State RegulationsOH specificDifficulty 3/5
A prospective member in Youngstown asks a health insuring corporation producer how the plan organizes its covered services. Under ORC 1751.01, which description of the three service tiers is correct?
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Answer & full 3-part explanation (select an option above, or peek)
Why B is correct
ORC 1751.01(A) defines basic health care services, including hospital, outpatient, and diagnostic services plus cancer clinical trials; ORC 1751.01(B) defines supplemental health care services, including dental, vision, and home health care; and ORC 1751.01(C) defines specialty health care services as a separate third category. A health insuring corporation's contract is organized around these tiers.
Why the other options are wrong
- A) Wrong: it swaps the tiers — hospital and diagnostic services are basic under ORC 1751.01(A), while dental and vision are supplemental under ORC 1751.01(B).
- C) Wrong: ORC 1751.01 keeps three distinct definitions; the basic and supplemental lists do not overlap or interchange.
- D) Wrong: basic services under ORC 1751.01(A) are defined by service type, not by a preventive-only boundary.
Memory hook
A is the anchor list, B the add-ons, C the third tier.