State RegulationsOH specificDifficulty 2/5
Which of the following is included among the basic health services an Ohio HIC must provide under ORC 1751.01(A)?
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
ORC 1751.01(A) places physician services — care furnished by physicians for the diagnosis and treatment of illness — within the basic health services an Ohio HIC must make available. The basic tier is a defined statutory package under Ohio Revised Code Chapter 1751 rather than a discretionary list, and the Ohio Department of Insurance supervises whether an HIC's contract actually delivers the basic services it must offer.
Why the other options are wrong
- B) The statutory concept is not confined to care inside HIC-owned facilities; participating network providers furnish basic services.
- C) Freely elected out-of-network care is outside the HIC's limited-choice design and is not what division (A) guarantees.
- D) A lengthy elimination period is not a feature of basic health services, which the HIC must make available as its core package.
Memory hook
Physician services sit squarely inside basic health services under 1751.01(A).