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Zing Dual Complete Open Choice MI (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Dual Complete Open Choice MI (PPO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Zing Dual Complete Open Choice MI (PPO D-SNP) in 2025, please refer to our full plan details page.
Zing Dual Complete Open Choice MI (PPO D-SNP) is a PPO D-SNP plan offered by Zing Health Consolidator, Inc available for enrollment in 2025 to people living in Greater Detroit. The overall rating for this plan is not yet available for 2025.
It's important to know that Zing Dual Complete Open Choice MI (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Zing Dual Complete Open Choice MI (PPO D-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 Dual Complete Open Choice MI (PPO D-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 Dual Complete Open Choice MI (PPO D-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 combined Maximum Out-Of-Pocket cost of $14000.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $14000.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 Dual Complete Open Choice MI (PPO D-SNP) plan has a $590 deductible for prescription drugs. Once you meet your deductible, you will pay coinsurance for your prescriptions depending on the drug tier and pharmacy. You may pay 5% coinsurance for preferred generics at a standard pharmacy, up to 25% coinsurance for other drugs. After your total drug costs reach $2000, you enter the catastrophic coverage phase and pay nothing for your Part D covered drugs. If you qualify for the low-income subsidy, your drug costs are $0.
Additional Benefits
The Zing Dual Complete Open Choice MI (PPO D-SNP) plan offers a range of benefits with varying cost-sharing options. Many services, like preventive services, hearing exams, and vision exams, have no copay. Other services, such as outpatient services, primary care, and ambulance services, typically involve a 20% coinsurance. This plan also provides coverage for dental services with no copay and a $1,500 annual maximum. Home health services, emergency services, and some outpatient services are also covered. It's important to review the specific details for each service, as some benefits require prior authorization and may have other limitations.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, but the specific copay information is not provided. Additional Days for Inpatient Hospital-Acute are covered with no copay, while Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are also not covered.
Outpatient Services See details
Outpatient services, including outpatient hospital services, observation services, ambulatory surgical center services, and outpatient substance abuse services, are covered with a 20% coinsurance. Outpatient blood services are also covered with a 20% coinsurance, and this plan waives the three-pint deductible.
Partial Hospitalization See details
Partial Hospitalization is covered under the Zing Dual Complete Open Choice MI (PPO D-SNP) plan. You will pay 20% coinsurance for this benefit, and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services includes coverage for both ground and air ambulance services with a 20% coinsurance, but no copay. Transportation Services to any health-related location are not covered.
Emergency Services See details
Emergency Services, including Urgently Needed Services, have a 20% coinsurance, and Worldwide Emergency Coverage has no copay. Worldwide Emergency Transportation is not covered. Worldwide Emergency Services has a maximum benefit of $100,000.
Primary Care See details
The Zing Dual Complete Open Choice MI (PPO D-SNP) plan covers primary care, physician specialist, and physical therapy services with a 20% coinsurance. Chiropractic services are covered, but routine care is not covered. Mental health specialty services, including individual and group sessions, require prior authorization and have a 20% coinsurance. Podiatry services have a 20% coinsurance, and additional telehealth benefits have no copay.
Preventive Services See details
Preventive Services include annual physical exams with no copay, as well as other services that may have a copay or coinsurance. Kidney Disease Education Services, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit have a 20% coinsurance, while Diabetes Self-Management Training, Glaucoma Screening, Personal Emergency Response System (PERS), Fitness Benefit, and Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline) have no copay. Other benefits such as Health Education, In-Home Safety Assessment, Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, Home and Bathroom Safety Devices and Modifications, and Counseling Services are not covered.
Hearing Services See details
Hearing exams are covered with a coinsurance of at most 20% for routine hearing exams, and fitting/evaluation for hearing aids is covered with no copay. Prescription hearing aids are covered with a maximum benefit of $750 every three years, with no copay for Prescription Hearing Aids (all types), but Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, and Prescription Hearing Aids - Over the Ear are not covered. OTC hearing aids are not covered.
Vision Services See details
Vision services include coverage for eye exams and eyewear. Routine eye exams have no copay and 20% coinsurance, and eyewear, including contact lenses, eyeglasses (lenses and frames), and eyeglass lenses, has no copay. Eyewear has a combined maximum benefit of $250.00 per year, and upgrades are not covered.
Dental Services See details
Dental services are covered, with no copay for both Medicare and other dental services. The plan covers 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, all with no copay. Maxillofacial prosthetics, implant services, and orthodontics are not covered. There is a $1,500 maximum plan benefit per year.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Zing Dual Complete Open Choice MI (PPO D-SNP) plan, and require prior authorization. Medicare Part B Insulin Drugs have a $35 copay, with coinsurance between 0% and 20%, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the Zing Dual Complete Open Choice MI (PPO D-SNP) plan, with a coinsurance of 20%. There is no copay for this benefit.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. Durable Medical Equipment has a 20% coinsurance, and requires authorization, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices and Diabetic Supplies also have a 20% coinsurance, while Medical Supplies have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, with no copay. You may have to pay up to 20% coinsurance for Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services.
Home Health Services See details
Home Health Services are covered by the Zing Dual Complete Open Choice MI (PPO D-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 not covered by the Zing Dual Complete Open Choice MI (PPO D-SNP) plan. This includes Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the Zing Dual Complete Open Choice MI (PPO D-SNP) plan, but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered. Prior authorization is required, and the cost sharing is the same as original Medicare.
Other Services See details
Other Services includes coverage for Over-the-Counter (OTC) Items and a Meal Benefit. Over-the-Counter (OTC) Items have no copay, and the plan offers up to $121.00 every three months. The plan does not cover 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, or Self-Directed Personal Assistance Services.
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