When You Drop Your Patients’ Insurance …

Q. If I terminate my contract with an insurer, must I also notify patients covered by that insurer that I am terminating the patient-physician relationship?

A. No, your patients can continue to receive services from you even if you do not accept the contract offer from their insurance company. Termination of an insurance contract is entirely separate from the termination of the patient-physician relationship. You may want to inform patients that they can continue to see you on an out-of-network basis.

Source: TMA's Business Basics for Physicians. This new publication is available in the TMA Education Center.

NOTICE: The Texas Medical Association provides this information with the express understanding that 1) no attorney-client relationship exists, 2) neither TMA nor its attorneys are engaged in providing legal advice and 3) that the information is of a general character. This is not a substitute for the advice of an attorney. While every effort is made to ensure that content is complete, accurate and timely, TMA cannot guarantee the accuracy and totality of the information contained in this publication and assumes no legal responsibility for loss or damages resulting from the use of this content. You should not rely on this information when dealing with personal legal matters; rather legal advice from retained legal counsel should be sought. This information is provided as a commentary on legal issues and is not intended to provide advice on any specific legal matter.

Published July 22, 2014

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