Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Select Diabetes & Heart IN (HMO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Zing Select Diabetes & Heart IN (HMO C-SNP) in 2025, please refer to our full plan details page.
Zing Select Diabetes & Heart IN (HMO C-SNP) is a HMO C-SNP plan offered by Zing Health Consolidator, Inc available for enrollment in 2025 to people living in Central and Northwest IN. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that Zing Select Diabetes & Heart IN (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Zing Select Diabetes & Heart IN (HMO C-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Below are a few key facts and commonly-asked questions about Zing Select Diabetes & Heart IN (HMO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Zing Select Diabetes & Heart IN (HMO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $4500.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The Zing Select Diabetes & Heart IN (HMO C-SNP) plan has a $0 deductible for prescription drugs. During the initial coverage phase, you will pay varying copays or coinsurance depending on the drug tier and pharmacy used. For example, you may pay an $8 copay for a standard generic drug at a standard pharmacy, or 33% coinsurance for a preferred brand drug. Once your total drug costs reach $2,000, you enter the catastrophic coverage phase where you will pay nothing for Part D covered drugs. If you qualify for the low-income subsidy, you will pay $0 for all covered drugs.
The Zing Select Diabetes & Heart IN (HMO C-SNP) plan offers a range of benefits, including inpatient hospital stays with a $350 copay for days 1-6, and no copay for days 7-90, outpatient services with various copays, and emergency services with a $125 copay. You'll also find no copays for primary care physician visits, many specialist visits, and preventive services like annual physicals. This plan also provides coverage for hearing, vision, and dental services, with no copays for routine eye exams, and dental services. Additionally, you'll have access to home health services, skilled nursing facilities, and medical equipment with varying copays and coinsurance. This plan also includes other benefits such as over-the-counter items and a meal benefit with no copay.
Inpatient Hospital benefits, including acute and psychiatric, are covered. For Inpatient Hospital-Acute, you will pay a $350 copay for days 1-6, and no copay for days 7-90; for Inpatient Hospital Psychiatric, you will pay a $350 copay for days 1-6, and no copay for days 7-90. Additional Days for Inpatient Hospital-Acute is covered with no copay, while Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered. Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services include coverage for outpatient hospital services with a $225 copay, observation services with a $90 copay, ambulatory surgical center services with a $125 copay, outpatient substance abuse services with no copay for individual and group sessions, and outpatient blood services with no copay. Prior authorization is required for some services.
Partial Hospitalization is covered under the Zing Select Diabetes & Heart IN (HMO C-SNP) plan, with a $70 copay. Prior authorization is required.
Ambulance and Transportation Services are covered, including ground and air ambulance services, as well as transportation services to plan-approved health-related locations. Ground ambulance services have a $200 copay, while air ambulance services have a 20% coinsurance. Transportation services have no copay, and transportation to any health-related location is limited to 30 one-way trips per year. Transportation services to any health-related location are not covered.
Emergency Services with the Zing Select Diabetes & Heart IN (HMO C-SNP) plan include a $125 copay, with no coinsurance; however, the copay is waived if you are admitted to the hospital within 24 hours. Urgently Needed Services have a copay between $0 and $10, with no coinsurance. Worldwide Emergency Coverage has no copay or coinsurance, while Worldwide Urgent Coverage has no copay or coinsurance; Worldwide Emergency Transportation is not covered.
Primary Care Physician Services have no copay. Chiropractic Services have a $20 copay. Occupational Therapy Services have a $20 copay, and require authorization. Physician Specialist Services have no copay. Mental Health Specialty Services, including individual and group sessions, have no copay. Podiatry Services have a $15 copay for Medicare-covered services and no copay for Routine Foot Care. Other Health Care Professional services have no copay. Psychiatric Services, including individual and group sessions, have no copay. Physical Therapy and Speech-Language Pathology Services have a $20 copay, and require authorization. Additional Telehealth Benefits have a copay between $0 and $30. Opioid Treatment Program Services have a $30 copay, and require prior authorization.
Preventive Services include no copay for an annual physical exam, and also cover additional services such as Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Weight Management Programs, Remote Access Technologies, Home and Bathroom Safety Devices and Modifications, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit with no copay. Health Education, In-Home Safety Assessment, Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Home-Based Palliative Care, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, and Counseling Services are not covered. Nutritional/Dietary Benefit is covered for 4 visits with no copay, and In-Home Support Services is also covered with no copay. Fitness Benefit is covered, with Memory Fitness offered and no copay.
Hearing Services include hearing exams, routine hearing exams, fitting/evaluation for hearing aids, prescription hearing aids, and OTC hearing aids. Hearing exams have a $30 copay, routine hearing exams and fitting/evaluation for hearing aids have no copay, and prescription hearing aids are covered up to $750 every three years. OTC hearing aids are not covered.
Vision services include eye exams and eyewear. Eye exams have a copay between $0 and $30, and routine eye exams have no copay. Eyewear, including contact lenses, eyeglasses (lenses and frames), eyeglass lenses, and eyeglass frames, have no copay, and a combined maximum benefit of $300 every year, but upgrades are not covered.
Dental services include coverage for Medicare dental services and other dental services with no copay. This plan also covers Oral Exams, Dental X-Rays, Prophylaxis (Cleaning), Fluoride Treatment, Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Prosthodontics (removable and fixed), and Oral and Maxillofacial Surgery with no copay; however, Maxillofacial Prosthetics, Implant Services, and Orthodontics are not covered.
Home Infusion bundled Services are covered under the Zing Select Diabetes & Heart IN (HMO C-SNP) plan and require prior authorization. Medicare Part B Insulin Drugs have a $35 copay with a coinsurance between 0% and 20%. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services are covered by the Zing Select Diabetes & Heart IN (HMO C-SNP) plan. You will pay 20% coinsurance for these services.
Medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment are covered under the Zing Select Diabetes & Heart IN (HMO C-SNP) plan. Durable Medical Equipment has a 20% coinsurance, and requires authorization. Prosthetic devices and medical supplies have a 20% coinsurance, and the plan has no copay. For diabetic equipment, there is a 0-20% coinsurance for diabetic supplies, and no copay for diabetic therapeutic shoes/inserts.
Diagnostic and Radiological Services include coverage for all diagnostic services, diagnostic procedures/tests with a copay between $0 and $25, and lab services with no copay. Radiological services include a copay for diagnostic and therapeutic radiological services, while therapeutic radiological services have a minimum coinsurance of 20%, and outpatient X-ray services have no copay.
Home Health Services are covered by the Zing Select Diabetes & Heart IN (HMO C-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services are covered, but the plan does not cover Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, or Additional Cardiac Rehabilitation Services. Prior authorization is required.
Skilled Nursing Facility (SNF) services are covered, but require prior authorization. There is no copay for days 1-20, and a $214 copay for days 21-100, but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
The "Zing Select Diabetes & Heart IN (HMO C-SNP)" plan's other services include over-the-counter items with no copay and a maximum benefit of $172 per month, and a meal benefit with no copay. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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