Member for 7 years 1 month Submitted by Site Factory admin on Mon, 09/30/2024 - 15:53 Covered Service Text 11042 12429 12428 12452 77 78 79 11570 80 82 84 86 12491 11240 11856 Plan ID 10017 Plan Name Blue Care Elect Preferred 90 with Copay Product Type Medical Service Benefit Category Id 19 Service Benefit Category Name Medical Care Outpatient Visits