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Zing Elite Diabetes & Heart MI (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Elite Diabetes & Heart MI (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 MI (HMO C-SNP) in 2026, please refer to our full plan details page.
Zing Elite Diabetes & Heart MI (HMO C-SNP) is a HMO C-SNP plan offered by Zing Health Consolidator, Inc available for enrollment in 2025 to people living in Metro Detroit. 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 MI (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 MI (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 Elite Diabetes & Heart MI (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 MI (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:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Zing Elite Diabetes & Heart MI (HMO C-SNP) plan features a $0 drug deductible, meaning your prescription coverage begins immediately. Under this plan, you will pay no copay for Tier 1 Preferred Generic and Tier 6 Select Care drugs through standard pharmacies and mail order. Additionally, generic medications in Tier 2 have no copay when ordered via standard mail order, or a low $5 copay for a one-month supply at standard pharmacies. For Tier 3 Preferred Brand drugs, standard copays start at $47 for a one-month supply, with savings available on three-month mail orders. Higher-tier medications require coinsurance, with Tier 4 Non-Preferred drugs costing 25% coinsurance and Tier 5 Specialty drugs requiring 33% coinsurance for a one-month supply.
Additional Benefits
The Zing Elite Diabetes & Heart MI (HMO C-SNP) plan offers comprehensive medical coverage featuring no copays for primary care, mental health visits, and home health services. For hospital care, inpatient stays require a $300 daily copay for the first six days and no copay thereafter, while outpatient hospital services carry a $75 copay. Emergency care is available with a $125 copay, which is waived upon admission, and urgent care visits range from no copay to a $25 copay. This plan also provides valuable supplemental benefits, including dental care with no copay or coinsurance up to a $2,500 annual limit, and vision services with no copay for eyewear up to a $350 annual limit. Additionally, members benefit from routine hearing exams at no cost, a hearing aid allowance of $750 per ear every three years, and up to 30 free one-way trips to approved health locations. Most diagnostic lab tests, X-rays, and home infusion services are also covered with no copay.
Inpatient Hospital See details
Zing Elite Diabetes & Heart MI (HMO C-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, featuring a $300 daily copay for days 1 through 6 and no copay for days 7 through 90. Prior authorization is required, though upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Zing Elite Diabetes & Heart MI (HMO C-SNP) covers outpatient services with no coinsurance, featuring a $75 copay for outpatient hospital services, an $85 copay per stay for observation services, and a $50 copay for ambulatory surgical center services. Outpatient substance abuse sessions and blood services are also covered with no copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by Zing Elite Diabetes & Heart MI (HMO C-SNP) with a $60.00 copay and no coinsurance. Prior authorization is required to access these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Zing Elite Diabetes & Heart MI (HMO C-SNP), featuring a $200 copay for ground ambulance and a 20% coinsurance for air ambulance services. Additionally, transportation is partially covered with no copay or coinsurance for up to 30 one-way trips per year to plan-approved health-related locations, while transportation to any health-related location is not covered.
Emergency Services See details
Zing Elite Diabetes & Heart MI (HMO C-SNP) covers emergency services with a $125 copay, which is waived if admitted to the hospital within 24 hours, and urgently needed services with a $0 to $25 copay, with no coinsurance required for either service. Worldwide emergency and urgent services are partially covered up to a $100,000 lifetime maximum with no copay or coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Zing Elite Diabetes & Heart MI (HMO C-SNP) covers primary care physician visits, mental health, and psychiatric services with no copay and no coinsurance. Specialist visits, physical and occupational therapies, podiatry, and telehealth are covered with copays ranging from $0 to $30 and no coinsurance, though chiropractic services are not covered.
Preventive Services See details
Zing Elite Diabetes & Heart MI (HMO C-SNP) offers partially covered preventive services with no copay and no coinsurance for covered services, including annual physical exams, kidney disease education, and select supplemental benefits like fitness and personal emergency response systems. Several specific services are not covered under this plan, such as health education, in-home safety assessments, medical nutrition therapy, and weight management programs.
Hearing Services See details
Zing Elite Diabetes & Heart MI (HMO C-SNP) covers Medicare-covered hearing exams for a $30 copay and no coinsurance, as well as routine exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are covered up to $750 per ear every three years with no copay and no coinsurance, though only some services are covered because inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
Vision services are partially covered by Zing Elite Diabetes & Heart MI (HMO C-SNP), featuring no coinsurance and no deductible, with copays ranging from $0 to $30 for eye exams and no copay for eyewear. Routine eye exams and eyewear are covered up to a $350 annual limit, but other eye exam services and eyewear upgrades are not covered.
Dental Services See details
Dental services are partially covered by Zing Elite Diabetes & Heart MI (HMO C-SNP) with no copay and no coinsurance for covered treatments up to a $2,500 annual maximum. While many preventive and comprehensive services are covered, other diagnostic dental services, other preventive dental services, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Zing Elite Diabetes & Heart MI (HMO C-SNP) covers Home Infusion bundled Services with no copay, though prior authorization and step therapy are required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs require no copay and no coinsurance to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by Zing Elite Diabetes & Heart MI (HMO C-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Zing Elite Diabetes & Heart MI (HMO C-SNP) covers durable medical equipment, prosthetics, and diabetic equipment with no copays, though prior authorization is required. Durable medical equipment, prosthetics, and medical supplies require a 20% coinsurance, while diabetic supplies range from no coinsurance to 20% coinsurance, and diabetic therapeutic shoes or inserts have no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Zing Elite Diabetes & Heart MI (HMO C-SNP), featuring no copay for lab services and outpatient X-rays, and no coinsurance for diagnostic procedures which carry a $0 to $25 copay. Prior authorization is required, with diagnostic radiological services requiring a copay starting at $50 and therapeutic radiological services carrying a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the Zing Elite Diabetes & Heart MI (HMO C-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Zing Elite Diabetes & Heart MI (HMO C-SNP) covers some cardiac rehabilitation services with no copay and no coinsurance, though prior authorization is required. However, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
Zing Elite Diabetes & Heart MI (HMO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 through 20 and a $214 daily copay for days 21 through 100. Prior authorization is required, a prior three-day hospital stay is not required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Zing Elite Diabetes & Heart MI (HMO C-SNP) partially covers other services, providing a meal benefit for chronic or medical conditions with no copay and no coinsurance. Acupuncture and over-the-counter (OTC) items are not covered under this benefit.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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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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