You’re doing more dentistry for less money every year.
Reimbursements keep shrinking. Write-offs keep growing. Your team spends hours chasing claims, and an insurance company you’ve never met decides what your work is worth.
You’ve thought about going out of network. What stops you is the question every doctor asks: what if my patients leave?
About 4 out of 5 of your patients will stay. If you do it right.
I’ve guided dozens of practices out of network, including many from Delta Dental. Those offices kept an average of 78 to 83 percent of their insured patients.
The difference isn’t the termination letter. It’s everything that happens before it: knowing your real numbers, setting the right fees, timing the exit around your hygiene schedule, and preparing your team for the conversations patients will have with them.
Practices that lose patients usually drop the plan first and figure out the rest later. We do it in the opposite order.
Why the timing matters more than the letter
Most practices pick a date, send the termination letter, and hope patients understand. Too often, patients find out from a letter sent by their insurance company.
We plan your exit around your hygiene schedule, so your patients hear about the change in person, from the team they already know and trust. That’s why your exit date may be six or seven months out, and why so many patients stay.
What it looks like on the other side
- You set your fees. Not a fee schedule someone else wrote.
- Your team spends less time on claims and more time with patients.
- Patients stay because they value you, not because you’re on a list.
- Your schedule fills with the people you want to treat.
How it works
1. Start when you’re ready. There’s no cohort to wait for. Your 12 weeks begin when you do.
2. Decide which plans to leave. If you’re not sure, we start with a light assessment of your plans so you’re making the decision with real numbers.
3. Set your fees. You get an updated fee schedule built for your practice and your zip code.
4. Time the exit. We map your exit date to your hygiene schedule so every patient hears it from your team first.
5. Prepare your team. Your front office learns how to talk with patients about the change with confidence, not apology.
6. Leave with support. Eight private live coaching sessions over 12 weeks, plus email and community support for 12 months from your first session. You’re not on your own when the first patient calls with questions.
Your investment: $8,500
Eight private coaching sessions over 12 weeks, your updated fee schedule, and 12 months of email and community support.
Who this is for
- Independent practice owners with one or two dentists
- Good dentists tired of insurance deciding what their dentistry is worth
- Doctors who are ready, or nearly ready, to leave one or more plans, but worried patients will leave too
- Owners who want a plan their whole team can follow, not just a template letter
Who this is not for
- Practices looking for a termination letter and nothing else
- Doctors who want to drop every plan next month without preparing their team or patients
- Owners who aren’t willing to involve their front office in the process
- Anyone hoping for a quick fix instead of a plan they’ll actually follow through on
Not ready to talk yet?
Download the free Letting Go of the PPO guide and see what a transition really involves before you decide.