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Physician and other covered professional provider services

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11138

Specialist services

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11142

Birth control drugs and prescription birth control devices

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11146

Other covered provider services

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11149

Preventive dental care for members under 18 to treat cleft lip and cleft palate

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11158

Other preventive dental care

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11159

Designated PCP or OB/GYN physician, nurse practitioner, physician assistant, nurse midwife services

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11161

Hearing aid(s) for members age 21 and younger

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11167

Hearing aid(s) for members age 22 and older

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11168

Pediatrician, geriatric specialist, nurse practitioner, physician assistant services

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:10

Service Benefit Category Id

11169