Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Select Diabetes & Heart Complete 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 Complete IN (HMO C-SNP) in 2025, please refer to our full plan details page.
Zing Select Diabetes & Heart Complete 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 Complete 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 Complete 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 Complete IN (HMO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Zing Select Diabetes & Heart Complete 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 a $590.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9350.00 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.
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The Zing Select Diabetes & Heart Complete IN (HMO C-SNP) plan has a $590 deductible for prescription drugs. After the deductible, you will pay coinsurance for your prescriptions depending on the drug tier and the pharmacy you use. For example, in the initial coverage phase, you will pay 25% coinsurance for preferred generic drugs at a standard pharmacy, and 0% coinsurance for the same drug at a standard mail-order pharmacy. The specialty tier has no copay. Once your total drug costs reach $2000, you enter the catastrophic coverage phase, where you pay nothing for covered Part D drugs.
The Zing Select Diabetes & Heart Complete IN (HMO C-SNP) plan offers a range of benefits with varying cost structures. Many services, including preventive care, hearing exams, dental, and vision services, have no copay, while others, such as outpatient services, primary care, and emergency services, have a 20% coinsurance. The plan also includes coverage for transportation, home health, and medical equipment with a coinsurance. This plan provides coverage for inpatient and outpatient hospital services, as well as a meal benefit and over-the-counter items. Additionally, the plan covers home infusion bundled services with a $35 copay for Medicare Part B Insulin Drugs and a 0-20% coinsurance depending on the drug.
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services, but Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric services are not covered. Additional Days for Inpatient Hospital-Acute has no copay.
Outpatient services are covered by the Zing Select Diabetes & Heart Complete IN (HMO C-SNP) plan, including outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services. Outpatient hospital services, observation services, individual and group sessions for outpatient substance abuse, and outpatient blood services have a 20% coinsurance.
Partial Hospitalization is covered under the Zing Select Diabetes & Heart Complete IN (HMO C-SNP) plan, but requires prior authorization. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services are covered, with a 20% coinsurance for both ground and air ambulance services. Transportation Services to plan-approved health-related locations are covered with no copay, up to 36 one-way trips per year via taxi, rideshare, bus/subway, or medical transport; however, Transportation Services to any health-related location is not covered.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage are covered by the Zing Select Diabetes & Heart Complete IN (HMO C-SNP) plan. Emergency Services and Urgently Needed Services have a 20% coinsurance, and Worldwide Emergency Coverage has no copay. Worldwide Emergency Transportation is not covered.
The Zing Select Diabetes & Heart Complete IN (HMO C-SNP) plan covers Primary Care Physician Services, Chiropractic Services, Physician Specialist Services, Physical Therapy and Speech-Language Pathology Services, Individual and Group Sessions for Mental Health Specialty Services, Other Health Care Professional services, Psychiatric Services, and Opioid Treatment Program Services with a 20% coinsurance. The plan's Podiatry Services are covered with a 20% coinsurance, and Routine Foot Care is covered. The plan also offers Additional Telehealth Benefits with no copay. Occupational Therapy Services are covered with a 20% coinsurance.
Preventive services include an annual physical exam with no copay, and the plan also covers additional preventive services, kidney disease education, and other preventive services. The plan covers glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a Welcome Visit, all with no copay. Other covered benefits include Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Weight Management Programs, Fitness Benefit, Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline), Home and Bathroom Safety Devices and Modifications, Nutritional/Dietary Benefit, and In-Home Support Services, all with no copay. Health education, In-Home Safety Assessments, 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.
Hearing exams are covered with a coinsurance of at most 20% for routine hearing exams, and no copay. Fitting/evaluation for hearing aids are covered with no copay, and prescription hearing aids are covered with a maximum benefit of $750.00 per ear every three years and no copay, while prescription hearing aids - inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are not covered.
The Zing Select Diabetes & Heart Complete IN (HMO C-SNP) plan covers vision services, including eye exams with 20% coinsurance, and eyewear with a combined maximum of $350 per year, including contact lenses, eyeglasses (lenses and frames), and eyeglass lenses, all with no copay. Upgrades are not covered.
Dental services include Medicare and other dental services with no copay, as well as Oral Exams (1 visit every six months), Dental X-Rays (1 per year), Prophylaxis (Cleaning, 1 visit every six months), and Fluoride Treatment (1 per year) with no copay. Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Prosthodontics (removable and fixed), and Oral and Maxillofacial Surgery are covered with no copay, and Orthodontic Services are covered under Diagnostic and Preventive Dental. Maxillofacial Prosthetics, Implant Services, and Orthodontics are not covered. The plan has a maximum benefit of $2500 per year.
Home Infusion bundled Services are covered by the Zing Select Diabetes & Heart Complete IN (HMO C-SNP) plan, with a $35 copay for Medicare Part B Insulin Drugs and a coinsurance that ranges from 0-20% depending on the drug. Prior authorization is required.
Dialysis Services are covered under the Zing Select Diabetes & Heart Complete IN (HMO C-SNP) plan. You will pay 20% coinsurance for these services.
Medical Equipment is covered by the Zing Select Diabetes & Heart Complete IN (HMO C-SNP) plan. Durable Medical Equipment (DME) and Medicare-covered Prosthetic Devices, Medical Supplies, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are covered with a 20% coinsurance. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services are covered, including diagnostic procedures, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services. There is no copay for any of these services. Diagnostic procedures, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services have a coinsurance of at most 20%.
Home Health Services are covered by the Zing Select Diabetes & Heart Complete IN (HMO C-SNP) plan with no copay and no coinsurance; however, additional hours of care and personal care services are not covered. Prior authorization is required for this benefit.
Cardiac Rehabilitation Services are covered, but Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered. This plan requires prior authorization for Cardiac Rehabilitation Services, and the coinsurance for these services is described in the plan documents.
Skilled Nursing Facility (SNF) services are covered, but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered. Prior authorization is required, and the plan charges the Medicare-defined cost share for tier 1.
Other Services include Over-the-Counter (OTC) Items and Meal Benefit. The plan offers OTC items with no copay, and a maximum benefit coverage amount of $172.00 per month. The plan also provides 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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