Member for 7 years 1 month Submitted by Site Factory admin on Mon, 09/30/2024 - 15:53 Covered Service Text 11841 11846 12811 12812 12965 12495 13114 Plan ID 10068 Plan Name Preferred Blue PPO 80 with Copay Product Type Medical Service Benefit Category Id 31 Service Benefit Category Name Mental Health and Substance Use Treatment - Non-Biologically Based Mental Conditions
