Member for 7 years 10 months Submitted by Site Factory admin on Tue, 07/01/2025 - 17:21 Covered Service Text 12374 12108 194 12109 12375 196 197 198 199 200 202 203 12117 12485 11398 13491 Plan ID 10212 Plan Name Blue Care Elect Deductible with Coinsurance Product Type Medical Service Benefit Category Id 33 Service Benefit Category Name Routine Pediatric Care