Important Notice Regarding Your Dental Insurance Coverage
[Your Dental Practice Letterhead]
[Date]
[Patient Name] [Patient Address]
Dear [Patient Name],
This letter is to inform you of a significant change regarding your dental insurance coverage at [Your Dental Practice Name]. Effective [Date], we will no longer be participating in the [Insurance Company Name] network. This means that services rendered at our practice after [Date] will not be covered under your current [Insurance Company Name] plan.
We understand this news may be concerning, and we want to assure you that this decision was not made lightly. We carefully considered many factors, including the increasing administrative burdens and reduced reimbursements associated with in-network participation with [Insurance Company Name]. These limitations have unfortunately impacted our ability to continue providing you with the high-quality care you deserve while maintaining the financial stability of our practice.
What This Means for You
This change means that while you can still receive treatment at our practice, your insurance company will not directly pay our office. Instead, you will be responsible for paying for services at the time of treatment. You will then be able to submit a claim to [Insurance Company Name] for reimbursement based on their out-of-network benefits. It is crucial to review your policy carefully to understand your out-of-network coverage and reimbursement limits.
Understanding Out-of-Network Benefits
How will out-of-network benefits work? This is a common question, and the details will vary depending on your specific plan. Generally, out-of-network benefits will reimburse a percentage of the cost of services. The percentage, along with any annual maximums, can be found in your insurance policy documents or by contacting [Insurance Company Name] directly.
Will I receive any reimbursement? Yes, you may receive partial reimbursement depending on your plan's out-of-network benefits. However, the amount you receive will likely be less than if we were still in-network.
What should I do next? We recommend contacting [Insurance Company Name] directly at [Phone Number] or [Website] to discuss your out-of-network benefits and the claims process. You can also request a detailed explanation of benefits (EOB) to fully understand your coverage.
Continuing Your Care at [Your Dental Practice Name]
While this change impacts your insurance coverage, we remain committed to providing you with the exceptional dental care you've come to expect from our practice. We value your loyalty and hope you will continue to choose us for your oral health needs. We are happy to answer any questions you may have regarding your treatment plan and associated costs.
Sincerely,
[Your Name] [Your Title] [Your Dental Practice Name] [Phone Number] [Website]
Please Note: This is a sample letter and may need to be adjusted to fit your specific circumstances and legal requirements. It is recommended to consult with legal counsel to ensure compliance with all applicable laws and regulations.
