Dental Insurance|Ethical Selling Dentistry|Dental Case Acceptance Archives - The McAnally Selling System

Out-of-Pocket Treatment for a DMO Patient Explained

james2026-06-16T00:00:00-04:00

Can I offer out-of-pocket treatment to a DMO patient? Yes, and most dentists never read far enough into their own contract to realize it. Check your provisions. Almost all of them say that once you have told the DMO patient which option the plan covers at no cost to them, you are free to present every other option at your regular out of pocket fees. If you can't find that language, write the plan administrator or president directly and get it in writing. They almost always say go ahead, because if the patient elects something better, the plan pays nothing and [...]

Out-of-Pocket Treatment for a DMO Patient Explainedjames2026-06-16T00:00:00-04:00

Can a Patient Drop Insurance for Major Treatment?

james2026-06-16T00:00:00-04:00

Is it legal for a patient to drop their insurance for major treatment? It can be, and it's a legitimate option when your state hasn't fixed the maximum-benefit problem for you. The patient temporarily drops their plan, and you do the major treatment at or near your full fee instead of the contracted rate. But this only works on the back of an honest conversation. You tell them plainly, I can't afford to rebuild you under what the insurance reimburses, and you offer a discount off your full fee to make it worth their while. The real issue is the loss [...]

Can a Patient Drop Insurance for Major Treatment?james2026-06-16T00:00:00-04:00

Ultimate Dental Insurance Promise for Big Cases

james2026-05-14T00:00:00-04:00

What is the Ultimate Insurance Promise approach for dental practices facing patient insurance fears on big cases? A structured commitment the practice makes to the patient about how dental insurance benefits will be handled, with a clear fallback if the carrier fails to pay. Patients facing major treatment commonly carry fear that the insurance company will not actually deliver the benefits promised on paper. The fear is rational. Insurance carriers routinely deny, delay, or partially pay claims after major work is completed, leaving patients with unexpected liability. The Ultimate Insurance Promise addresses the fear head-on. The practice commits in writing to [...]

Ultimate Dental Insurance Promise for Big Casesjames2026-05-14T00:00:00-04:00

DMO Contract Patient Handling and Out-of-Pocket Options

james2026-05-14T00:00:00-04:00

How should a dental practice handle a patient with a DMO contract when proposing out-of-pocket treatment? By having an honest, leadership-based conversation about what the DMO will and will not cover, then offering out-of-pocket treatment options that the patient can pay for separately. Most DMO contracts explicitly allow the doctor to introduce out-of-pocket options as long as the patient has been informed about what the DMO covers first. Check the contract to confirm. If the contract is unclear, write to the administrator or president and ask. The likely answer is yes, because out-of-pocket treatment costs the DMO nothing and removes the [...]

DMO Contract Patient Handling and Out-of-Pocket Optionsjames2026-05-14T00:00:00-04:00

Dental Insurance Practice Selling at Full Fee Levels

james2026-05-14T00:00:00-04:00

Can a dental practice on HMO or PPO contracts use ethical selling at full-fee levels? Yes, with specific adjustments. Even practices contracted with Delta, Cigna, Aetna, or other insurance plans can apply ethical selling to identify the patients who can move forward at non-discounted fees. The selling system surfaces patients within an insurance-based patient base who would benefit from comprehensive treatment outside the insurance schedule. These patients exist in every insurance-driven practice. Most practices never identify them because they treat every patient as an insurance-fee patient by default. A leadership-based conversation about what insurance covers and doesn't, paired with structured case [...]

Dental Insurance Practice Selling at Full Fee Levelsjames2026-05-14T00:00:00-04:00

Ultimate Dental Insurance Promise for Big Cases

james2026-05-14T00:00:00-04:00

What is the Ultimate Insurance Promise approach for dental practices facing patient insurance fears on big cases? A structured commitment the practice makes to the patient about how dental insurance benefits will be handled, with a clear fallback if the carrier fails to pay. Patients facing major treatment commonly carry fear that the insurance company will not actually deliver the benefits promised on paper. The fear is rational. Insurance carriers routinely deny, delay, or partially pay claims after major work is completed, leaving patients with unexpected liability. The Ultimate Insurance Promise addresses the fear head-on. The practice commits in writing to [...]

Ultimate Dental Insurance Promise for Big Casesjames2026-05-14T00:00:00-04:00

DMO Contract Patient Handling and Out-of-Pocket Options

james2026-05-14T00:00:00-04:00

How should a dental practice handle a patient with a DMO contract when proposing out-of-pocket treatment? By having an honest, leadership-based conversation about what the DMO will and will not cover, then offering out-of-pocket treatment options that the patient can pay for separately. Most DMO contracts explicitly allow the doctor to introduce out-of-pocket options as long as the patient has been informed about what the DMO covers first. Check the contract to confirm. If the contract is unclear, write to the administrator or president and ask. The likely answer is yes, because out-of-pocket treatment costs the DMO nothing and removes the [...]

DMO Contract Patient Handling and Out-of-Pocket Optionsjames2026-05-14T00:00:00-04:00

Dental Insurance Practice Selling at Full Fee Levels

james2026-05-14T00:00:00-04:00

Can a dental practice on HMO or PPO contracts use ethical selling at full-fee levels? Yes, with specific adjustments. Even practices contracted with Delta, Cigna, Aetna, or other insurance plans can apply ethical selling to identify the patients who can move forward at non-discounted fees. The selling system surfaces patients within an insurance-based patient base who would benefit from comprehensive treatment outside the insurance schedule. These patients exist in every insurance-driven practice. Most practices never identify them because they treat every patient as an insurance-fee patient by default. A leadership-based conversation about what insurance covers and doesn't, paired with structured case [...]

Dental Insurance Practice Selling at Full Fee Levelsjames2026-05-14T00:00:00-04:00

Ultimate Dental Insurance Promise for Big Cases

james2026-05-14T00:00:00-04:00

What is the Ultimate Insurance Promise approach for dental practices facing patient insurance fears on big cases? A structured commitment the practice makes to the patient about how dental insurance benefits will be handled, with a clear fallback if the carrier fails to pay. Patients facing major treatment commonly carry fear that the insurance company will not actually deliver the benefits promised on paper. The fear is rational. Insurance carriers routinely deny, delay, or partially pay claims after major work is completed, leaving patients with unexpected liability. The Ultimate Insurance Promise addresses the fear head-on. The practice commits in writing to [...]

Ultimate Dental Insurance Promise for Big Casesjames2026-05-14T00:00:00-04:00

DMO Contract Patient Handling and Out-of-Pocket Options

james2026-05-14T00:00:00-04:00

How should a dental practice handle a patient with a DMO contract when proposing out-of-pocket treatment? By having an honest, leadership-based conversation about what the DMO will and will not cover, then offering out-of-pocket treatment options that the patient can pay for separately. Most DMO contracts explicitly allow the doctor to introduce out-of-pocket options as long as the patient has been informed about what the DMO covers first. Check the contract to confirm. If the contract is unclear, write to the administrator or president and ask. The likely answer is yes, because out-of-pocket treatment costs the DMO nothing and removes the [...]

DMO Contract Patient Handling and Out-of-Pocket Optionsjames2026-05-14T00:00:00-04:00