Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Open Choice Diabetes & Heart MI (PPO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Zing Open Choice Diabetes & Heart MI (PPO C-SNP) in 2026, please refer to our full plan details page.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) is a PPO C-SNP plan offered by Zing Health Consolidator, Inc available for enrollment in 2025 to people living in Southeast Michigan. This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that Zing Open Choice Diabetes & Heart MI (PPO 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 Open Choice Diabetes & Heart MI (PPO 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 Open Choice Diabetes & Heart MI (PPO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Zing Open Choice Diabetes & Heart MI (PPO 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 combined Maximum Out-Of-Pocket cost of $8950.00 (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 $8950.00 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.
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The Zing Open Choice Diabetes & Heart MI (PPO C-SNP) plan features a $0 drug deductible, meaning your prescription coverage begins immediately. Under this plan, you will pay no copay for Tier 1 preferred generic and Tier 6 select care drugs at standard pharmacies or through standard mail order. For Tier 2 generic medications, standard mail order options offer no copay, while standard pharmacies charge a copay starting at $5 for a one-month supply. Tier 3 preferred brand drugs require a $47 copay for a one-month supply at standard pharmacies and standard mail order, with cost-saving opportunities on three-month mail orders. Higher-tier prescriptions involve coinsurance, with Tier 4 non-preferred drugs requiring 25% coinsurance and Tier 5 specialty drugs requiring 33% coinsurance for a one-month supply. This drug plan structure helps beneficiaries with chronic conditions easily anticipate and manage their out-of-pocket medication costs.
The Zing Open Choice Diabetes & Heart MI (PPO C-SNP) plan offers affordable medical coverage with no copay and no coinsurance for primary care visits, mental health services, and routine preventive care. For specialized care, members can expect a low $0 to $20 copay for specialist visits and a $310 daily copay for days 1 through 6 of inpatient hospital stays. Outpatient hospital services require a $100 copay, while emergency room visits carry a $125 copay that is waived if admitted within 24 hours. Beyond standard medical care, this plan features built-in dental, vision, and hearing benefits with no copays or coinsurance, including up to $2,000 yearly for dental services and a $250 annual eyewear allowance. Home health care and chronic illness meal benefits are also covered with no copay or coinsurance. Finally, medical equipment and dialysis services are available with no copay and a 20% coinsurance, alongside a quarterly $75 allowance for over-the-counter items.
Inpatient hospital services are covered by Zing Open Choice Diabetes & Heart MI (PPO C-SNP) with no coinsurance, requiring a $310 daily copay for days 1 through 6 and no copay for days 7 through 90 for acute and psychiatric stays. Prior authorization is required, and certain benefits such as non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) covers outpatient services with no coinsurance, requiring a $100 copay for outpatient hospital services, an $85 copay per stay for observation services, and a $75 copay for ambulatory surgical center services. Outpatient substance abuse sessions and outpatient blood services are covered with no copays and no coinsurance.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) covers partial hospitalization services with a $70.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) covers ground ambulance services with a $225 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay, both of which require prior authorization. For transportation, some services are covered, but transportation to plan-approved or any health-related locations is not covered.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) covers emergency services with a $125 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours, and urgently needed services with a copay of $0 to $20 and no coinsurance. Worldwide emergency and urgent care are partially covered up to $100,000 with no copay or coinsurance, though worldwide emergency transportation is not covered.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) covers primary care doctor visits, mental health sessions, and psychiatric services with no copay and no coinsurance. Specialist visits require a $0 to $20 copay, physical, occupational, and speech therapies require a $25 copay, and routine podiatry is covered for a $15 copay, all with no coinsurance. Chiropractic services are not covered by this plan.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) offers partially covered preventive services with no copay and no coinsurance for covered care, such as annual physicals, glaucoma screenings, and diabetes training. However, the plan does not cover health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, home-based palliative care, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, home safety devices, and counseling.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) offers partially covered hearing services, featuring a $30 copay and no coinsurance for Medicare-covered exams, and no copay or coinsurance for annual routine exams and fitting evaluations. Prescription hearing aids are covered with no copay or coinsurance up to a $750 maximum per ear every three years, though OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) partially covers vision services with no copay and no coinsurance, although other eye exam services and eyewear upgrades are not covered. Covered benefits include one routine eye exam per year and up to $250 annually for eyewear—such as glasses or contacts—with no copays and no coinsurance.
Dental services are partially covered by Zing Open Choice Diabetes & Heart MI (PPO C-SNP) with no copay and no coinsurance for covered benefits up to a $2,000 yearly maximum for both in-network and out-of-network care. While preventive and comprehensive services like cleanings, exams, and restorative care are covered, this plan does not cover other diagnostic dental services, other preventive dental services, maxillofacial prosthetics, implant services, or orthodontics.
Home infusion bundled services are covered under the Zing Open Choice Diabetes & Heart MI (PPO C-SNP) with no copay, subject to prior authorization. Covered Medicare Part B drugs, including chemotherapy and insulin, carry a coinsurance ranging from no coinsurance to 20%, with insulin also requiring a $35 copay.
Dialysis Services are covered by Zing Open Choice Diabetes & Heart MI (PPO C-SNP) with no copay and a 20% coinsurance.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) covers medical equipment, including DME, prosthetics, and diabetic supplies, with no copay and prior authorization required. There is a 20% coinsurance for DME, prosthetics, and medical supplies, a 0% to 20% coinsurance for diabetic supplies, and no coinsurance for diabetic therapeutic shoes or inserts.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) covers diagnostic and radiological services, though prior authorization is required. Lab services and outpatient X-rays feature no copay, diagnostic tests range from a $0 to $25 copay with no coinsurance, diagnostic radiology starts at a $50 copay, and therapeutic radiology requires a 20% coinsurance.
Home health services are covered by Zing Open Choice Diabetes & Heart MI (PPO C-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services are offered with no copay and no coinsurance under the Zing Open Choice Diabetes & Heart MI (PPO C-SNP), though prior authorization is required. In practice, only some services are covered as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) covers skilled nursing facility stays with no coinsurance, requiring prior authorization but no prior hospital stay. Stays feature no copay for days 1 through 20 and a $214 daily copay for days 21 through 100, with additional days beyond the Medicare-covered limit not covered.
Zing Open Choice Diabetes & Heart MI (PPO C-SNP) partially covers other services, offering chronic illness meal benefits and over-the-counter (OTC) items with no copay and no coinsurance. Covered OTC items are limited to $75 every three months, while acupuncture is not covered.
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* 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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