A payment model in which health care services are paid by patients,out of pocket,at the time of treatment is:

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The fee-for-service payment model involves patients paying for health care services at the time of treatment, usually with cash or insurance reimbursement. Managed care, preferred-provider organizations, and health maintenance organizations all involve contracts or agreements between health care providers and insurers or employers for payment of health care services, and typically do not involve direct payment by patients at the time of treatment.

A Payment Model in Which Health Care Services Are Paid