Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Elite Diabetes & Heart TN-MS (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 Elite Diabetes & Heart TN-MS (HMO C-SNP) in 2026, please refer to our full plan details page.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) is a HMO C-SNP plan offered by Zing Health Consolidator, Inc available for enrollment in 2025 to people living in Shelby and DeSoto Counties. This plan received an overall rating of 2.5 out of 5 stars in 2026.
It's important to know that Zing Elite Diabetes & Heart TN-MS (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 Elite Diabetes & Heart TN-MS (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 Elite Diabetes & Heart TN-MS (HMO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Zing Elite Diabetes & Heart TN-MS (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.
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 Elite Diabetes & Heart TN-MS (HMO C-SNP) features a $0 drug deductible, meaning prescription coverage begins immediately. Under this plan, you will pay no copay for Tier 1 preferred generic drugs and Tier 6 select care drugs at standard pharmacies and through standard mail order. Tier 2 generic medications also feature no copay when filled via standard mail order, or an $8 copay for a 1-month supply at standard pharmacies. For Tier 3 preferred brand drugs, you will pay a $47 copay for a 1-month supply at standard pharmacies and mail order, with mail order reducing 3-month supplies to a $94 copay. Tier 4 non-preferred drugs require a 25% coinsurance for all supply durations, while Tier 5 specialty drugs require a 33% coinsurance for a 1-month supply.
The Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) offers comprehensive medical coverage with no copays for primary care visits, preventive services, and home health care. Specialist visits feature a low copay of up to $20, while inpatient hospital stays require a $350 daily copay for the first six days and no copay thereafter. Emergency room visits have a $125 copay, which is waived if you are admitted, and ground ambulance services require a $200 copay. This plan also provides robust supplemental benefits, including routine dental care up to $2,500 annually and vision services up to $350 per year with no copay. Routine hearing exams and hearing aids up to $750 per ear every three years are also covered with no copay. Additionally, durable medical equipment and dialysis services are covered with a 20% coinsurance and no copays.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) covers inpatient hospital services 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, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient services under Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) are covered with no coinsurance, featuring a $125 copay for outpatient hospital services and a $90 copay per stay for observation services. Ambulatory surgical center services require a $50 copay, while outpatient substance abuse and blood services are covered with no copays and no coinsurance.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) covers partial hospitalization services with a $70.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) covers ground ambulance services with a $200 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered, providing up to 30 one-way trips per year to plan-approved locations with no copay and no coinsurance, though transportation to any health-related location is not covered.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) covers emergency services with a $125 copay (waived if admitted within 24 hours) and urgently needed services with a $0 to $10 copay, with no coinsurance for either benefit. Worldwide emergency and urgent care are partially covered up to a $100,000 maximum with no copay or coinsurance, though worldwide emergency transportation is not covered.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) offers primary care, mental health, and psychiatric services with no copay and no coinsurance. Specialist visits have a $0 to $20 copay, and physical, occupational, and speech therapies require a $15 copay, all with no coinsurance. Chiropractic services are not covered, and certain benefits require prior authorization.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) covers preventive services, including annual physicals, kidney disease education, and glaucoma screenings, with no copay and no coinsurance. Additional preventive benefits are partially covered with no copay or coinsurance, but do not cover health education, in-home safety assessments, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, palliative care, caregiver support, smoking cessation, enhanced disease management, telemonitoring, and counseling.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) covers routine hearing exams and fitting evaluations with no deductible, no copay, and no coinsurance, while Medicare-covered exams require a $30 copay and no coinsurance. Prescription hearing aids are partially covered up to $750 per ear every three years with no copay and no coinsurance, but inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) partially covers vision services, providing one routine eye exam and eyewear like contact lenses or eyeglasses per year with no copay and no coinsurance, up to a $350 annual maximum. Other eye exam services and eyewear upgrades are not covered.
Dental services are partially covered by Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) with no copay and no coinsurance up to a $2,500 annual limit. Covered benefits include preventive care, restorative services, and oral surgery, while other diagnostic and preventive services, maxillofacial prosthetics, implants, and orthodontics are not covered.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) covers home infusion bundled services with no copay and no coinsurance, though prior authorization is required. Associated Medicare Part B chemotherapy, insulin, and other drugs are covered with a 0% to 20% coinsurance, requiring a $35 copay for insulin and no copay for other drugs.
Dialysis Services are covered by Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) with no copay and a 20% coinsurance.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) covers medical equipment with no copay, although prior authorization is required for these services. Durable medical equipment, prosthetics, and medical supplies require a 20% coinsurance, while diabetic supplies carry a 0% to 20% coinsurance and therapeutic shoes or inserts have no coinsurance.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) covers diagnostic and radiological services, requiring prior authorization for both. Diagnostic services feature no coinsurance, with no copay for lab services and a $0 to $25 copay for diagnostic procedures. Radiological services feature no copay for outpatient X-rays, a minimum $50 copay for diagnostic radiological services, and a 20% coinsurance for therapeutic radiological services.
Home health services are covered by Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) with no copay and no coinsurance, although prior authorization is required.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) technically covers Cardiac Rehabilitation Services with no copay and no coinsurance, but in practice, cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20, followed by a $214 daily copay for days 21 through 100 per stay.
Zing Elite Diabetes & Heart TN-MS (HMO C-SNP) partially covers other services, offering a meal benefit for chronic illnesses or homebound medical conditions with no copay and no coinsurance. Acupuncture, over-the-counter (OTC) items, and other additional services are not covered under this plan.
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