Member for 8 years Submitted by Site Factory admin on Fri, 08/15/2025 - 13:04 Covered Service Text 11841 11836 12811 12965 12812 12495 13114 11924 Plan ID 10229 Plan Name HMO Blue Select Deductible Product Type Medical Service Benefit Category Id 31 Service Benefit Category Name Mental Health and Substance Use Treatment - Non-Biologically Based Mental Conditions
