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Zing Select Diabetes & Heart Complete IL (HMO C-SNP)
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 2025, please refer to our full plan details page.
Zing Select Diabetes & Heart Complete IL (HMO C-SNP) is a HMO C-SNP plan offered by Zing Health Consolidator, Inc available for enrollment in 2025 to people living in Northeast and Northern Illinois. 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 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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Zing Select Diabetes & Heart Complete IL (HMO C-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
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
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.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Zing Select Diabetes & Heart Complete IL (HMO C-SNP) plan has a $590 deductible for prescription drugs. During the initial coverage phase, you will pay coinsurance for your prescriptions depending on the drug tier and the pharmacy you use. Once your total drug costs reach $2000, you enter the catastrophic coverage phase, where you pay nothing for your Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit.
Additional Benefits
The Zing Select Diabetes & Heart Complete IL (HMO C-SNP) plan offers a range of benefits, including coverage for outpatient services, partial hospitalization, ambulance and transportation, emergency services, and primary care services. Many preventive services are covered with no copay, such as an annual physical exam, and vision and dental services. This plan also provides coverage for home health services, home infusion bundled services, medical equipment, and diagnostic and radiological services. The plan also has coverage for hearing services, and offers over-the-counter items with a monthly benefit. While many services have coinsurance, some services have no copay, which can help reduce out-of-pocket expenses.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered, but the copay and deductible information are not provided. Additional Days for Inpatient Hospital-Acute are covered with no copay, while Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services are covered, including outpatient hospital services, observation services, ambulatory surgical center (ASC) services, outpatient substance abuse services, and outpatient blood services. Outpatient hospital and observation services have a 20% coinsurance, and outpatient blood services have a 20% coinsurance. Individual and group sessions for outpatient substance abuse also have a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered under the Zing Select Diabetes & Heart Complete IL (HMO C-SNP) plan, but requires prior authorization. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Zing Select Diabetes & Heart Complete IL (HMO C-SNP) plan. Ground and Air Ambulance Services have a 20% coinsurance, while Transportation Services to a plan-approved health-related location are covered with no copay for up to 36 one-way trips per year.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage have a 20% coinsurance, while Worldwide Emergency Coverage and Worldwide Urgent Coverage have no copay. Worldwide Emergency Transportation is not covered.
Primary Care See details
The Zing Select Diabetes & Heart Complete IL (HMO C-SNP) plan covers Primary Care services, including Primary Care Physician Services, Physician Specialist Services, Physical Therapy, and Speech-Language Pathology Services with a 20% coinsurance. Chiropractic Services and Occupational Therapy Services are covered with a 20% coinsurance, but Routine Chiropractic Care is not covered. Mental Health Specialty Services and Psychiatric Services, including individual and group sessions, are covered with a 20% coinsurance. Podiatry Services are covered with a 20% coinsurance and no copay. Other Health Care Professional and Opioid Treatment Program Services are covered with a 20% coinsurance. Additional Telehealth Benefits have no copay.
Preventive Services See details
Preventive Services are covered, including an annual physical exam 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, and Counseling Services are not covered. Other covered services include Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Nutritional/Dietary Benefit, In-Home Support Services, Weight Management Programs, Fitness Benefit, Remote Access Technologies, Home and Bathroom Safety Devices and Modifications, Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit, all with no copay.
Hearing Services See details
Hearing exams are covered with a coinsurance of at most 20% for routine hearing exams, and no copay for Medicare-covered benefits and fitting/evaluation for hearing aids. Prescription hearing aids are covered with no copay for all types, but inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Vision Services include eye exams and eyewear. Eye exams have a 20% coinsurance, and routine eye exams have no copay. Eyewear includes contact lenses, eyeglasses (lenses and frames), eyeglass lenses, and eyeglass frames, all of which have no copay; however, upgrades are not covered.
Dental Services See details
Dental services are covered, with no copay for Medicare and other dental services. The plan covers Oral Exams, Dental X-Rays, Prophylaxis (Cleaning), and Fluoride Treatment. Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Prosthodontics (removable and fixed), and Oral and Maxillofacial Surgery are also covered with no copay. Maxillofacial Prosthetics, Implant Services, and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Zing Select Diabetes & Heart Complete IL (HMO C-SNP) plan, with a $35 copay for Medicare Part B Insulin Drugs. Coinsurance may apply for other services, with a minimum of 0% and a maximum of 20%.
Dialysis Services See details
Dialysis Services are covered by the Zing Select Diabetes & Heart Complete IL (HMO C-SNP) plan. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits are covered, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance, and Prosthetic Devices and Diabetic Supplies/Therapeutic Shoes/Inserts also have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the Zing Select Diabetes & Heart Complete IL (HMO C-SNP) plan. All diagnostic services, including tests and lab services, have no copay and a coinsurance of at most 20%. Radiological services, including diagnostic, therapeutic, and outpatient X-ray services, have no copay and a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered with no copay and no coinsurance, but additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by the Zing Select Diabetes & Heart Complete IL (HMO C-SNP) plan, but not in practice. The plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but the plan does not cover additional days beyond Medicare-covered SNF stays or non-Medicare-covered SNF stays. Prior authorization is required, and the copay is determined by the Medicare-defined cost share.
Other Services See details
Other Services includes Over-the-Counter (OTC) Items and Meal Benefit coverage. OTC items have no copay, with a maximum plan benefit coverage amount of $170.00 every month. 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.
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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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