A non-government entity
Zing ESRD Select OH (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing ESRD Select 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 ESRD Select OH (HMO C-SNP) in 2025, please refer to our full plan details page.
Zing ESRD Select 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 ESRD Select 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 ESRD Select 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 ESRD Select 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 ESRD Select 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 $4950.00 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:
Sign up for Zing ESRD Select OH (HMO C-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Zing ESRD Select OH (HMO C-SNP) plan has a $0 deductible. In the initial coverage phase, you will pay different amounts depending on the drug tier and pharmacy. For example, you will pay a $5 copay for standard generic drugs at a standard pharmacy, but you will have no copay for preferred generic drugs through standard mail. Once your total drug costs reach $2000, you enter the catastrophic coverage phase. In this phase, you will pay nothing for Medicare Part D covered drugs.
Additional Benefits
The Zing ESRD Select OH (HMO C-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have a copay, but many other services have no copay, including primary care, preventive services, outpatient substance abuse services, dialysis, home health, and dental services. The plan also covers hearing, vision, and dental services, with copays for exams and hearing aids. Other benefits include coverage for ambulance and transportation services, emergency services, and home infusion services.
Inpatient Hospital See details
Inpatient hospital stays are covered, including acute and psychiatric care. For days 1-6, there is a $350 copay, and for days 7-90, there is no copay; additional days for inpatient hospital acute have no copay.
Outpatient Services See details
Outpatient Services include coverage for outpatient hospital services with a $250 copay, observation services with a $150 copay, ambulatory surgical center services with a $150 copay, and outpatient substance abuse services with no copay for individual and group sessions. Outpatient blood services are covered with no copay.
Partial Hospitalization See details
Partial hospitalization is covered under the Zing ESRD Select OH (HMO C-SNP) plan, but requires prior authorization. You will have a $70 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Zing ESRD Select OH (HMO C-SNP) plan. Ground ambulance services have a $200 copay, while air ambulance services have a 20% coinsurance; transportation services to a plan-approved health-related location are covered with no copay, but transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage are covered by the Zing ESRD Select OH (HMO C-SNP) plan. Emergency Services have a $125 copay, and Urgently Needed Services have a copay between $0 and $25; both have no coinsurance. Worldwide Emergency Transportation is not covered, while Worldwide Emergency Coverage and Worldwide Urgent Coverage have no copay and no coinsurance.
Primary Care See details
The Zing ESRD Select OH (HMO C-SNP) plan covers primary care physician services with no copay, chiropractic services with a $20 copay, occupational therapy services with a $25 copay, physician specialist services with a $0-$25 copay, mental health specialty services with no copay for individual and group sessions, podiatry services with no copay, other health care professional services with no copay, psychiatric services with no copay for individual and group sessions, physical therapy and speech-language pathology services with a $25 copay, additional telehealth benefits with a $0-$30 copay, and opioid treatment program services with a $25 copay. Routine chiropractic care is not covered.
Preventive Services See details
Preventive services include no copay for annual physical exams, Medicare-covered preventive services, and several additional services. Additional preventive services include no copay for Personal Emergency Response Systems, Medical Nutrition Therapy, Weight Management Programs, Nutritional/Dietary Benefit (4 visits), In-Home Support Services, Remote Access Technologies, Home and Bathroom Safety Devices and Modifications, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit. 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, Telemonitoring Services, and Counseling Services are not covered.
Hearing Services See details
Hearing services include hearing exams with a $25 copay, routine hearing exams with no copay for one visit every year, and fitting/evaluation for hearing aids with no copay for one visit every three years. Prescription hearing aids are covered up to $750 per ear every three years, and all types of prescription hearing aids have no copay for two visits every three years, while inner ear, outer ear, and over the ear hearing aids are not covered. OTC hearing aids are not covered.
Vision Services See details
Vision Services includes coverage for eye exams and eyewear. Eye exams have a copay of $0-$25, while routine eye exams have no copay. Eyewear, including contact lenses, eyeglasses (lenses and frames), and eyeglass lenses, have no copay. Eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are covered by the Zing ESRD Select OH (HMO C-SNP) plan, with a $2,500 maximum benefit per year. Covered services include 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, all with no copay. Orthodontics and maxillofacial prosthetics, and implant services are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Zing ESRD Select OH (HMO C-SNP) plan. For Medicare Part B Insulin Drugs, there is a $35 copay, with a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered with no copay and no coinsurance.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance, Prosthetic Devices with 20% coinsurance, Medical Supplies with 20% coinsurance, and Diabetic Equipment. Diabetic Supplies have no 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 include coverage for all diagnostic services, diagnostic procedures/tests, lab services, and radiological services. Diagnostic Procedures/Tests have a copay between $0 and $25, and Lab Services have no copay. Diagnostic Radiological Services have a copay between $50 and $150, while Therapeutic Radiological Services have 20% coinsurance and Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by the Zing ESRD Select OH (HMO C-SNP) plan with no copay and no coinsurance; however, Additional Hours of Care and Personal Care Services are not covered. This benefit requires authorization.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but not for 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, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $214. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services includes coverage for over-the-counter items and a meal benefit, with a maximum of $175.00 for over-the-counter items each month and no copay for either benefit. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, and numerous other services are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved