Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Select Diabetes & Heart Complete 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 Complete OH (HMO C-SNP) in 2025, please refer to our full plan details page.
Zing Select Diabetes & Heart Complete 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 Northeast Ohio. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that Zing Select Diabetes & Heart Complete 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 Complete 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.
Below are a few key facts and commonly-asked questions about Zing Select Diabetes & Heart Complete OH (HMO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Zing Select Diabetes & Heart Complete 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 a $590.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9350.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The Zing Select Diabetes & Heart Complete OH (HMO C-SNP) plan has an enhanced alternative drug benefit. The plan has a deductible of $590.00. After you meet your deductible, you will pay coinsurance for your prescriptions. For example, in the initial coverage phase, you will pay 25% coinsurance for most drugs. For specialty tier drugs, there is no copay.
The Zing Select Diabetes & Heart Complete OH (HMO C-SNP) plan offers a range of benefits with varying cost-sharing. Many services come with a 20% coinsurance, including outpatient services, primary care, vision services, and medical equipment. However, this plan also provides several services with no copay, such as inpatient hospital (additional days), ambulance transportation, preventive services, hearing exams, dental services, home health services, diagnostic and radiological services, and over-the-counter items, and a meal benefit. This plan includes coverage for emergency services with a 20% coinsurance, and worldwide emergency coverage with no copay. Additionally, the plan provides coverage for prescription hearing aids with a maximum benefit, and eyewear with a combined annual maximum. The plan also covers home infusion bundled services, dialysis services, and skilled nursing facility services with prior authorization.
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services. Additional days for Inpatient Hospital-Acute are covered with no copay.
Outpatient Services include coverage for Outpatient Hospital Services, Observation Services, Ambulatory Surgical Center (ASC) Services, Outpatient Substance Abuse Services, and Outpatient Blood Services. Outpatient Hospital Services, Observation Services, Individual Sessions for Outpatient Substance Abuse, Group Sessions for Outpatient Substance Abuse, and Outpatient Blood Services have a 20% coinsurance.
Partial Hospitalization is covered by the Zing Select Diabetes & Heart Complete OH (HMO C-SNP) plan, but requires prior authorization. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services are covered by the Zing Select Diabetes & Heart Complete OH (HMO C-SNP) plan. Ground and Air Ambulance Services have a 20% coinsurance, and Transportation Services to a plan-approved health-related location have no copay for up to 36 one-way trips per year via taxi, rideshare services, bus/subway, and medical transport.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage are covered. Emergency Services and Urgently Needed Services have a 20% coinsurance, while Worldwide Emergency Coverage has no copay. Worldwide Emergency Transportation is not covered.
The Zing Select Diabetes & Heart Complete OH (HMO C-SNP) plan covers Primary Care Physician Services, Physician Specialist Services, and Physical Therapy and Speech-Language Pathology Services with a 20% coinsurance. Chiropractic Services and Other Health Care Professional services are covered with a 20% coinsurance, but routine chiropractic care is not covered. Individual and Group Sessions for Mental Health Specialty Services and Psychiatric Services are covered with a 20% coinsurance, while Occupational Therapy Services have a 20% coinsurance. Podiatry Services are covered with a 20% coinsurance, and Routine Foot Care is covered. Additional Telehealth Benefits are covered with no copay, and Opioid Treatment Program Services are covered with a 20% coinsurance.
Preventive Services include coverage for Medicare-covered services, annual physical exams, and additional preventive services. Annual physical exams, Personal Emergency Response Systems, Medical Nutrition Therapy, Nutritional/Dietary Benefits, In-Home Support Services, Fitness Benefits, Remote Access Technologies, Home and Bathroom Safety Devices and Modifications, Glaucoma Screenings, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKGs following a Welcome Visit have no copay. Health Education, In-Home Safety Assessments, 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, Telemonitoring Services, and Counseling Services are not covered.
Hearing exams, including routine hearing exams and fitting/evaluation for hearing aids, are covered with no copay and a coinsurance of at most 20% for routine hearing exams. Prescription hearing aids are covered with a maximum benefit of $750 per ear every three years and no copay. OTC hearing aids are not covered.
Vision services include coverage for eye exams and eyewear. Eye exams have a 20% coinsurance for routine eye exams, and eyewear has a combined maximum plan benefit of $350 per year with no copay for contact lenses, eyeglasses (lenses and frames), eyeglass lenses, and eyeglass frames, and upgrades are not covered.
Dental services are covered, with no copay for Medicare and other dental services. Oral exams, dental x-rays, prophylaxis (cleaning), fluoride treatment, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery are covered with no copay, while maxillofacial prosthetics, implant services, and orthodontics are not covered. There is a $2,500 annual maximum for dental services.
Home Infusion bundled Services are covered, but require prior authorization. Medicare Part B Insulin Drugs have a $35 copay and 0-20% coinsurance. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have 0-20% coinsurance.
Dialysis Services are covered by the Zing Select Diabetes & Heart Complete OH (HMO C-SNP) plan. The coinsurance for dialysis services is between 20% and 20%.
Medical Equipment is covered under the Zing Select Diabetes & Heart Complete OH (HMO C-SNP) plan. Durable Medical Equipment (DME) and Diabetic Supplies have a 20% coinsurance, while Prosthetic Devices, Medical Supplies, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services are covered, including diagnostic procedures, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services. There is no copay for these services, but you will pay at most 20% coinsurance.
Home Health Services are covered by the Zing Select Diabetes & Heart Complete OH (HMO C-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services are not covered by the Zing Select Diabetes & Heart Complete OH (HMO C-SNP) plan. This includes Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) services are covered, but prior authorization is required. The plan does not cover additional days beyond Medicare-covered SNF stays, or non-Medicare-covered SNF stays.
The Zing Select Diabetes & Heart Complete OH (HMO C-SNP) plan covers over-the-counter items with no copay and a maximum benefit of $153 per month, and it also covers 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.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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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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