enhance your practice’s operational efficiency, financial health, and patient satisfaction. Remember, the transition away from traditional dental insurance models is a calculated move towards autonomy, excellence, and sustainable growth in dental practice.

Download "The Million Dollar Membership Plan" E-book!

Learn tactics and strategies from practices that have built a million dollars in recurring revenue from their membership subscriptions alone! Creating a patient membership plan is the smartest strategy to implment in your practice. You will increase patient satisfaction & loyalty, Increase predictable recurring revenue & improve your case acceptence by 3X with members. Download the book Now!