Payment Details When Resigning from PPO Plans

Less Insurance Dependence Podcast

In this episode of The Less Insurance Dependence Podcast, host Gary Takacs and Naren Arulrajah discuss crucial payment details when resigning from PPO plans. They aim to alleviate the common anxieties dentists face when transitioning away from insurance dependence. The core topic of this episode delves into the logistics of payment collection post-PPO resignation. Gary explains that most insurance companies, except Delta, allow for the assignment of benefits, meaning the insurance company will continue sending checks directly to the practice. For Delta, however, checks are sent to the patients, necessitating full payment collection at the time of service. Gary offers practical advice on communicating this change to patients, suggesting a script that emphasizes the speedy reimbursement process from Delta and the option to use credit cards to manage the initial payment. Naren then poses three pertinent questions to listeners. The first question addresses whether practices collect full payment at the time of service. Gary clarifies that this depends on the insurance company's policies, but full payment is required upfront for Delta patients, with an emphasis on the swift reimbursement they will receive. The second question explores what types of payment plans or financing options should be offered to make dental care more affordable. Gary recommends third-party financing options such as CareCredit and Proceed Finance, which offer flexible payment plans, including interest-free options and extended payment terms.

This episode provides valuable insights and practical strategies for dental practices aiming to reduce insurance dependence while maintaining financial stability and strong patient relationships.