State RegulationsOH specificDifficulty 2/5
A Canton HIC member visits a participating physician for an examination, diagnosis, and treatment of a persistent cough. Under ORC 1751.01(A), the physician services element of basic health services covers care of this kind, meaning:
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Answer & full 3-part explanation (select an option above, or peek)
Why D is correct
Physician services are a category of basic health services under ORC 1751.01(A), encompassing care furnished by physicians to diagnose and treat illness — including office visits such as this member's examination and treatment of a persistent cough. The category operates within the HIC's organized delivery system under Ohio Revised Code Chapter 1751, which the Ohio Department of Insurance supervises, and is not confined to surgery, hospital confinement, or self-referred specialty care.
Why the other options are wrong
- A) Physician services are not limited to operating-room surgery; ordinary diagnostic and treatment visits fall within the category.
- B) Office-based care is a core part of physician services; hospital confinement is not a prerequisite.
- C) Self-referred specialty care is contrary to the gatekeeper design and is not what defines the physician services category.
Memory hook
Physician services = doctors diagnosing and treating illness, office visits included.