Member for 7 years 1 month Submitted by Site Factory admin on Fri, 10/20/2023 - 18:46 Covered Service Text 12009 215 12010 12011 12012 222 226 12013 11588 12834 218 12014 13109 12691 Plan ID 10016 Plan Name Blue Care Elect Preferred 80 with Copay Product Type Medical Service Benefit Category Id 35 Service Benefit Category Name Routine Adult Physical Exams
