Delta Dental Out Of Network Coverage

Delta Dental

Are you a dentist who is out of network with insurance carriers? Handling conversations with patients about insurance coverage can be tricky, especially for beginners. But fear not! In this article, we will provide you with valuable tips on how to effectively communicate with your patients about their dental insurance.

Delta Dental Out Of Network Coverage
Delta Dental Out Of Network Coverage

Aligning Your Team

First and foremost, it is crucial to ensure that your entire team is on the same page. Creating scripted guidelines for new patient phone calls and role-playing different scenarios can streamline your practice. By doing so, everyone in your office will have a clear understanding of how to address insurance-related questions.

Understanding Patient Expectations

Most patients have limited knowledge about dental insurance. When a new patient calls your office, their primary concern is whether you accept their insurance. However, it’s important to realize that patients merely ask this question out of habit. They want to know if their insurance contributions will cover the cost of their treatment.

Effectively Addressing Insurance Questions

To effectively address insurance questions, it’s important to provide clear and concise explanations. Even if you are out of network, you can still accept patients’ insurance. Be sure to elaborate on this if necessary. For example, you can say, “We do take your insurance. However, our office is out of network with that carrier.” By providing this information upfront, you set proper expectations for patients.

Out-of-Network Procedures

When explaining that you are out of network, it’s crucial to emphasize two key points. Firstly, patients will pay your office directly, and the insurance company will reimburse them within a week or two. Secondly, there may be out-of-pocket expenses that patients weren’t previously aware of. For routine cleanings, X-rays, and exams, the additional cost is usually around ‘X.’ By being transparent about the financial aspect, you build trust with your patients.

Office Team

Communicating Your Why

Patients may inquire about why you are out of network. It’s vital for your entire team to be knowledgeable about the reasons behind this decision. This allows everyone to explain your choice cohesively. For instance, if you choose not to contract with the insurance plan, you have the freedom to use higher quality materials and labs. This enables you to provide exceptional care and individualized treatment planning for your patients.

Key Tips for Success

To recap, here are the key tips to successfully handle conversations about dental insurance:

  1. Ensure your entire team is well-informed and on the same page.
  2. Be transparent with your patients about being out-of-network.
  3. Clearly communicate why you have made the insurance decisions you have.

By following these tips, you can effectively navigate conversations about dental insurance and provide the best possible care for your patients.

For more dental tips and advice, visit Make You Smile. Have a great day!