Hospital services (after $2,000 paid per calendar year)
Service Benefit Category Id
10056
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Hospital services (until $2,000 paid for selected services)
Service Benefit Category Id
10057
Hospital services (after $2,000 paid per calendar year)
Service Benefit Category Id
10058
Inpatient facility services (first $2,000 paid for selected services)
Service Benefit Category Id
10059
Inpatient facility services (after $2,000 paid per calendar year)
Service Benefit Category Id
10060
Inpatient physician and other covered professional provider services
Service Benefit Category Id
10061
Inpatient facility services (first $2,000 paid for selected services)
Service Benefit Category Id
10062
Inpatient facility services (after $2,000 paid per calendar year)
Service Benefit Category Id
10063
Inpatient physician and other covered professional provider services
Service Benefit Category Id
10064
Inpatient facility services (first $2,000 paid for selected services)
Service Benefit Category Id
10065