; and (D) shall count toward any deductible or out-of-pocket maximums applied under the plan any cost-sharing payments made by the participant, beneficiary, or enrollee with respect to such services so furnished in the same manner as if such cost-sharing payments were with respect to services furnished by a participating provider. (2) Exception for certain services The provisions of paragraph (1) shall not apply in the case of air ambulance services that— (A) are not furnished with respect to an individual with an emergency medical condition (as defined in subsection (b)(2)(A))