Dental Insurance

8 Considerations when moving out of network with dental insurance

Dental Insurance

8 Considerations when moving out of network with dental insurance

As a dental office, the decision to transition out of network with dental insurance providers is a strategic move that requires careful consideration. For dental offices contemplating such a transition, we’ll explore the various aspects to remember when moving out of network, ensuring a smooth shift while delivering top-notch patient care.

Key Considerations for Dental Offices:

Patient Communication: Clear and transparent communication is paramount. Inform your patients well in advance about the impending change. Emphasize the continued commitment to delivering high-quality care and explain the reasons behind the transition.

Cost Structure: Patients may experience different cost structures and reimbursement processes with out-of-network services. Be prepared to discuss these changes openly and guide patients through potential adjustments in their financial planning.

Providing Value: Highlight the value proposition of receiving dental care from your office, even if it’s out of network. Showcase the expertise of your dental professionals, the range of services you offer, and the personalized patient experience.

Informed Consent: When patients visit your office for out-of-network care, ensure they understand the financial implications and potential out-of-pocket costs. Obtaining informed consent helps prevent misunderstandings later.

Billing and Documentation: Establish a clear billing process for out-of-network services. Accurate and well-documented billing helps in the case of insurance reimbursement claims and fosters trust between your office and patients.

Payment Options: Explore flexible payment options or financing plans to assist patients in managing any increased financial burden resulting from the transition out of the network.

Insurance Verification: For patients still covered by insurance, offer assistance verifying their benefits and understanding how their out-of-network coverage works. This proactive approach enhances patient satisfaction. 

Marketing Strategy: Update your marketing materials and website to reflect the transition. Emphasize your office’s commitment to patient well-being and the enhanced flexibility and choice available through out-of-network services.


Transitioning out of network with dental insurance requires careful planning and effective communication to ensure patients and the dental office experience a seamless shift. By keeping these considerations in mind and focusing on patient education, transparent communication, and a commitment to delivering quality care, dental offices can successfully navigate this transition while ensuring their standard of care for their patients.