Public Health · single question
Which type of insurance allows the patient to get directly reimbursed from the insurance provider?
Show answer and explanation
Correct answer: A. Out-of-network preferred provider organization (PPO)
Out-of-network PPO allows patients to see any dentist. The patient pays the provider directly and then submits a claim to the insurance company for reimbursement. In-network PPO involves direct billing between the provider and insurer. Medicare is a government program that pays providers directly for eligible services. Public health programs typically involve government-funded care.
- A. CORRECT. Out-of-network PPO allows patients to see any dentist. The patient pays the full fee directly to the dentist and then submits a claim to their insurance company, which reimburses the patient (usually at a reduced rate).
- B. INCORRECT. Public health programs (Medicaid, state programs) typically reimburse the provider directly — patients receive care at little or no cost.
- C. INCORRECT. In-network PPO: the dentist bills the insurance company directly; the patient pays the copay/deductible at the time of service. The patient does not submit claims for reimbursement.
- D. INCORRECT. Medicare is a federal health insurance program that pays providers directly for covered services — patients do not typically pay and then seek reimbursement.