Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Select Diabetes & Heart Complete IL (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 IL (HMO C-SNP) in 2026, please refer to our full plan details page.
This summary reflects 2026 plan information. Where this plan continues in 2027, the full plan details page links to its 2027 benefits and costs.
Zing Select Diabetes & Heart Complete IL (HMO C-SNP) is a HMO C-SNP plan offered by Zing Health of Michigan, Inc. available for the 2026 plan year to people living in Northeast and Northern Illinois. This plan received an overall rating of 2.5 out of 5 stars in 2026.
It's important to know that Zing Select Diabetes & Heart Complete IL (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 IL (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 IL (HMO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Zing Select Diabetes & Heart Complete IL (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
Health deductible: information not available.
This plan has a $615.00 drug deductible that applies only to drugs in certain tiers. You pay this amount toward covered prescriptions in those tiers before the plan's cost sharing begins; drugs in the other tiers are not subject to the deductible. See the full plan details page for the tier table.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $7000.00 for in-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $7000.00 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. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
The Zing Select Diabetes & Heart Complete IL (HMO C-SNP) plan features an annual drug deductible of $615. Beneficiaries pay no copay for Tier 1 preferred generic drugs and Tier 6 select care drugs filled at standard pharmacies or through standard mail order. For Tier 2 generic drugs, there is no coinsurance for standard mail order, while standard pharmacy fills require a 25% coinsurance. Tier 3 preferred brand drugs and Tier 4 non-preferred drugs both carry a 25% coinsurance for standard pharmacy and standard mail order options. Tier 5 specialty drugs also require a 25% coinsurance for a one-month supply. Knowing these coinsurance rates and copay exemptions can help you budget for your medication needs with this plan.
The Zing Select Diabetes & Heart Complete IL (HMO C-SNP) plan offers comprehensive healthcare coverage with no copays for primary care, inpatient hospital stays, and outpatient hospital services. While many medical, diagnostic, and specialist services require a 20% coinsurance and Medicare-defined deductibles, preventive care and telehealth are fully covered with no copay or coinsurance. Members can also take advantage of valuable supplemental benefits, including dental, vision, and hearing coverage with no copays and generous annual limits like a $2,000 dental benefit. Additionally, the plan provides practical support with no-copay home health services and up to 24 one-way transportation trips per year to plan-approved locations.
Zing Select Diabetes & Heart Complete IL (HMO C-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, though Medicare-defined deductibles apply and prior authorization is required. This benefit is partially covered because non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered, while unlimited additional acute hospital days are covered with no copay.
Zing Select Diabetes & Heart Complete IL (HMO C-SNP) covers outpatient services with no copays, though a 20% coinsurance applies to ambulatory surgical center, observation, outpatient substance abuse, and outpatient blood services. Outpatient hospital services are covered with no copay and no coinsurance.
Zing Select Diabetes & Heart Complete IL (HMO C-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services under Zing Select Diabetes & Heart Complete IL (HMO C-SNP) feature a 20% coinsurance and no copay for both ground and air ambulance services. Transportation benefits are partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Zing Select Diabetes & Heart Complete IL (HMO C-SNP) covers emergency services with a 20% coinsurance up to $110 (waived if admitted within 24 hours) and urgent care with a 20% coinsurance up to $40, with no copays required and costs counting toward the plan deductible. Worldwide emergency and urgent services are covered with no copay or coinsurance up to a $100,000 maximum, but worldwide emergency transportation is not covered.
Zing Select Diabetes & Heart Complete IL (HMO C-SNP) covers primary care, specialist, therapy, and mental health services with no copay and up to 20% coinsurance, though chiropractic services are not covered. Additional telehealth benefits are offered with no copay and no coinsurance, while routine podiatry is covered for up to 6 visits per year with a 20% coinsurance.
Preventive services are partially covered by Zing Select Diabetes & Heart Complete IL (HMO C-SNP) with no copay and no coinsurance for annual physicals, kidney disease education, and select supplemental benefits like fitness and personal emergency response systems. However, several supplemental services are not covered, including health education, weight management programs, alternative therapies, in-home safety assessments, and support for caregivers.
Hearing services offered by Zing Select Diabetes & Heart Complete IL (HMO C-SNP) are partially covered with no deductibles, featuring routine exams with a 20% coinsurance and no copay. Fitting evaluations and prescription hearing aids have no copay and no coinsurance, with a maximum coverage of $750 per ear every three years. However, OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Zing Select Diabetes & Heart Complete IL (HMO C-SNP) partially covers vision services, offering one routine eye exam per year with no copay and 20% coinsurance, while other eye exams are not covered. Covered eyewear, including contacts and eyeglasses, has no copay and no coinsurance up to a $300 annual limit, though upgrades are not covered.
Dental services are partially covered by the Zing Select Diabetes & Heart Complete IL (HMO C-SNP) with no copay and no coinsurance up to a maximum annual benefit of $2,000. While many preventive and comprehensive services are included, other diagnostic dental services, other preventive dental services, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Zing Select Diabetes & Heart Complete IL (HMO C-SNP) covers home infusion bundled services with no copay, subject to prior authorization. Medicare Part B chemotherapy, insulin, and other Part B drugs are covered with a 0% to 20% coinsurance, with insulin also requiring a $35 copay.
Dialysis Services are covered under the Zing Select Diabetes & Heart Complete IL (HMO C-SNP) plan with no copay and a 20% coinsurance.
Zing Select Diabetes & Heart Complete IL (HMO C-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with no copay and 20% coinsurance. Prior authorization is required for these benefits, and certain brand or vendor limitations may apply.
Diagnostic and radiological services are covered under the Zing Select Diabetes & Heart Complete IL (HMO C-SNP) with prior authorization required. Covered services, including diagnostic tests, lab work, therapeutic radiological services, and outpatient X-rays, have no copay and require a 20% coinsurance.
Home Health Services are covered by Zing Select Diabetes & Heart Complete IL (HMO C-SNP) with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services are covered with no copay and require prior authorization under Zing Select Diabetes & Heart Complete IL (HMO C-SNP), but some services are covered as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) care is covered by Zing Select Diabetes & Heart Complete IL (HMO C-SNP) with no coinsurance and Medicare-defined copays, subject to prior authorization. This benefit allows for admission without a prior three-day inpatient hospital stay, though additional days beyond the standard Medicare-covered limit are not covered.
Zing Select Diabetes & Heart Complete IL (HMO C-SNP) provides partial coverage for other services, which includes a meal benefit with no copay and no coinsurance for chronic illnesses or qualifying medical conditions. Acupuncture and over-the-counter (OTC) items are not covered under this benefit.
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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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