28 Benefits In - Network Out - of - Network Note: If you get urgent care at a Hospital or other outpatient Facility, please refer to “Outpatient Facility Services” for details on what you will pay. Virtual Visits ( from Virtual Care - Only Providers ) Virtual Visits Conducted through our mobile app and website: Other Virtual Visits: • Virtual Visits including Primary Care from Virtual Care - Only Providers (Medical Services) $0 Copayment per visit Please refer to the “Office and Home Visits” section. • Virtual Visits from Virtual Care - Only Providers (Mental Health and Substance Use Disorder Services) $0 Copayment per visit Please refer to the “Office and Home Visits” section. • Virtual Visits from Virtual Care - Only Providers (Specialty Care Services) $ 0 Copayment per visit Please refer to the “Office and Home Visits” section. If Preventive Care is provided during a Virtual Visit, it will be covered under the “Preventive Care” benefit, as required by law. Please refer to that section for details. Vision Services (For medical and surgical treatment of injuries and/or diseases of the eye) Certain vision screenings required by Federal law are covered under the "Preventive Care" benefit. Benefits are based on the setting in which Covered Services are received. Human Organ and Tissue Transplant (Bone Marrow / Stem Cell), Cellular Services Please call our Transplant Department as soon as you think you may need a Covered Procedure to talk about your benefit options. To get the In - Network Level of benefits under your Plan, you must get certain Covered Procedures from an Approved In - Network Provider. Even if a Hospital is an In - Network Provider for other services, it may not be an Approved In - Network Provider for certain Covered Procedures. Please see the “What’s Covered” section for further details. The requirements described below do not apply to the following: • Cornea transplants, which are covered as any other surgery; and • Any Covered Services related to a Covered Procedure that you get before or after the Benefit Period. Benefits for Covered Services that are not part of the Covered Procedure will be based on the setting in which Covered Services are received. Please see the “What’s Covered” section for additional details