That's a good question. Personally I'd think no, as it's a real-world service (healthcare) that just happens to use a video call, but Apple's now-infamous hunger for services revenue growth may feel differently.
The Apple/Facebook dispute over the 30% for digital events (Apple demands 30%, Facebook thinks nobody - Facebook included - should be taking a cut) seems to make clear that Apple believes you owe them a cut no matter what as long as it's digital.
Facebook always gets their cut, just not from the consumer. They sell or use the usage data to undercut popular services which seems more toxic than 30% up front. If they were doing this without retaining data on the transaction I would be more charitable to their cause.
