Member for 8 years 1 month Submitted by Site Factory admin on Wed, 09/03/2025 - 16:39 Covered Service Text 11841 11836 12811 12812 12965 12495 13114 11921 13174 Plan ID 16 Plan Name Network Blue New England Product Type Medical Service Benefit Category Id 31 Service Benefit Category Name Mental Health and Substance Use Treatment - Non-Biologically Based Mental Conditions