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Zing Elite Select OH (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Elite Select OH (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Zing Elite Select OH (HMO) in 2025, please refer to our full plan details page.
Zing Elite Select OH (HMO) is a HMO 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 Select OH (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Zing Elite Select OH (HMO).
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 Select OH (HMO), 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 $3900.00 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 Select OH (HMO) plan has a $0 deductible for prescription drugs. During the initial coverage phase, you'll pay varying copays or coinsurance amounts depending on the drug tier and pharmacy. For example, you'll pay $8.00 copay for preferred generic drugs at a standard pharmacy, and 33% coinsurance for preferred brand drugs. Once your total drug costs reach $2,000, you enter the catastrophic coverage phase where you pay nothing for covered Part D drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit.
Additional Benefits
The Zing Elite Select OH (HMO) plan offers a range of benefits, including inpatient hospital stays with a $325 copay for days 1-6, and no copay for days 7-90. Outpatient services have varying copays, such as a $175 copay for outpatient hospital services and a $75 copay for observation services. Emergency services have a $125 copay, while primary care visits have no copay. This plan also provides coverage for preventive services, including an annual physical exam with no copay. Vision and dental services are covered, with a $25 copay for eye exams and no copay for most dental services, up to a $2,000 annual maximum. The plan also covers hearing exams and hearing aids.
Inpatient Hospital See details
Inpatient Hospital services are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For Inpatient Hospital-Acute, you will pay a $325 copay for days 1-6, and no copay for days 7-90; for Inpatient Hospital Psychiatric, you will also pay a $325 copay for days 1-6, and no copay for days 7-90. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered, and Additional Days for Inpatient Hospital Psychiatric, and Non-Medicare-covered stays for Inpatient Hospital Psychiatric are also not covered.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services, with a $175 copay, observation services with a $75 copay, and ambulatory surgical center services with a $120 copay. Outpatient substance abuse services include individual and group sessions with no copay. Outpatient blood services are covered with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered under the Zing Elite Select OH (HMO) 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 Elite Select OH (HMO) 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 for up to 24 one-way trips per year, while 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 under the Zing Elite Select OH (HMO) plan. Emergency Services have a $125 copay, while Urgently Needed Services have a $0-$5 copay and Worldwide Emergency Coverage has no copay. Worldwide Emergency Transportation is not covered.
Primary Care See details
The Zing Elite Select OH (HMO) plan covers primary care physician services with no copay, chiropractic services with a $15 copay, occupational therapy services with a $25 copay, physician specialist services with a $10 copay, mental health specialty services with no copay for individual and group sessions, podiatry services with a $25 copay, other health care professional visits 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 copay between $0-$25, and opioid treatment program services with a $25 copay. Routine chiropractic care is not covered.
Preventive Services See details
The Zing Elite Select OH (HMO) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services include coverage for Medicare-covered glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a Welcome Visit, all with no copay. Some services such as health education, in-home safety assessments, 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 exam per year, and fitting/evaluation for a hearing aid with no copay for one exam every three years. Prescription hearing aids are covered with a plan-specified amount of $750 per ear every three years, and prescription hearing aids (all types) are covered with no copay for two visits every three years; however, inner ear, outer ear, and over-the-ear prescription hearing aids are not covered. OTC hearing aids are not covered.
Vision Services See details
The Zing Elite Select OH (HMO) plan covers vision services, including eye exams with a $25 copay, and routine eye exams with no copay. Eyewear is covered with no copay, with a combined maximum plan benefit of $250 per year, and includes contact lenses, eyeglasses (lenses and frames), eyeglass lenses, and eyeglass frames. Upgrades are not covered.
Dental Services See details
The Zing Elite Select OH (HMO) plan covers dental services, including Medicare and other dental services, with no copay. Oral exams are covered with no copay, limited to one visit every six months, while dental X-rays and fluoride treatments are covered with no copay, limited to one visit per year. Restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery are covered with no copay. Maxillofacial prosthetics, implant services, and orthodontics are not covered. This plan has a maximum benefit of $2,000 per year.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, and may require prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay and coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Zing Elite Select OH (HMO) plan, with a coinsurance between 20% and 20%.
Medical Equipment See details
Medical Equipment is covered by the Zing Elite Select OH (HMO) plan, with a 20% coinsurance for Durable Medical Equipment, Medicare-covered Prosthetic Devices, Medicare-covered Medical Supplies, and Diabetic Therapeutic Shoes or Inserts, and no copay. Durable Medical Equipment for use outside the home is not covered, and Diabetic Supplies have a 0-20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services, diagnostic procedures/tests with a copay between $0 and $25, and lab services with no copay. Radiological services include a copay for diagnostic services between $50 and $150, coinsurance of at least 20% for therapeutic services, and no copay for outpatient X-ray services.
Home Health Services See details
Home Health Services are covered by the Zing Elite Select OH (HMO) plan with no copay and no coinsurance. However, additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Zing Elite Select OH (HMO) plan. 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.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Zing Elite Select OH (HMO) plan. There is no copay for days 1-20, and a $214 copay for days 21-100. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services include coverage for Over-the-Counter (OTC) Items and a Meal Benefit, both with no copay; however, 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. The OTC benefit has a maximum coverage amount of $198 every three months.
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