CSNP Termination Letter

When a patient is no longer eligible to remain on a special needs plan, you can send them this CSNP termination Letter to inform them of their discontinuation.

[Healthcare Provider’s Name]

[City, State and Zip Code]

[Mobile/Fax Number]


[Recipient’s Name]

[City, State and Zip Code]

Ref: Discontinuation from The Special Needs Plan

Dear [Recipient’s Name]

This letter is to inform you that you have been discontinued from the special needs plan by [Healthcare Provider]. This will take effect from [Date], after your next medical examination procedure.

Having been under the plan for [Duration], your doctor has reported a significant improvement in your health. You are no longer a high-risk patient and are well on your way to recovery.

This termination creates an opportunity for another critically ill patient to receive our assistance. We wish you all the best in your journey towards getting better. For any questions, contact us on our mobile number [#].


[Sender’s Signature]

[Sender’s Name]

[Role in the Facility]

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