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Zing Elite Diabetes & Heart IN (HMO C-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for Zing Elite 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 Elite Diabetes & Heart IN (HMO C-SNP) in 2026, please refer to our full plan details page.

Zing Elite 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 Select Counties in Central and Northwest IN. This plan received an overall rating of 2.5 out of 5 stars in 2026.

It's important to know that Zing Elite 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 Elite 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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about Zing Elite Diabetes & Heart IN (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 Elite 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.

Common Services:

Doctor Visits:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for Zing Elite Diabetes & Heart IN (HMO C-SNP)

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Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Drug Coverage IconDrug Coverage

The Zing Elite Diabetes & Heart IN (HMO C-SNP) plan features a $0 drug deductible, meaning your prescription coverage begins immediately. You will pay no copay for Tier 1 preferred generic drugs and Tier 6 select care drugs at both standard pharmacies and through standard mail order. For Tier 2 generic drugs, there is also no copay when using standard mail order, while standard retail pharmacies charge an $8 copay for a one-month supply. Tier 3 preferred brand drugs require a $47 copay for a one-month supply at standard retail and mail-order pharmacies. Higher-tier medications carry coinsurance costs, with Tier 4 non-preferred drugs requiring 25% coinsurance and Tier 5 specialty drugs requiring 33% coinsurance. This structure helps keep routine medications highly affordable while providing clear cost-sharing for specialized prescriptions.

Additional Benefits IconAdditional Benefits

The Zing Elite Diabetes & Heart IN (HMO C-SNP) plan offers robust medical coverage with no copay for primary care visits, mental health services, and preventive care. For other medical needs, members pay a daily copay of $350 for the first six days of inpatient hospital stays, a $125 copay for outpatient hospital services, and no copay to a $10 copay for specialist visits. Emergency room visits require a $125 copay, which is waived upon hospital admission, while urgently needed care carries no copay to a $10 copay. In addition to core medical care, the plan features dental services up to a $2,500 annual maximum and routine vision exams with eyewear up to $350 yearly, both with no copay or coinsurance. Members also benefit from routine hearing exams with no copay, up to $750 per ear every three years for prescription hearing aids, and up to 30 one-way transportation trips per year to approved locations. Other supportive services, such as home health care and cardiac rehabilitation, are also available with no copay and no coinsurance.

Inpatient Hospital See details

Zing Elite Diabetes & Heart IN (HMO C-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $350 daily copay for days 1 through 6 and no copay for days 7 through 90. Unlimited additional acute care days are covered with no copay, but psychiatric additional days, upgrades, and non-Medicare-covered stays are not covered.

Outpatient Services See details

Zing Elite Diabetes & Heart IN (HMO C-SNP) covers outpatient hospital services with a $125 copay and no coinsurance, observation services with a $135 copay per stay and no coinsurance, and ambulatory surgical center services with a $50 copay and no coinsurance. Outpatient substance abuse and blood services are also covered with no copay and no coinsurance.

Partial Hospitalization See details

Zing Elite Diabetes & Heart IN (HMO C-SNP) covers partial hospitalization services with a $70.00 copay and no coinsurance. Prior authorization is required to receive coverage for these services.

Ambulance and Transportation Services See details

Zing Elite Diabetes & Heart IN (HMO C-SNP) covers ground ambulance services with a $200 copay and no coinsurance, while air ambulance services require a 20% coinsurance and no copay. Transportation services are partially covered with no copay or coinsurance for up to 30 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.

Emergency Services See details

Zing Elite Diabetes & Heart IN (HMO C-SNP) covers emergency services with a $125 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $10 and no coinsurance, while worldwide emergency and urgent services are covered with no copay and no coinsurance up to a $100,000 limit, though worldwide emergency transportation is not covered.

Primary Care See details

Zing Elite Diabetes & Heart IN (HMO C-SNP) offers primary care, mental health, and psychiatric services with no copay and no coinsurance, alongside specialist visits ranging from a $0 to $10 copay with no coinsurance. Physical, occupational, and speech therapy require a $20 copay with no coinsurance, whereas chiropractic services are not covered in practice. Podiatry services are covered with a $0 to $15 copay and no coinsurance, including up to 12 routine visits annually.

Preventive Services See details

Zing Elite Diabetes & Heart IN (HMO C-SNP) offers partially covered preventive services with no copay and no coinsurance for covered care, including annual physical exams and kidney disease education. However, several sub-services are not covered, including health education, in-home safety assessments, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, weight management, alternative therapies, therapeutic massage, adult day health, home-based palliative care, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, and counseling.

Hearing Services See details

Zing Elite Diabetes & Heart IN (HMO C-SNP) offers hearing services with a $30 copay and no coinsurance for Medicare-covered exams, and no copay or coinsurance for annual routine exams and fitting evaluations. Prescription hearing aids are partially covered with no copay or coinsurance up to $750 per ear every three years, but OTC hearing aids and inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.

Vision Services See details

Vision services are partially covered by Zing Elite Diabetes & Heart IN (HMO C-SNP), offering one routine eye exam and one selection of eyewear per year with no copay and no coinsurance. Covered eyewear is subject to a $350 annual maximum, while upgrades and other non-routine eye exams are not covered.

Dental Services See details

Dental services are partially covered by Zing Elite Diabetes & Heart IN (HMO C-SNP) with no copay and no coinsurance up to a $2,500 annual maximum. Excluded from coverage are other diagnostic dental services, other preventive dental services, maxillofacial prosthetics, implant services, and orthodontics.

Home Infusion bundled Services See details

Home infusion bundled services are covered by Zing Elite Diabetes & Heart IN (HMO C-SNP) with no copay, while associated Medicare Part B chemotherapy and other drugs require no coinsurance to 20% coinsurance. Covered Medicare Part B insulin requires a $35 copay and no coinsurance to 20% coinsurance, with prior authorization and step therapy applying to these services.

Dialysis Services See details

Dialysis Services are covered by Zing Elite Diabetes & Heart IN (HMO C-SNP) with no copay and a 20% coinsurance.

Medical Equipment See details

Zing Elite Diabetes & Heart IN (HMO C-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and 20% coinsurance, subject to prior authorization. Diabetic equipment is also covered with no copay, offering no coinsurance for therapeutic shoes and inserts, and 0% to 20% coinsurance for diabetic supplies.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by Zing Elite Diabetes & Heart IN (HMO C-SNP), though prior authorization is required. Diagnostic procedures and tests feature no coinsurance and a copay of $0 to $25, while lab services and outpatient X-rays have no copay. Diagnostic radiological services require a minimum $50 copay, and therapeutic radiological services carry a minimum 20% coinsurance.

Home Health Services See details

Home health services are covered under the Zing Elite Diabetes & Heart IN (HMO C-SNP) plan with no copay and no coinsurance, though prior authorization is required.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are covered by Zing Elite Diabetes & Heart IN (HMO C-SNP) with no copay and no coinsurance, though prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) care is covered by Zing Elite Diabetes & Heart IN (HMO C-SNP) with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20 and a $214 daily copay for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.

Other Services See details

Other Services are partially covered by the Zing Elite Diabetes & Heart IN (HMO C-SNP) plan, which offers a meal benefit for chronic illnesses or home-restricting medical conditions with no copay and no coinsurance. 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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