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Zing Select Care OH (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Select Care OH (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Zing Select Care OH (HMO) in 2026, please refer to our full plan details page.
Zing Select Care OH (HMO) is a HMO 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 Care 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 Select Care 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 Select Care 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 $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 Care OH (HMO) plan features a $0 drug deductible, meaning your prescription drug coverage begins immediately. For Tier 1 preferred generic drugs, you will pay no copay for standard pharmacy or standard mail-order prescriptions. Tier 2 generic drugs also have no copay when filled through standard mail order, while standard retail pharmacy copays range from $8 for a one-month supply to $24 for a three-month supply. Tier 3 preferred brand drugs require a $47 copay for a one-month supply at standard pharmacies and mail order, though a three-month mail order offers savings at a $94 copay. For higher-tier medications, Tier 4 non-preferred drugs carry a 25% coinsurance for all supply lengths. Tier 5 specialty drugs require a 33% coinsurance for a one-month supply at both standard pharmacies and mail order.
Additional Benefits
The Zing Select Care OH (HMO) plan offers affordable medical coverage with no copay for primary care visits, mental health services, and preventive care. Specialist visits require a $15 copay, while inpatient hospital stays incur a $350 daily copay for the first six days followed by no copay for days 7 through 90. Outpatient hospital services feature a $225 copay, and emergency room visits have a $125 copay, which is waived if you are admitted. This plan also includes valuable supplemental benefits like routine dental, vision, and hearing care with no copays or coinsurance up to specified annual limits. Additionally, members can take advantage of up to 12 one-way transportation trips per year with no copay and a $105 quarterly allowance for over-the-counter items. Home health services are also covered with no copay or coinsurance, ensuring affordable support when recovering at home.
Inpatient Hospital See details
Zing Select Care OH (HMO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $350 daily copay for days 1 through 6 and no copay for days 7 through 90. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, though unlimited additional acute care days are included with no copay.
Outpatient Services See details
Zing Select Care OH (HMO) covers outpatient hospital services with a $225 copay, observation services with a $90 copay per stay, and ambulatory surgical center services with a $125 copay, all with no coinsurance. Outpatient substance abuse and blood services are also covered with no copays and no coinsurance.
Partial Hospitalization See details
Zing Select Care OH (HMO) covers partial hospitalization services with a $70.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
Zing Select Care OH (HMO) covers ground ambulance services with a $200 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay. Transportation benefits are partially covered, providing up to 12 one-way trips per year to plan-approved locations with no copay and no coinsurance, though transport to any health-related location is not covered.
Emergency Services See details
Zing Select Care OH (HMO) covers emergency services with a $125 copay and no coinsurance (waived if admitted to the hospital within 24 hours), and urgently needed services with a $0 to $10 copay and no coinsurance. Worldwide emergency and urgent services are partially covered up to a $50,000 maximum benefit with no copay and no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Zing Select Care OH (HMO) offers primary care, psychiatric, and mental health services with no copay and no coinsurance, while specialist visits require a $15 copay and therapy services require a $20 copay with no coinsurance. Podiatry and opioid treatment services have copays up to $35 with no coinsurance, though chiropractic services are not covered in practice.
Preventive Services See details
Preventive Services are partially covered by Zing Select Care OH (HMO) with no copay and no coinsurance for covered benefits like annual physical exams, kidney disease education, and glaucoma screenings. While supplemental benefits like fitness and in-home support are included, several services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, and weight management programs.
Hearing Services See details
Hearing services are partially covered by Zing Select Care OH (HMO), offering Medicare-covered exams for a $35 copay and no coinsurance, alongside routine exams, fitting evaluations, and prescription hearing aids up to $750 per ear every three years with no copay and no coinsurance. OTC hearing aids, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by Zing Select Care OH (HMO), featuring no deductibles, no coinsurance, and no copay for annual routine eye exams and eyewear up to a $300 yearly limit. Other eye exams require a $35 copay with no coinsurance, while other eye exam services and eyewear upgrades are not covered.
Dental Services See details
Zing Select Care OH (HMO) offers partially covered dental services with no copay and no coinsurance for covered benefits up to a $2,000 annual maximum, though prior authorization is required for comprehensive care. Specific services not covered under this plan include other diagnostic dental, other preventive dental, maxillofacial prosthetics, implant services, and orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Zing Select Care OH (HMO) with no copay, although prior authorization is required. Covered Medicare Part B chemotherapy and other drugs have no copay and 0% to 20% coinsurance, while Part B insulin requires a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Zing Select Care OH (HMO) covers dialysis services with a 20% coinsurance and no copay.
Medical Equipment See details
Zing Select Care OH (HMO) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, with no copays for all covered items. Members are responsible for a 20% coinsurance on most equipment, though diabetic supplies range from no coinsurance to 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under the Zing Select Care OH (HMO) plan, with prior authorization required for all services. Diagnostic procedures and tests have no coinsurance and a copay of $0 to $25, lab services and outpatient X-rays have no copay, while diagnostic radiological services require a minimum $50 copay and therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by Zing Select Care OH (HMO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Zing Select Care OH (HMO) offers some coverage for Cardiac Rehabilitation Services with no copay, no coinsurance, and prior authorization required. However, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
Zing Select Care OH (HMO) covers skilled nursing facility (SNF) services with no coinsurance, featuring no copay for days 1 through 20 and a $214 daily copay for days 21 through 100 per stay. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by Zing Select Care OH (HMO), including over-the-counter (OTC) items and chronic illness meals with no copay and no coinsurance. Under this benefit, acupuncture is not covered, but eligible members receive a $105 quarterly OTC allowance and meals for chronic illnesses.
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