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In this episode of “The Less Insurance Dependence Podcast,” Gary Takacs and Naren Arulrajah engage in a detailed discussion on whether insurance companies possess the authority to establish fees for services not covered under insurance plans. They travel into the historical challenges dentists faced when insurance companies dictate fees for services beyond their coverage, pondering the philosophical implications of such practices. Notably, they shed light on recent legislative advancements in select states that aim to address this issue. The conversation underscores the importance of dentists staying informed of state regulations and refraining from violating contract terms. Furthermore, they advocate for a strategic transition away from reliance on PPO plans, emphasizing alternative marketing avenues like Google SEO to attract patients and regain control over fee setting.

Episode Timestamps

  • 00:50 – Introduction to “The Less Insurance Dependence” podcast.
  • 01:19 – Introduction to the topic: “Can Insurance Companies Set Fees for Uncovered Services?”
  • 01:30 – Announcement regarding a Master Class; Title:  Creating a Relationship Driven Practice, Date: 16th of July 2024, Time: 08:00 – 10:00 PM ET.
  • 03:44 – Discussion on how Insurance companies setting fees for uncovered services has been an issue across the country. 
  • 06:52 – Encouragement to listen to Dr. Brett Kessler’s interview. 
  • 11:45 – Warning not to violate any language on the insurance contract.
  • 15:23 – Encouragement to replace insurance with Marketing.
  • 16:56 – Invitation for a Marketing Strategy Meeting.


Gary Takacs

Gary Takacs One of Gary's most significant achievements as a dental practice management coach is transforming his own practice, LifeSmiles, from one that was infected with PPO plans, no effective marketing strategy, and an overhead of 80% to a very successful dental practice that is currently one of the top-performing practices in the US.

With over 2,200 coaching clients, Gary has first-hand experience transforming insurance-dependent practices into thriving and profitable practices.

Through his Personalized Coaching Program, Gary shares access to the systems, strategies, processes, and experience gained over 41 years of coaching dentists and transforming over 2200 practices worldwide.

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Connect with Gary Takacs on Linkedin

Naren Arulrajah

Naren ArulrajahAs CEO of Ekwa Marketing, Naren has over a decade of experience working with dental practices and helping them attract the ideal type of patients to their practices. It is his goal to help dentists do more of the type of dentistry they love with the help and support of effective digital marketing.

Ekwa’s "Done-For-You" Digital Marketing model blends fundamental persuasion principles with an all-in-one Digital Marketing solution to help your ideal patients find you and choose you for reasons other than being on their insurance plan.

If you’re interested in finding out if Ekwa is the right fit for you and your practice, book a Free Marketing Strategy Meeting with Ekwa’s Marketing Director, Lila Stone.

Book Free Marketing Strategy Meeting:

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