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Zing ESRD Select TN-MS (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing ESRD Select 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 ESRD Select TN-MS (HMO C-SNP) in 2025, please refer to our full plan details page.
Zing ESRD Select 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 ESRD Select 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 ESRD Select 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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Zing ESRD Select TN-MS (HMO C-SNP).
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 ESRD Select 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 $4950.00 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 ESRD Select TN-MS (HMO C-SNP) plan has a $0 deductible for prescription drugs. In the initial coverage phase, you'll pay varying copays or coinsurance depending on the drug tier and pharmacy type. For example, you will pay a $5 copay for preferred generic drugs at a standard pharmacy, and a $0 copay for preferred generic drugs via mail order. Once your total drug costs reach $2000, 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 ESRD Select TN-MS (HMO C-SNP) plan offers a variety of benefits with varying cost-sharing. This plan includes coverage for inpatient and outpatient services, with copays ranging from $0 to $350 depending on the service. Emergency, primary care, preventive, and hearing services are also included, with some services having no copay and others requiring a copay between $0 and $25. Additionally, the plan covers vision and dental services, with no copays for many services but maximum annual benefits for dental. Other notable benefits include ambulance and transportation services, home health services, dialysis services, and medical equipment coverage. This plan may be a good option for individuals with ESRD looking for comprehensive coverage.
Inpatient Hospital See details
Inpatient Hospital services are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For days 1-6 of Inpatient Hospital-Acute and Inpatient Hospital Psychiatric stays, there is a $350 copay, with no copay for days 7-90; additional days for Inpatient Hospital-Acute are covered with no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute, and additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services, with a $265 copay, and observation services with a $150 copay. Ambulatory Surgical Center (ASC) Services have a $165 copay, while outpatient substance abuse services have a $30 copay for both individual and group sessions. Outpatient Blood Services are covered with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered by the Zing ESRD Select TN-MS (HMO C-SNP) plan, and requires prior authorization. You will pay a $70 copay for this service.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered. 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, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage are covered by the Zing ESRD Select TN-MS (HMO C-SNP) plan. Emergency Services has a $125 copay with no coinsurance, while Urgently Needed Services has a copay between $0 and $25 with no coinsurance. Worldwide Emergency Coverage has no copay and no coinsurance. Worldwide Urgent Coverage has no copay and no coinsurance, while Worldwide Emergency Transportation is not covered.
Primary Care See details
The Zing ESRD Select TN-MS (HMO C-SNP) plan covers primary care physician services with no copay, and chiropractic services with a $20 copay. Occupational therapy services have a $25 copay. Physician specialist services have a copay between $0 and $25, and physical therapy and speech-language pathology services have a $25 copay. The plan also covers mental health specialty services with no copay for individual and group sessions, and psychiatric services with no copay for individual and group sessions. Podiatry services and other health care professional services have no copay. Additional telehealth benefits have a copay between $0 and $30. Opioid treatment program services have a $25 copay.
Preventive Services See details
Preventive services include annual physical exams with no copay, and also cover additional preventive services and kidney disease education services. Other services, such as glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following Welcome Visit have no copay. 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, home-based palliative care, support for caregivers of enrollees, additional sessions of smoking and tobacco cessation counseling, enhanced disease management, telemonitoring services, 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, and fitting/evaluation for hearing aids with no copay; prescription hearing aids are covered up to $750 every three years, but inner, outer, and over-the-ear hearing aids are not covered, and OTC hearing aids are also not covered.
Vision Services See details
Vision services include eye exams and eyewear. Eye exams have a copay of $0-$25, while routine eye exams have no copay. Eyewear has no copay and includes contact lenses, eyeglasses (lenses and frames), eyeglass lenses, and eyeglass frames, and has a combined maximum benefit of $350 per year. Upgrades are not covered.
Dental Services See details
Dental services are covered with a maximum benefit of $2,500 per year, and include no copay for Medicare dental services and other dental services. Oral exams are covered with no copay, but are limited to 1 visit every six months, and Dental X-Rays are covered with no copay, but are limited to 1 per year. Prophylaxis (Cleaning) and Fluoride Treatment are covered with no copay, and are limited to 1 visit every six months and 1 visit per year, respectively. 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 See details
Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Zing ESRD Select TN-MS (HMO C-SNP) plan. There is no copay for these services.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance, and Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices have a 20% coinsurance, and Medical Supplies also have a 20% coinsurance. Diabetic Supplies have a 0-20% coinsurance, and Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including diagnostic procedures and 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.
Home Health Services See details
Home Health Services are covered by the Zing ESRD Select 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 See details
Cardiac Rehabilitation Services are covered, but none of the sub-services are covered. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the Zing ESRD Select TN-MS (HMO C-SNP) plan, with a $0 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. 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.
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