PPO exit calculator

Model what happens to revenue if you drop an insurance plan: the write-off you stop taking, the patients you might lose, and the retention rate where it breaks even.

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What you actually collected from this plan's patients in the last 12 months.
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Compare the plan's fee schedule with your office fees, or check a sample of EOBs.
%
Your honest estimate. Loyalty, local competition, and how you communicate the change all matter.
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Shows the change as a share of the whole practice.
Your inputs are saved anonymously to improve our benchmarks.
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How the model works

Your plan revenue is what's left after the plan's discount. Dividing it by one minus the discount gives what the same care would bill at your full fee. If you leave the plan, you keep the patients who stay, now at full fee, and lose the revenue from those who leave.

The break-even retention rate is one minus the discount. At a 35% discount you break even if 65% of the plan's patients stay; keep more than that and revenue rises.

Basis: your inputs only. Not financial or legal advice. Check your plan contract for notice periods before acting.

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Accountants, consultants, and brokers can put this calculator on their own site. It stays free, runs entirely in the visitor's browser, and credits The Dental Signal.

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