Telehealth services received from a Blue Cross and Blue Shield approved telehealth physician or practitioner using a telecommunications system. The telehealth provider will use an audio and video telecommunications system that permits a two-way, real-time communication. A member may see a telehealth provider online or by mobile device when care is needed for mental health and substance use care for conditions or symptoms such as anxiety and depression; or help is needed for a general health and wellness concern. A referral or prior approval is not required.