Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Select Dialysis 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 Dialysis IL (HMO C-SNP) in 2026, please refer to our full plan details page.
Zing Select Dialysis 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 2.5 out of 5 stars in 2026.
It's important to know that Zing Select Dialysis 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 Dialysis 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 Dialysis IL (HMO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Zing Select Dialysis 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 no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $4600.00 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 Dialysis IL (HMO C-SNP) plan offers prescription drug coverage with a $0 drug deductible, allowing your benefits to start immediately. You will pay no copay for Tier 1 preferred generic and Tier 6 select care drugs through standard pharmacies and standard mail order. Tier 2 generic medications cost a $5 copay for a one-month supply at standard pharmacies, but you can enjoy no copay by using standard mail order services. For Tier 3 preferred brand drugs, the plan charges a $47 copay for a one-month supply at standard pharmacies and mail order, with mail order offering a cost-effective $94 copay for a three-month supply. Higher-tier medications require coinsurance instead of flat copays, with Tier 4 non-preferred drugs carrying a 25% coinsurance and Tier 5 specialty drugs requiring a 33% coinsurance for a one-month supply. These clear copayment and coinsurance structures help you easily project your out-of-pocket prescription expenses.
The Zing Select Dialysis IL (HMO C-SNP) plan offers comprehensive coverage for essential medical needs, featuring no copays for primary care visits, home health services, and routine lab tests. Inpatient hospital stays require a $350 daily copay for the first six days and no copay thereafter, while outpatient hospital services carry a $150 copay. Specialized care like dialysis services and durable medical equipment require a 20% coinsurance, while specialist visits require a $25 copay. Beneficiaries also enjoy valuable supplemental benefits, including routine dental care covered up to a $2,500 annual limit and routine vision services up to $350 annually with no copays. Additionally, the plan provides no-copay routine hearing exams with a $750 hearing aid allowance per ear every three years, alongside 12 free one-way transportation trips to approved health locations. Emergency care is accessible with a $130 copay, which is waived if you are admitted within 24 hours.
Inpatient hospital services are covered by Zing Select Dialysis IL (HMO C-SNP) with no coinsurance, requiring a $350 daily copay for days 1 through 6 and no copay for days 7 through 90 per stay. While unlimited additional acute care days are covered at no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient services are covered by Zing Select Dialysis IL (HMO C-SNP) with no coinsurance, featuring a $150 copay for outpatient hospital and observation services, and a $50 copay for ambulatory surgical center services. Outpatient substance abuse sessions and outpatient blood services are covered with no copays and no coinsurance.
Partial hospitalization is covered by Zing Select Dialysis IL (HMO C-SNP) with a $95.00 copay and no coinsurance, though prior authorization is required.
Zing Select Dialysis IL (HMO C-SNP) covers ground ambulance services with a $225 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered, offering up to 12 one-way trips per year to plan-approved health-related locations with no copay or coinsurance, while transportation to any health-related location is not covered.
Zing Select Dialysis IL (HMO C-SNP) covers emergency services with a $130 copay (waived if admitted within 24 hours) and no coinsurance, and urgently needed services with a $0 to $30 copay and no coinsurance. Worldwide emergency services are partially covered up to a $100,000 maximum benefit with no copays or coinsurance, though worldwide emergency transportation is not covered.
Primary care benefits under the Zing Select Dialysis IL (HMO C-SNP) plan feature no copay and no coinsurance for primary care doctor visits, mental health, psychiatry, and podiatry. Specialist visits, occupational therapy, physical therapy, speech therapy, and opioid treatment require a $25 copay and no coinsurance, while chiropractic services are not covered.
Preventive services are partially covered by Zing Select Dialysis IL (HMO C-SNP) with no copay and no coinsurance for covered benefits like annual physicals, glaucoma screenings, and home safety devices. Sub-services not covered include fitness benefits, health education, weight management, therapeutic massage, alternative therapies, counseling, adult day health, caregiver support, telemonitoring, home-based palliative care, medication reconciliation, re-admission prevention, chemotherapy wigs, and in-home safety assessments.
Zing Select Dialysis IL (HMO C-SNP) provides partially covered hearing services with a $25 copay and no coinsurance for Medicare-covered exams, and no copay or coinsurance for annual routine exams and fitting evaluations. Prescription hearing aids are covered up to $750 per ear every three years with no copay and no coinsurance, but OTC hearing aids and inner, outer, or over-the-ear prescription models are not covered.
Vision Services are partially covered by Zing Select Dialysis IL (HMO C-SNP), featuring one routine eye exam per year and select eyewear with no copay, no deductible, and no coinsurance. While eyeglasses and contact lenses are covered up to a $350 annual maximum benefit, upgrades and other eye exam services are not covered.
Zing Select Dialysis IL (HMO C-SNP) offers partially covered dental services with no copay and no coinsurance up to a $2,500 annual maximum. Covered benefits include preventive care and comprehensive treatments like restorative services and oral surgery, while other diagnostic dental services, other preventive dental services, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Zing Select Dialysis IL (HMO C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy and insulin, require coinsurance ranging from no coinsurance up to 20%, with insulin also carrying a $35 copay.
Dialysis Services are covered under the Zing Select Dialysis IL (HMO C-SNP) plan with no copay and a 20% coinsurance.
Medical equipment is covered by Zing Select Dialysis IL (HMO C-SNP) with no copays, though prior authorization is required. Durable medical equipment, prosthetics, and medical supplies carry a 20% coinsurance, while diabetic supplies require 0% to 20% coinsurance and diabetic therapeutic shoes or inserts feature no coinsurance.
Diagnostic and radiological services are covered by Zing Select Dialysis IL (HMO C-SNP) with prior authorization required, offering diagnostic tests and lab services with no copay and no coinsurance. Outpatient X-rays have no copay, while diagnostic radiological services require a copay of at least $50 and therapeutic radiological services incur a minimum 20% coinsurance.
Zing Select Dialysis IL (HMO C-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Zing Select Dialysis IL (HMO C-SNP) does not cover Cardiac Rehabilitation Services in practice, as all sub-services, including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation, are not covered. While the benefit technically features no copay and no coinsurance, prior authorization is required and no services are actually covered.
Zing Select Dialysis IL (HMO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20 and a $218 copay for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.
Other services are partially covered by Zing Select Dialysis IL (HMO C-SNP), featuring a meal benefit for chronic illnesses or qualifying medical conditions with no copay and no coinsurance. Acupuncture, over-the-counter (OTC) items, and other miscellaneous 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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