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Zing Select Diabetes & Heart OH (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Select 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 Select Diabetes & Heart OH (HMO C-SNP) in 2026, please refer to our full plan details page.
Zing Select 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 Select 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 Select 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 Select 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 Select 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 Select Diabetes & Heart OH (HMO C-SNP) prescription drug plan features a $0 drug deductible, allowing your coverage to begin immediately. There is no copay for Tier 1 preferred generic and Tier 6 select care drugs whether you use a standard pharmacy or standard mail order. Tier 2 generic medications require an $8 copay for a 1-month supply at standard pharmacies, but they feature no copay when filled through standard mail order. For Tier 3 preferred brand drugs, standard copays start at $47 for a 1-month supply, with standard mail order offering a reduced $94 copay for a 3-month supply. Higher-tier prescriptions are subject to coinsurance, with Tier 4 non-preferred drugs carrying a 25% coinsurance and Tier 5 specialty drugs requiring a 33% coinsurance.
Additional Benefits
The Zing Select Diabetes & Heart OH (HMO C-SNP) plan offers comprehensive medical coverage with no copay for primary care visits and a copay of up to $10 for specialists. For inpatient hospital stays, members pay a $350 daily copay for days one through six and no copay for days seven through 90. Emergency room visits carry a $125 copay, and outpatient hospital services require a $125 copay with no coinsurance. Supplemental benefits include dental care with no copay up to a $2,000 annual limit and routine vision services with no copay up to a $200 yearly maximum. The plan also features routine hearing exams with no copay, a $75 quarterly over-the-counter allowance, and 24 one-way transportation trips with no copay. Durable medical equipment and dialysis services require a 20% coinsurance, while diabetic therapeutic shoes are covered with no copay.
Inpatient Hospital See details
Zing Select Diabetes & Heart OH (HMO C-SNP) partially covers inpatient hospital services with no coinsurance, though prior authorization is required. For Medicare-covered acute and psychiatric stays, you pay a $350 daily copay for days 1 through 6 and no copay for days 7 through 90, but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Zing Select Diabetes & Heart OH (HMO C-SNP) covers outpatient hospital services for a $125 copay and observation services for 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 copays and no coinsurance.
Partial Hospitalization See details
Zing Select Diabetes & Heart OH (HMO C-SNP) covers partial hospitalization services with a $70.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
Zing Select Diabetes & Heart OH (HMO C-SNP) covers ambulance services with a $200 copay and no coinsurance for ground transport, and a 20% coinsurance with no copay for air transport. Transportation services are partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
Zing Select Diabetes & Heart OH (HMO C-SNP) covers emergency services with a $125 copay (waived if admitted within 24 hours) and no coinsurance, and urgently needed services with a $0 to $10 copay and no coinsurance. Worldwide emergency services are partially covered with no copay or coinsurance up to a $100,000 maximum benefit, but worldwide emergency transportation is not covered.
Primary Care See details
Zing Select Diabetes & Heart OH (HMO C-SNP) covers primary care, mental health, and psychiatric services with no copay and no coinsurance. Specialist visits carry a $0 to $10 copay, while physical, occupational, and speech therapies require a $20 copay, all with no coinsurance. Some chiropractic services are covered with a $15 copay and no coinsurance, but routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by Zing Select Diabetes & Heart OH (HMO C-SNP) with no copays and no coinsurance for covered benefits like annual physicals, kidney disease education, and glaucoma screenings. While select supplemental benefits like PERS and fitness are covered, several services are not covered, including health education, medical nutrition therapy, weight management programs, and therapeutic massage.
Hearing Services See details
Zing Select Diabetes & Heart OH (HMO C-SNP) covers hearing services, offering Medicare-covered exams for a $30 copay and routine exams or fittings with no copay or coinsurance. Prescription hearing aids are partially covered up to $750 per ear every three years with no copay or coinsurance, though OTC, inner ear, outer ear, and over the ear models are not covered.
Vision Services See details
Zing Select Diabetes & Heart OH (HMO C-SNP) provides partially covered vision services, featuring one routine eye exam and eyewear per year with no copay and no coinsurance up to a $200 annual maximum. However, other eye exam services and eyewear upgrades are not covered under this plan.
Dental Services See details
Zing Select Diabetes & Heart OH (HMO C-SNP) offers partially covered dental services with no copay and no coinsurance up to a $2,000 annual maximum, though prior authorization is required for some services. Covered benefits include exams, cleanings, X-rays, fluoride, and restorative care, while other diagnostic services, other preventive services, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Zing Select Diabetes & Heart OH (HMO C-SNP) covers home infusion bundled services with no copay, although prior authorization is required. Covered Medicare Part B drugs, including chemotherapy and insulin, carry a coinsurance ranging from no coinsurance up to 20%, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis services are covered by the Zing Select Diabetes & Heart OH (HMO C-SNP) plan with no copay and a 20% coinsurance.
Medical Equipment See details
Zing Select Diabetes & Heart OH (HMO C-SNP) covers medical equipment with no copays, requiring a 20% coinsurance for durable medical equipment, prosthetics, and medical supplies, and up to 20% coinsurance for diabetic supplies. Diabetic therapeutic shoes and inserts are covered with no copay and no coinsurance, though prior authorization is required for all medical equipment categories.
Diagnostic and Radiological Services See details
Zing Select Diabetes & Heart OH (HMO C-SNP) covers diagnostic services with no coinsurance, offering no copay for lab work and a $0 to $25 copay for diagnostic tests. Radiological services are also covered, featuring no copay for outpatient x-rays, a minimum $50 copay for diagnostic radiological services, and a minimum 20% coinsurance for therapeutic radiological services.
Home Health Services See details
Zing Select Diabetes & Heart OH (HMO C-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services under the Zing Select Diabetes & Heart OH (HMO C-SNP) plan have some services covered with no copay and no coinsurance, subject to prior authorization. However, cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered in practice.
Skilled Nursing Facility (SNF) See details
Skilled nursing facility (SNF) care is covered by Zing Select Diabetes & Heart OH (HMO C-SNP) with no coinsurance, requiring prior authorization but no prior three-day hospital stay. Patients pay no copay for days 1 through 20 and a $214 daily copay for days 21 through 100, with no coverage provided for additional days beyond the Medicare limit.
Other Services See details
Other Services are partially covered by Zing Select Diabetes & Heart OH (HMO C-SNP), featuring over-the-counter (OTC) items and meal benefits with no copay and no coinsurance, while acupuncture is not covered. Eligible members receive a $75 allowance every three months for OTC items, alongside a limited-duration meal benefit for chronic illnesses or qualifying medical conditions.
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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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