; and (D) shall count toward any in-network 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 items and services so furnished in the same manner as if such cost-sharing payments were with respect to items and services furnished by a participating provider. (2) Definitions In this subsection and subsection (b): (A) Health plan The term health plan means a group health plan and health insurance coverage offered by a heath insurance issuer in the group or individual market and includes a grandfathered health plan (as defined in section 1251(e) of the Patient Protection and Affordable Care Act). (B) Participating health care facility (i) In general The term participating health care facility means, with respect to an item or service and a health plan, a health care facility described in clause (ii) that has a contractual relationship with the plan (or, if applicable, issuer offering the plan) for furnishing such item or service. (ii) Health care facility described A health care facility described in this clause is each of the following: (I) A hospital (as defined in 1861(e) of the Social Security Act). (II) A critical access hospital (as defined in section 1861(mm) of such Act). (III) An ambulatory surgical center (as defined in section 1833(i)(1)(A) of such Act). (IV) A laboratory. (V) A radiology facility or imaging center. (C) During a visit The term during a visit shall, with respect to items and services furnished to an individual at a participating health care facility, include equipment and devices, telemedicine services, imaging services, laboratory services, and such other items and services as the Secretary may specify, regardless of whether or not the provider furnishing such items or services is at the facility. (3) Exception Paragraph (1) shall not apply to a health plan in the case of items or services (other than emergency services to which subsection (b) applies) furnished to a participant,