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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 2025, 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 Northeast Ohio. This plan received an overall rating of 3.5 out of 5 stars in 2025.
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 has a $0 deductible for prescription drugs. During the initial coverage phase, you will pay varying copays or coinsurance amounts depending on the drug tier and pharmacy. For example, you'll pay $8.00 for preferred generic drugs at a standard pharmacy or $0.00 for preferred generic drugs through standard mail order. Once your total drug costs reach $2000.00, you enter the catastrophic coverage phase, where you will pay nothing for Medicare 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 Elite Diabetes & Heart OH (HMO C-SNP) plan offers comprehensive coverage with a focus on diabetes and heart health. This plan features no copays for primary care, preventive services, routine eye exams, and dental services. It also offers no copays for outpatient blood services, fitting/evaluation for hearing aids, eyewear, over-the-counter items, and a meal benefit. In terms of cost-sharing, the plan includes a $350 copay for inpatient hospital stays (days 1-6), and a $125 copay for emergency services. Other services, such as outpatient services, hearing exams, and specialist visits, have varying copays. The plan also covers hearing aids up to $750 every three years, and offers a maximum of $2,500 annually for dental services.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric, are covered with prior authorization. For days 1-6, the copay is $350, and there is no copay for days 7-90.
Outpatient Services See details
Outpatient Services are covered, including outpatient hospital services with a $220 copay, observation services with a $90 copay, ambulatory surgical center services with a $120 copay, individual and group sessions for outpatient substance abuse with no copay, and outpatient blood services with no copay. Prior authorization is required for outpatient hospital services, ambulatory surgical center services, and outpatient substance abuse services.
Partial Hospitalization See details
Partial Hospitalization is covered under the Zing Elite Diabetes & Heart OH (HMO C-SNP) plan, with a $70 copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Zing Elite Diabetes & Heart OH (HMO C-SNP) plan. Ground ambulance services have a $200 copay, while air ambulance services have a 20% coinsurance. Transportation Services to plan-approved health-related locations are covered with no copay, up to 30 one-way trips per year, but transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage are covered under the Zing Elite Diabetes & Heart OH (HMO C-SNP) plan. Emergency Services have a $125 copay, and Urgently Needed Services have a copay of $0 - $10. Worldwide Emergency Transportation is not covered, while Worldwide Emergency Coverage and Worldwide Urgent Coverage have no copay.
Primary Care See details
The Zing Elite Diabetes & Heart OH (HMO C-SNP) plan covers primary care physician services with no copay, and chiropractic services with a $20 copay. Occupational therapy services have a $15 copay, while physician specialist services have a copay between $0 and $10. Mental health specialty services, psychiatric services, and opioid treatment program services have a copay, and podiatry services have a copay between $0 and $15. Physical therapy and speech-language pathology services have a $15 copay, and additional telehealth benefits have a copay between $0 and $30.
Preventive Services See details
Preventive Services include an annual physical exam with no copay, as well as coverage for services such as Glaucoma Screening, Diabetes Self-Management Training, and others, all 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, Home-Based Palliative Care, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, and Telemonitoring Services are not covered.
Hearing Services See details
Hearing services include hearing exams with a $30 copay, routine hearing exams with no copay, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids are covered up to $750 every three years, while OTC hearing aids are not covered.
Vision Services See details
Vision Services include eye exams and eyewear. Eye exams have a copay between $0 and $30, while routine eye exams have no copay. Eyewear, including contact lenses, eyeglasses, eyeglass lenses, and eyeglass frames, are covered with no copay, but upgrades are not covered.
Dental Services See details
Dental services are covered under the Zing Elite Diabetes & Heart OH (HMO C-SNP) plan. Medicare dental services have no copay, and other dental services also have no copay, with a maximum benefit of $2,500 per year.
Home Infusion bundled Services See details
Home Infusion bundled Services, including insulin, chemotherapy/radiation drugs, and other Medicare Part B drugs, are covered by the Zing Elite Diabetes & Heart OH (HMO C-SNP) plan. For Medicare Part B insulin drugs, there is a $35 copay and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, the coinsurance is between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Zing Elite Diabetes & Heart OH (HMO C-SNP) plan. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits under the Zing Elite Diabetes & Heart OH (HMO C-SNP) plan cover Durable Medical Equipment (DME) with a 20% coinsurance, Prosthetic Devices with a 20% coinsurance, and Medical Supplies with a 20% coinsurance. Diabetic Supplies have a 0-20% coinsurance, while Diabetic Therapeutic Shoes/Inserts have no copay. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including Diagnostic Procedures/Tests with a copay between $0 and $25, and Lab Services with no copay. Diagnostic Radiological Services have a copay between $50 and $150, and Therapeutic Radiological Services have a 20% coinsurance. Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by the Zing Elite Diabetes & Heart OH (HMO C-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Prior authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, or Additional Cardiac Rehabilitation Services. Prior authorization is required.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered with prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $214. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
The Zing Elite Diabetes & Heart OH (HMO C-SNP) plan covers over-the-counter items with no copay, and a maximum benefit coverage amount of $174.00 per month, and a meal benefit with no copay. 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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