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State RegulationsOH specificDifficulty 1/5

In the context of health insuring corporations (HICs), what is meant by a 'limited service area'?

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Answer & full 3-part explanation (select an option above, or peek)

Why B is correct

A limited service area is a core structural feature of the HIC model under Ohio Revised Code Chapter 1751: because the HIC delivers care through a local organized provider network, it provides or arranges covered services within a defined geographic region rather than statewide or nationwide. The Ohio Department of Insurance supervises HIC operations, including how the service area is established and used.

Why the other options are wrong

  • A) There is no annual claim-count ceiling; the service area concerns geography, not claim volume.
  • C) The service area restricts the region of care, not a location inside a hospital.
  • D) Office hours have nothing to do with the service area concept, which defines the geographic scope of arranged care.

Memory hook

Service area = the map region where the HIC's network actually delivers care.

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