Member for 7 years 10 months Submitted by Site Factory admin on Mon, 07/19/2021 - 13:11 Covered Service Text 18 21 16 12426 3 5 7 12062 12025 12026 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