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How to Break Up with Dental PPOs: Dental Insurance Termination Letter

December 23, 2024
Written by: Jordon Comstock

dental insurance termination letter

Download a Dental Insurance Termination Letter Template

Before we take it off our website!

Alright, practice owners, it’s time to have “the talk.” You know, the one where you break up with PPOs. And yeah, it’s gonna feel a little awkward at first—like sending an ex a “Hey, it’s not me, it’s definitely you” text. But trust me, once you’re free from the nightmare that is low reimbursements, endless paperwork, and denied claims, you’ll wonder why you didn’t draft that dental insurance termination letter ages ago.

Still hesitant? Let’s talk about why this is the best move you’ll ever make for your practice. Spoiler alert: It’s got something to do with taking back control and actually making money.


Benefits of Dropping PPOs for Practice Owners

Picture this: You’re no longer bending over backwards to accommodate PPOs that pay you less than minimum wage for complex procedures. Instead, you’re running a profitable, patient-focused practice, and your team isn’t constantly dealing with insurance headaches. Heavenly, right? Well, here are some more benefits to consider:

1. Higher Revenue Per Patient

PPO patients cost you. No, really—they cost you. With those lousy reimbursement rates, you’re barely breaking even. In contrast, members of in-house dental plans spend 4.3 times more on average than PPO patients. That’s not just a little more—that’s a whole lot more.

2. Consistent, Predictable Income

Say goodbye to the financial roller coaster. By dropping insurance and focusing on a patient membership plan, you create consistent Monthly Recurring Revenue (MRR) and Annual Recurring Revenue (ARR). Translation: Your bank account will thank you.

3. Less Administrative Chaos

Imagine a world where your front desk team isn’t drowning in insurance paperwork, fighting to get reimbursed, or dealing with denied claims. With fewer insurance-related headaches, your team can actually focus on patient care. Revolutionary, I know.


The Power of Marketing & Patient Membership Plans

Listen, if you’re gonna drop PPOs, you can’t just cross your fingers and hope for the best. You need a rock-solid marketing strategy and a killer membership plan. Why? Because you’ve got to fill that patient revenue gap. Lucky for you, this is where you get to flex your creative muscles and show patients why you’re the best thing since fluoride toothpaste.

1. Market Like Your Practice Depends On It

Because, well, it does. Use every tool in your marketing arsenal: email campaigns, social media, patient referral programs, and good old-fashioned word-of-mouth. Highlight the benefits of your membership plan. Talk about affordability, VIP perks, and the convenience of no insurance barriers.

2. Build a Membership Plan That Rocks

Keep it simple. Offer clear benefits like free cleanings, discounts on treatments, and priority scheduling. Your membership plan should scream “value” to patients who are tired of dealing with insurance red tape.


Drafting Your Dental Insurance Termination Letter

Alright, let’s get down to business. Writing a dental insurance termination letter isn’t as scary as it sounds. The goal is to be clear, professional, and to the point. Here’s what your letter needs to include:

  1. Practice Details: Name, address, and contact information.
  2. Insurance Provider Details: Name and address of the insurance company.
  3. Termination Date: Be specific about when you’ll no longer accept the insurance. Typically, you’ll want to give at least 90 days’ notice.
  4. Reason for Termination: Keep it simple and professional. Something like, “We are restructuring our practice to focus on providing comprehensive, patient-centered care.”
  5. Patient Transition Plan: Reassure the insurance company (and your patients) that you’ll help with the transition, whether it’s by offering your in-house membership plan or guiding them through other options.

Boom. Done. Just don’t end your letter with “P.S. We’re better off without you.” Tempting, I know, but keep it classy.

Download a Dental Insurance Termination Letter Template

Before we take it off our website!


Launching and Growing a Membership Plan with BoomCloud™

If you want to drop PPOs and thrive, you need a membership plan that practically sells itself. Enter BoomCloud™—the ultimate membership software that does everything but perform your next root canal. Here’s why you need it:

What BoomCloud™ Does

  • Automates Billing: Forget chasing down payments. BoomCloud™ handles billing like a boss, so your front desk staff can finally take a lunch break.
  • Customizable Plans: Create plans that work for your patients and your practice. You get complete flexibility.
  • Revenue Tracking: Keep an eye on your MRR and ARR without needing a finance degree. BoomCloud™ gives you all the data you need to scale.

Tips for Launching with BoomCloud™

  1. Hype It Up: Make a big deal about your membership plan launch. Send out emails, post on social media, and tell your patients about it at every appointment.
  2. Train Your Team: Your staff should know your membership plan inside and out. Role-play common patient questions and objections.
  3. Offer Incentives: Give your first 50 sign-ups a free teeth whitening session or a discount on their next visit. People love a good deal.

Case Study: Wood River Dental’s Breakup with PPOs

Location: Hailey, Idaho
Challenge: Wood River Dental was tired of low PPO reimbursements and wanted a more profitable, patient-focused model. They needed a way to replace insurance revenue and improve cash flow.
Solution: They launched a customized membership plan using BoomCloud™.

The Results

  • Member Growth: Within a year, they signed up 400 members.
  • Revenue Boost: They added $24,000 in Monthly Recurring Revenue (MRR), equaling a jaw-dropping $288,000 in Annual Recurring Revenue (ARR).
  • Higher Patient Spending: Member patients spent 4.3 times more than their PPO counterparts, opting for higher-value treatments like implants and cosmetic work.
  • Less Stress: The front desk team was thrilled. No more arguing with insurance companies. No more delayed payments. Just happy patients and a happy staff.

Key Takeaways

Wood River Dental’s membership plan was a win-win. Patients loved the simplified, transparent pricing, and the practice loved the consistent revenue. BoomCloud™ made it easy to manage and scale, transforming their entire business model.


Ready to Take the Leap?

Look, dropping dental insurance is a bold move, but sometimes bold moves are exactly what you need. By focusing on a well-crafted membership plan and killer marketing, you’ll not only survive but thrive. Plus, with tools like BoomCloud™, you’ll make the transition smoother than a perfectly polished tooth.

So, what are you waiting for? Draft that termination letter, tell PPOs to take a hike, and start building the practice of your dreams. Your future self will thank you.

dental insurance termination letter

Download a Dental Insurance Termination Letter Template

Before we take it off our website!

My Top Podcasts

Download "The Million Dollar Dental 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!

Membership Plans For Optometrists

vision-membership-plan-ebook 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 implement 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!

What is BoomCloud™?

BoomCloud is a software platform that allows you to create, manage & grow your own membership program. Build unlimited plans, track recurring revenue, active members metrics. Integrate your online membership enrollment with your website & start growing recurring revenue. Schedule a demo!

Fire The PPOs With These Proven Strategies!

Discover how to break free from the grip of PPOs and transform your practice into a thriving, profitable business. Imagine better cash flow, higher profits, and stronger patient relationships. It’s not a dream – it’s a reality waiting for you.

Say goodbye to PPOs and hello to a thriving, independent dental practice. Don’t miss out – your journey to financial freedom starts here!

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Power your patient membership program, Create recurring revenue, improve patient loyalty & maximize patient spend. 

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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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