State RegulationsOH specificDifficulty 2/5
A Toledo member of a health insuring corporation has minor surgery performed in a hospital's outpatient department and goes home the same day. Under ORC 1751.01(A), how is this outpatient service classified?
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Answer & full 3-part explanation (select an option above, or peek)
Why B is correct
ORC 1751.01(A) lists outpatient services within the basic health care services tier. The absence of an inpatient admission does not demote the service: classification follows the statutory list, so outpatient surgical care remains basic coverage, while the supplemental tier of ORC 1751.01(B) holds services such as dental and vision care.
Why the other options are wrong
- A) Wrong: the setting of care does not change classification; outpatient services sit in the basic tier under ORC 1751.01(A), not the supplemental tier of ORC 1751.01(B).
- C) Wrong: ORC 1751.01(C) defines specialty health care services as a separate category; ordinary outpatient care is basic.
- D) Wrong: outpatient services are part of the basic package under ORC 1751.01(A); no separate rider is contemplated by the statute.
Memory hook
Outpatient or overnight, hospital-linked care stays basic.