Member for 7 years 1 month Submitted by Site Factory admin on Mon, 09/30/2024 - 15:53 Covered Service Text 170 11835 12809 12810 12964 12494 13113 12594 11834 168 169 11434 Plan ID 10068 Plan Name Preferred Blue PPO 80 with Copay Product Type Medical Service Benefit Category Id 30 Service Benefit Category Name Mental Health and Substance Use Treatment - Biologically Based Mental Conditions
