Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Select 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 Select Diabetes & Heart TN-MS (HMO C-SNP) in 2025, please refer to our full plan details page.
Zing Select 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 Memphis-Delta, North Mississippi and Nashville. 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 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 Select 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 Select Diabetes & Heart TN-MS (HMO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Zing Select 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.
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The Zing Select Diabetes & Heart TN-MS (HMO C-SNP) plan has a $0 deductible for prescription drugs. During the initial coverage phase, you will pay varying copays or coinsurance depending on the drug tier and pharmacy. For example, you will pay a $8 copay for standard generic drugs at a standard pharmacy and 33% coinsurance for preferred brand drugs. Once your total drug costs reach $2000, you enter the catastrophic coverage phase where you pay nothing for covered drugs. This plan may have a reduced premium if you qualify for the low-income subsidy. Please note that this summary does not include all details, and you should check the plan's formulary for specific drug coverage information.
The Zing Select Diabetes & Heart TN-MS (HMO C-SNP) plan offers comprehensive coverage, including inpatient and outpatient hospital services with varying copays, and no copays for many services. This plan includes benefits such as primary care, preventive services, hearing, vision, and dental, with several services available at no cost, and some with copays. Additionally, the plan covers ambulance services, emergency services, and home health services, with a range of other benefits like medical equipment, diagnostic services, and skilled nursing facility services. The plan provides additional benefits such as coverage for home infusion, dialysis, and cardiac rehabilitation services. It also includes over-the-counter items and a meal benefit. However, some services like certain hearing aids, vision upgrades, and specific dental procedures are not covered.
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. For Inpatient Hospital-Acute, you will pay a $350 copay for days 1-6, and no copay for days 7-90; additional days are covered with no copay. For Inpatient Hospital Psychiatric, you will pay a $350 copay for days 1-6, and no copay for days 7-90; additional days and non-Medicare-covered stays are not covered.
Outpatient services are covered, including outpatient hospital services with a $225 copay, observation services with a $90 copay, ambulatory surgical center services with a $125 copay, outpatient substance abuse services with a $30 copay for individual and group sessions, and outpatient blood services with no copay.
Partial Hospitalization is covered by the Zing Select Diabetes & Heart TN-MS (HMO C-SNP) plan, with a $70 copay. Prior authorization is required.
Ambulance and Transportation Services are covered, including all ambulance services and transportation services to plan-approved health-related locations. Ground ambulance services have a $200 copay, and air ambulance services have a 20% coinsurance, while transportation services to plan-approved health-related locations have no copay, with up to 30 one-way trips per year. Transportation services to any health-related location are not covered.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage are covered under the Zing Select Diabetes & Heart TN-MS (HMO C-SNP) plan. Emergency Services has a $125 copay, while Urgently Needed Services has a copay between $0 and $10. Worldwide Emergency Coverage has no copay, while Worldwide Emergency Transportation is not covered.
The Zing Select Diabetes & Heart TN-MS (HMO C-SNP) plan covers primary care physician services with no copay, chiropractic services with a $20 copay, occupational therapy services with a $15 copay, physician specialist services with a copay between $0 and $20, and physical therapy and speech-language pathology services with a $15 copay. Mental health specialty services, psychiatric services, and opioid treatment program services have varying copays. Additional telehealth benefits are covered with a copay between $0 and $30. Podiatry services and other health care professional services are covered with no copay.
The Zing Select Diabetes & Heart TN-MS (HMO C-SNP) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services are covered, and some services, such as 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, Enhanced Disease Management, Telemonitoring Services, and Counseling Services are not covered. The plan also covers Kidney Disease Education Services, and other preventive services such as Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit, all with no copay.
Hearing services include hearing exams with a $30 copay, routine hearing exams with no copay, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids (all types) are covered with no copay, but prescription hearing aids for the inner, outer, and over-the-ear are not covered, and OTC hearing aids are not covered.
Vision services include eye exams with a copay of $0-$30, and eyewear with no copay and a combined maximum benefit of $300 every year. Contact lenses, eyeglasses (lenses and frames), and eyeglass lenses are covered with no copay, while upgrades are not covered.
The Zing Select Diabetes & Heart TN-MS (HMO C-SNP) plan covers dental services including Medicare and other dental services with no copay, and has a maximum benefit of $2000 per year. Oral exams, dental x-rays, prophylaxis (cleaning), and fluoride treatments are covered. 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.
Home Infusion bundled Services are covered, with prior authorization required. 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 TN-MS (HMO C-SNP) plan. You will pay 20% coinsurance for these services.
Medical Equipment is covered, including Durable Medical Equipment (DME) with 20% coinsurance and authorization required, Prosthetics/Medical Supplies with no copay and 20% coinsurance, and Diabetic Equipment. Diabetic Supplies have between 0% and 20% coinsurance and Diabetic Therapeutic Shoes/Inserts have no copay.
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. Diagnostic radiological services have a copay between $50 and $150, while therapeutic radiological services have a 20% coinsurance, and outpatient X-ray services have no copay.
Home Health Services are covered by the Zing Select Diabetes & Heart TN-MS (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 covered, but the plan does not cover the following sub-services: Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) services are covered by the Zing Select Diabetes & Heart TN-MS (HMO C-SNP) plan, but require prior authorization. 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.
The Zing Select Diabetes & Heart TN-MS (HMO C-SNP) plan's "Other Services" benefit covers Over-the-Counter (OTC) items with no copay, a maximum benefit of $166 per month, and 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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