SAMPLE LETTER TO INFORM PATIENTS UPDATE

Bear in mind that the letter should be straightforward and not elaborate. Use simple language that is easily understood. Avoid making it sound like the practice will be losing money by not accepting insurance. Explain the reasons behind this decision thoroughly but with a positive tone. Let them know the purpose of the letter is to inform them that the medical practice will no longer accept insurance for their services. Start the letter by acknowledging the patients and expressing gratitude for their loyalty and patronage. When writing a no longer accepting insurance letter, the structure should be professional, transparent, and empathetic. For instance, the running cost of the business may be too high, or the insurance providers are not paying enough for the services rendered. However, situations arise that make it necessary.

Let’s get started! Best Structure for No Longer Accepting Insurance Letterįirstly, it’s always a tough decision to no longer accept insurance from patients. We understand that this can be a difficult change for some of your patients, but by providing clear explanations and creating a plan for alternate payment options, you can help ensure a smooth transition for both you and your patients. Our goal is to help you communicate this significant change in a way that is clear, respectful, and informative to your patients. So, whether you’re a solo practitioner or part of a larger healthcare organization, we’ve got you covered. We understand that this can be a somewhat daunting task, but our guide features plenty of examples that you can use as a starting point, and then edit as needed to reflect your personal approach. That’s why we’ve put together a helpful guide that will walk you through the process of writing a “no longer accepting insurance” letter to your patients. Whatever your reasons may be, we understand that this can be a big decision that requires careful consideration. Maybe the administrative burden was just too much to handle, or perhaps you’d prefer to focus more on the quality of care you’re delivering without worrying about the financial aspects of insurance. Retiring from Practice: Template letter notifying families when retiring from a practice, including date of retirement and guidance on transferring records to another pediatrician.Hey there! If you’re a healthcare provider, you may have recently decided that you no longer want to accept insurance from your patients. Closing a Practice : Template letter notifying families when closing a practice (could include retirement), including the date of office closure and guidance on transferring records to another pediatrician.

Subspecialist Discharge Letter : Template letter from a subspecialist regarding their inability to provide continued medical care to a child/family. Primary Care Discharge Letter : Template letter from a primary care pediatrician regarding their inability to provide continued medical care to a child/family. Welcome New Patient Letter : Template letter to patients/families welcoming them to the practice. Pending Application for Medicaid Coverage: Template letter to patients/families informing them of practice’s procedures for patients with pending Medicaid applications. Practice Dropping Insurance Plan: Template letter to patients/families advising them that their practice will no longer accept a specific insurance plan or the pediatrician is no longer an in-network provider.

SAMPLE LETTER TO INFORM PATIENTS UPDATE

Response to Bill Questions: Template letter to update a patient/family after they have questioned a bill. Briefly discusses coverage options and self-pay discounts. Outstanding Patient Account Balance Letter: Template letter to patients/families alerting them of an outstanding patient account balance.įamilies Without Health Insurance: Template letter for patients and families who do not have health insurance. Notification of Practice’s Financial Policies: Template letter notifying patients/families with insurance that includes high out-of-pocket expenses (deductibles and co-pays) about the practice’s financial policies. Payment-Related Letters to Patients/Families Medical Necessity Letter to Payers: Physician’s Letter of Medical Necessity for Home Health Care per EPSDT (Early and Periodic Screening, Diagnostic and Treatment) mandates. They are provided only as a reference for practices developing their own documentation. Disclaimer: These sample documents do not represent AAP policy or guidelines. You should consult an attorney who is knowledgeable about the laws of the jurisdiction in which you practice before creating or using any legal documents. 

These sample letter templates are provided as a reference for practices developing their own materials and may be adapted to local needs.

Sample letter to inform patients