Member for 7 years 2 months Submitted by Site Factory admin on Mon, 10/07/2024 - 13:18 Covered Service Text 18 21 16 12426 3 5 7 12062 12025 13253 10064 12 13 10065 15 17 20 10061 4 10062 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