Member for 7 years 2 months Submitted by Site Factory admin on Mon, 10/07/2024 - 13:21 Covered Service Text 12431 12108 194 12109 12375 196 197 198 199 13425 Plan ID 10017 Plan Name Blue Care Elect Preferred 90 with Copay Product Type Medical Service Benefit Category Id 33 Service Benefit Category Name Routine Pediatric Care