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Zing Elite Diabetes & Heart OH (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Elite Diabetes & Heart OH (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 OH (HMO C-SNP) in 2026, please refer to our full plan details page.
Zing Elite Diabetes & Heart OH (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 Northern Ohio. 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 OH (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 OH (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 OH (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 OH (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 OH (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 and Tier 6 select care drugs at both standard pharmacies and through mail order. Tier 2 generic medications also feature no copay when ordered through standard mail order, or a low $8 copay for a one-month supply at a standard pharmacy. For Tier 3 preferred brand drugs, the plan requires a $47 copay for a one-month supply at standard pharmacies or via mail order. Tier 4 non-preferred drugs carry a 25% coinsurance, while Tier 5 specialty drugs require a 33% coinsurance for a one-month supply.
Additional Benefits
The Zing Elite Diabetes & Heart OH (HMO C-SNP) plan offers robust medical coverage with affordable out-of-pocket costs, featuring no copays for primary care visits, preventive services, and routine dental, vision, and hearing exams. For inpatient hospital stays, members pay a $350 daily copay for the first six days and no copay for days 7 through 90, with no coinsurance required. Specialist visits, outpatient procedures, and emergency care are also covered with low copays and no coinsurance, though certain specialized services like dialysis and durable medical equipment require a 20% coinsurance. This plan also includes valuable extra benefits, such as up to 30 one-way trips per year to plan-approved locations with no copay and a $2,500 annual allowance for covered dental services. Members also benefit from a $350 annual eyewear allowance and up to $750 per ear every three years for prescription hearing aids with no copay. Additionally, skilled nursing facility stays are covered with no copay for the first 20 days, helping you manage recovery costs effectively.
Inpatient Hospital See details
Zing Elite Diabetes & Heart OH (HMO C-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $350 daily copay for days 1 to 6 and no copay for days 7 to 90 for acute and psychiatric stays. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, though additional acute care days are unlimited with no copay.
Outpatient Services See details
Zing Elite Diabetes & Heart OH (HMO C-SNP) covers outpatient hospital services with a $120 copay and observation services with a $90 copay per stay, both with no coinsurance. Ambulatory surgical center services require a $50 copay with no coinsurance, while outpatient substance abuse and blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization services are covered under the Zing Elite Diabetes & Heart OH (HMO C-SNP) plan with a $70.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Zing Elite Diabetes & Heart OH (HMO C-SNP), with ground ambulance services requiring a $200 copay and no coinsurance, and air ambulance services requiring a 20% coinsurance and no copay. Transportation benefits are partially covered, providing up to 30 one-way trips per year to plan-approved locations with no copay and no coinsurance, though transportation to any health-related location is not covered.
Emergency Services See details
Zing Elite Diabetes & Heart OH (HMO C-SNP) covers emergency services with a $125 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services are covered with no copay to a $10 copay and no coinsurance, while worldwide emergency and urgent services are partially covered up to $100,000 with no copay or coinsurance, excluding worldwide emergency transportation.
Primary Care See details
Zing Elite Diabetes & Heart OH (HMO C-SNP) covers primary care, specialist, and mental health services with no coinsurance and copays ranging from no copay to $10. Therapy, telehealth, and podiatry services feature no coinsurance and copays up to $30, while some chiropractic services are covered but routine and other chiropractic services are not covered.
Preventive Services See details
Zing Elite Diabetes & Heart OH (HMO C-SNP) covers preventive services, including annual physical exams and kidney disease education, with no copay and no coinsurance. Additional preventive benefits are partially covered with no copay and no coinsurance, but do not cover health education, in-home safety assessments, medical nutrition therapy, weight management, alternative therapies, therapeutic massage, adult day health, home-based palliative care, caregiver support, and counseling.
Hearing Services See details
Zing Elite Diabetes & Heart OH (HMO C-SNP) covers hearing services with no coinsurance, featuring a $30 copay for Medicare-covered exams and no copay for routine annual exams and fitting evaluations. Prescription hearing aids are partially covered with no copay up to $750 per ear every three years, though OTC, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Zing Elite Diabetes & Heart OH (HMO C-SNP) partially covers vision services, offering no copay and no coinsurance for one routine eye exam annually and up to $350 per year for eyewear like glasses or contacts. Other eye exam services and eyewear upgrades are not covered under this plan.
Dental Services See details
Dental services are partially covered by Zing Elite Diabetes & Heart OH (HMO C-SNP) with no copay and no coinsurance for covered services up to a $2,500 annual maximum. Sub-services that are not covered under this plan include 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 OH (HMO C-SNP) with no copay, though prior authorization and step therapy may apply. Covered Medicare Part B chemotherapy, radiation, and other drugs have no copay and a coinsurance of no coinsurance to 20%, while Part B insulin has a $35 copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis services are covered by Zing Elite Diabetes & Heart OH (HMO C-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Medical Equipment benefits under the Zing Elite Diabetes & Heart OH (HMO C-SNP) are covered with no copay, requiring prior authorization for most items. Durable medical equipment, prosthetic devices, and medical supplies are subject to a 20% coinsurance. Diabetic supplies carry a 0% to 20% coinsurance, while diabetic therapeutic shoes and inserts have no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Zing Elite Diabetes & Heart OH (HMO C-SNP), featuring no copay or coinsurance for lab services and outpatient X-rays. Diagnostic procedures and tests require a $0 to $25 copay with no coinsurance, while diagnostic radiological services have a copay starting at $50 and therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
Zing Elite Diabetes & Heart OH (HMO C-SNP) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Zing Elite Diabetes & Heart OH (HMO C-SNP) does not cover Cardiac Rehabilitation Services, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all excluded from coverage. Although the plan technically features no copay and no coinsurance under prior authorization, these rehabilitation services are not covered in practice.
Skilled Nursing Facility (SNF) See details
Zing Elite Diabetes & Heart OH (HMO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay requirement, though prior authorization is required. There is no copay for days 1 through 20, a $214 daily copay applies for days 21 through 100, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other Services under the Zing Elite Diabetes & Heart OH (HMO C-SNP) are partially covered, featuring a meal benefit for chronic illnesses or home-confining 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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