Ethics & Law · single question

Which type of dental insurance plan allows the patient to receive care from any provider and then get directly reimbursed by the insurance company?

  1. Preferred Provider Organization (PPO)
  2. Health Maintenance Organization (HMO)
  3. Medicaid
  4. Medicare
Show answer and explanation

Correct answer: A. Preferred Provider Organization (PPO)

  • A. Correct. A PPO (Preferred Provider Organization) allows patients to see both in-network and out-of-network providers. When using an out-of-network provider, the patient pays upfront and then the insurance company reimburses the patient directly.
  • B. HMO plans require patients to use only in-network providers and do not reimburse for out-of-network care.
  • C. Medicaid is a government assistance program for low-income individuals — it does not provide direct patient reimbursement.
  • D. Medicare is a federal program for elderly patients — it is not a reimbursement-based insurance plan.

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