Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Select Diabetes & Heart Complete 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 Complete TN-MS (HMO C-SNP) in 2025, please refer to our full plan details page.
Zing Select Diabetes & Heart Complete 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 Complete 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 Complete 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 Complete TN-MS (HMO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Zing Select Diabetes & Heart Complete 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 a $590.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9350.00 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 Complete TN-MS (HMO C-SNP) plan has a $590 deductible for prescription drugs. After the deductible is met, you will pay coinsurance or a copay depending on the drug tier and pharmacy. In the initial coverage phase, you may pay 25% coinsurance for some drugs, while other drugs have no copay. In the catastrophic coverage phase, you pay nothing for covered drugs after your yearly out-of-pocket drug costs reach $2000.
The Zing Select Diabetes & Heart Complete TN-MS (HMO C-SNP) plan offers a range of benefits with varying cost-sharing. Many services have a 20% coinsurance, including outpatient, partial hospitalization, ambulance, emergency, primary care, hearing, vision, dialysis, medical equipment, and diagnostic services. Some services are covered with no copay, such as preventive services, hearing exams, home health services, and over-the-counter items. The plan includes dental services, with no copay for covered services, and a maximum benefit of $2,500 per year. It also offers transportation services, with no copay for approved health-related locations up to 36 one-way trips per year. Home infusion services and skilled nursing facility services are covered, with a $35 copay for Medicare Part B insulin drugs.
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, with prior authorization required; however, Non-Medicare-covered Stay for Inpatient Hospital-Acute, Upgrades for Inpatient Hospital-Acute, and Additional Days for Inpatient Hospital Psychiatric are not covered. Additional Days for Inpatient Hospital-Acute are covered with no copay.
Outpatient services include outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services. Outpatient hospital and observation services have a 20% coinsurance, while outpatient blood services also have a 20% coinsurance. Outpatient substance abuse services include individual and group sessions, which each have a 20% coinsurance.
Partial Hospitalization is covered by the Zing Select Diabetes & Heart Complete TN-MS (HMO C-SNP) plan. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services are covered. Ground and air ambulance services have a 20% coinsurance, and transportation services to plan-approved health-related locations have no copay, up to 36 one-way trips per year. Transportation services to any health-related location are not covered.
Emergency Services are covered with a 20% coinsurance, and Urgently Needed Services are covered with a 20% coinsurance. Worldwide Emergency Coverage and Worldwide Urgent Coverage have no copay, while Worldwide Emergency Transportation is not covered.
Primary Care includes coverage for Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Podiatry Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services. Primary Care Physician Services, Chiropractic Services, Physician Specialist Services, Physical Therapy and Speech-Language Pathology Services, Individual and Group Sessions for Mental Health and Psychiatric Services, and Opioid Treatment Program Services have a 20% coinsurance. Additional Telehealth Benefits have no copay. Routine Chiropractic Care is not covered. Podiatry Services include Routine Foot Care with a 20% coinsurance and 12 visits per year.
Preventive services include coverage for annual physical exams with no copay, and additional preventive services which include coverage for a variety of services with no copay, including glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a Welcome Visit. Health education, in-home safety assessments, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, alternative therapies, therapeutic massage, adult day health services, and counseling services are not covered.
The Zing Select Diabetes & Heart Complete TN-MS (HMO C-SNP) plan covers hearing exams with at most 20% coinsurance for routine hearing exams and no copay, and also covers fitting/evaluation for hearing aids with no copay. Prescription hearing aids are covered with no copay up to a maximum of $750 every three years, but OTC hearing aids are not covered.
Vision Services include eye exams and eyewear. Eye exams have a 20% coinsurance for routine exams, with no copay, while eyewear, including contact lenses, eyeglasses (lenses and frames), and eyeglass lenses and frames, have no copay. Upgrades are not covered, and there is a combined maximum of $350 per year for eyewear.
Dental services include coverage for Medicare Dental Services, other dental services, and orthodontics, each with no copay. Additional services such as 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 are covered with no copay. Maxillofacial Prosthetics, Implant Services, and Orthodontics are not covered. There is a $2,500 maximum plan benefit coverage per year.
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs with a $35 copay and 0-20% coinsurance, as well as Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, both with 0-20% coinsurance. Prior authorization is required for these benefits.
Dialysis Services are covered under the Zing Select Diabetes & Heart Complete TN-MS (HMO C-SNP) plan. The coinsurance for dialysis services is 20%.
Medical Equipment is covered, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance, and requires authorization. Prosthetics/Medical Supplies and Diabetic Equipment have a 20% coinsurance, and Diabetic supplies require authorization.
Diagnostic and Radiological Services are covered, with no copay for any services. Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services all have a coinsurance of at most 20%.
Home Health Services are covered by the Zing Select Diabetes & Heart Complete TN-MS (HMO C-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services are covered, but the plan does not cover any specific services. Prior authorization is required.
Skilled Nursing Facility (SNF) services are covered, but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered. Prior authorization is required, and the copay information is available in the plan details.
Other Services includes Over-the-Counter (OTC) Items and a Meal Benefit, with OTC items covered with no copay and a maximum benefit of $170 per month; 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.
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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