Member for 7 years 8 months Submitted by Site Factory admin on Tue, 04/08/2025 - 14:16 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 10062 Plan Name Preferred Blue PPO Deductible Product Type Medical Service Benefit Category Id 9 Service Benefit Category Name Inpatient Medical and Surgical Care in a General Hospital