Servicios con beneficios básicos - Niños hasta el final del mes calendario en el que cumplan 13 años Member for 7 years 2 months Submitted by Site Factory admin on Mon, 04/15/2024 - 15:19 Service Benefit Category Id 12880
Major Benefit Services - Children Until End Of Calendar Month Age 13 Member for 7 years 2 months Submitted by Site Factory admin on Mon, 04/15/2024 - 15:19 Service Benefit Category Id 12881
Servicios con beneficios principales - Niños hasta el final del mes calendario en el que cumplan 13 años Member for 7 years 2 months Submitted by Site Factory admin on Mon, 04/15/2024 - 15:19 Service Benefit Category Id 12881
13101 Inpatient Medical and Surgical Care in a General Hospital Complicated repair of wound of trunk, 2.6-7.5 cm Complicated repair of wound of trunk, 2.6-7.5 cm
13121 Inpatient Medical and Surgical Care in a General Hospital Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
13131 Inpatient Medical and Surgical Care in a General Hospital Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm
13132 Inpatient Medical and Surgical Care in a General Hospital Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
13152 Inpatient Medical and Surgical Care in a General Hospital Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm
14040 Surgery as an Outpatient Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less
14060 Surgery as an Outpatient Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less