Member for 8 years Submitted by Site Factory admin on Thu, 08/21/2025 - 00:53 Covered Service Text 18 21 16 12426 3 5 7 12062 12025 13253 10064 12 13 10065 15 17 20 10061 4 10062 Plan ID 10068 Plan Name Preferred Blue PPO 80 with Copay Product Type Medical Service Benefit Category Id 9 Service Benefit Category Name Inpatient Medical and Surgical Care in a General Hospital