Videos / Short
💰 “If we go out-of-network, our patients are going to pay way more.”
August 13, 2026 · BoomCloud™
About this video
💰 “If we go out-of-network, our patients are going to pay way more.”
But is that actually true?
🎙️ In this clip, Dr. Dan Nelson, Co-Founder of Elevation Association, explains why dentists need to look at the actual numbers before making that assumption.
When a practice goes out-of-network, reimbursement changes, and the patient's actual out-of-pocket cost depends heavily on their specific insurance plan.
In some cases, the difference may be surprisingly small.
Dan shares an example where the patient's out-of-pocket difference was just $8. 🤯
That's why transitioning away from PPOs shouldn't be based on fear or assumptions.
It should be based on:
📊 Understanding your patient data
🦷 Knowing how individual plans reimburse
💰 Evaluating the true financial impact
🤝 Giving patients an alternative through a membership plan
Full transcript
Complete text of this video
Not only that, but did you know that your insurance your out-of-pocket is eight bucks? You know, that's the thing is like that's the wild thing when you go out of network that nobody talks about, especially insurance companies, is that is that the contracted rates when you sign up with an insurance company, your your reimbursement rates are wildly different when you go out of network. >> Yeah. >> And it's based a lot more on the plan that the the patients have.
