Member for 7 years 4 months Submitted by Site Factory admin on Fri, 10/20/2023 - 18:50 Covered Service Text 12431 12108 194 12109 12375 196 197 198 199 Plan ID 10045 Plan Name HMO Blue New England Premier Value Product Type Medical Service Benefit Category Id 33 Service Benefit Category Name Routine Pediatric Care