Practice Quiz

Health and Life Insurance

Category - Health and Dental

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Dentists who are part of a __________ typically agree to serve patients at reduced rates.
  1. Dental HMO
  2. Dental PPO
  3. Dental fee-for-service
  4. None of the above
Explanation
Answer: B - Dentists who are part of a dental PPO typically agree to serve patients at reduced rates. When insureds use the services of a dental PPO network provider, they will usually pay a certain percentage of the dentist's reduced rate and the insurer will pay the rest. As members of a dental PPO plan, insureds are allowed to use dentists who are out-of-network. However, if they do so, they will only be reimbursed based on the amount that an in-network dental provider would have taken as payment in full.
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Additional Answers

Ted Chan, MBA says:

PPO stands for preferred provider organization. A PPO plan offers a network of healthcare providers you can use for your medical care. These providers have agreed with the insurance carrier to provide care to the plan members at a certain rate.

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