58 • X-ray services; • Care for broken bones; • Tests such as flu, urinalysis, pregnancy test, rapid strep; • Lab services; • Stitches for simple cuts; and • Draining an abscess. Virtual Visits (Telemedicine / Telehealth Visits) Covered Services include Telemedicine / Telehealth visits that are appropriately provided as described below. This includes visits with Providers who also provide services in person, as well as online-only Providers. • “Telemedicine / Telehealth” means the delivery of health care or other health services using electronic communications and information technology, in compliance with HIPAA including: live (synchronous) secure videoconferencing or secure instant messaging through our mobile app; store and forward (asynchronous) technology. Covered Services provided through Telemedicine/ Telehealth are provided to facilitate the medical exams, consultations, and behavioral health, including substance use disorder evaluations and treatment. In-person contact between a Provider and the patient is not required for Telemedicine/ Telehealth services, and the type of setting where these services are provided is not limited. Please Note: Not all health services can be delivered through virtual visits. Certain services require equipment and/or direct physical hands-on care that cannot be provided remotely. Also, please note that not all Providers offer virtual visits. Benefits do not include the use of facsimile, audio only telephone, texting (outside of our mobile app), electronic mail, or non-secure instant messaging unless you have an already established relationship with the Provider. Benefits also do not include reporting normal lab or other test results, requesting office visits, getting answers to billing, insurance coverage or payment questions, asking for referrals to Providers outside our network, benefit precertification, or Provider to Provider discussions except as approved under “Office and Home Visits.” If you have any questions about this coverage, please contact Member Services at the number on the back of your Identification Card. Vision Services to the End of the Month in Which They Turn 19 The vision benefits described in this section only apply to Members through the end of the month that the Member turns 19. Routine Eye Exam This Plan covers a complete eye exam with dilation, as needed. The exam is used to check all aspects of your vision. An eye exam does not include a contact lens fitting fee. [Include only if materials covered: Eyeglass Lenses This Plan also covers a choice of eyeglass lenses. Benefits include factory scratch coating. Covered eyeglass lenses include standard plastic (CR39) lenses up to 55mm in: • Single vision • Bifocal • Trifocal (FT 25-28)