Member for 7 years 1 month Submitted by Site Factory admin on Mon, 09/30/2024 - 15:53 Covered Service Text 12374 12108 194 195 196 197 198 199 200 201 203 191 11398 Plan ID 10017 Plan Name Blue Care Elect Preferred 90 with Copay Product Type Medical Service Benefit Category Id 33 Service Benefit Category Name Routine Pediatric Care