Member for 7 years 2 months Submitted by Site Factory admin on Mon, 10/07/2024 - 13:21 Covered Service Text 126 128 12889 13254 130 12585 124 120 121 12063 123 10084 10085 Plan ID 10017 Plan Name Blue Care Elect Preferred 90 with Copay Product Type Medical Service Benefit Category Id 25 Service Benefit Category Name Surgery as an Outpatient