Member for 8 years Submitted by Site Factory admin on Thu, 08/21/2025 - 00:53 Covered Service Text 12009 215 12010 12011 12012 222 226 12013 11588 12834 218 13428 12014 13109 12691 Plan ID 10082 Plan Name PPO Student Health Plan Product Type Medical Service Benefit Category Id 35 Service Benefit Category Name Routine Adult Physical Exams