Member for 7 years 1 month Submitted by Site Factory admin on Mon, 09/30/2024 - 15:53 Covered Service Text 18 21 16 12426 3 5 7 10231 10064 12 13 10065 15 17 20 10061 4 10063 11966 11967 11968 11977 11964 12089 11965 11973 Plan ID 10017 Plan Name Blue Care Elect Preferred 90 with Copay Product Type Medical Service Benefit Category Id 9 Service Benefit Category Name Inpatient Medical and Surgical Care in a General Hospital