Noblesville Schools Medical Plan 55 Section 1: Covered Health Care Services Urgent Care Center Services Covered Health Care Services received at an Urgent Care Center. When services to treat urgent health care needs are provided in a Physician's office, Benefits are available as described under Physician's Office Services - Sickness and Injury. Urinary Catheters Benefits are provided for external, indwelling, and intermittent urinary catheters for incontinence or retention. Benefits include related urologic supplies for indwelling catheters limited to: • Urinary drainage bag and insertion tray (kit). • Anchoring device. • Irrigation tubing set. Virtual Care Services Virtual care for Covered Health Care Services that includes the diagnosis and treatment of less serious conditions. Virtual care provides communication of medical information in real-time between the patient and a distant Physician or health specialist, outside of a medical facility (for example, from home or from work). Benefits are available only when services are delivered through a Designated Virtual Network Provider. You can find a Designated Virtual Network Provider by contacting the Claims Administrator at www.myuhc.com or the telephone number on your ID card. • Benefits are available for urgent on-demand health care delivered through live audio with video or audio only technology for treatment of acute but non-emergency needs. Please Note: Not all conditions can be treated through virtual care. The Designated Virtual Network Provider will identify any condition for which treatment by in-person Physician contact is needed. Benefits do not include email, or fax and standard telephone calls, or for services that occur within medical facilities (CMS defined originating facilities). Wigs Wigs and other scalp hair prostheses regardless of the reason for hair loss.