Member for 8 years 1 month Submitted by Site Factory admin on Wed, 09/03/2025 - 16:38 Covered Service Text 12374 12108 194 12109 12375 196 197 198 199 200 202 203 12117 12420 11398 13423 Plan ID 10287 Plan Name Advantage Blue Preferred Deductible Product Type Medical Service Benefit Category Id 33 Service Benefit Category Name Routine Pediatric Care
