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Zing Open Choice Diabetes & Heart IN (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Open Choice Diabetes & Heart IN (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 IN (PPO C-SNP) in 2025, please refer to our full plan details page.
Zing Open Choice Diabetes & Heart IN (PPO C-SNP) is a PPO C-SNP plan offered by Zing Health Consolidator, Inc available for enrollment in 2025 to people living in Central and Northwest IN. The overall rating for this plan is not yet available for 2025.
It's important to know that Zing Open Choice Diabetes & Heart IN (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 IN (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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Zing Open Choice Diabetes & Heart IN (PPO 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 Open Choice Diabetes & Heart IN (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 $6350.00 (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 $6350.00 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 Open Choice Diabetes & Heart IN (PPO 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. For example, you'll pay an $8 copay for preferred generic drugs at a standard pharmacy, and 33% coinsurance for preferred brand and non-preferred drugs. However, there is no copay for preferred generic drugs at a standard mail pharmacy or for specialty tier drugs.
Additional Benefits
The Zing Open Choice Diabetes & Heart IN (PPO C-SNP) plan offers a range of benefits with varying cost-sharing. Inpatient hospital stays have a copay, while many outpatient services, including primary care visits, have no copay. Emergency and preventive services also come with no copay. This plan provides coverage for hearing and vision services, with copays for exams and benefits for hearing aids and eyewear. Dental services are included with no copay for covered services, and the plan also covers home health, medical equipment, and prescription drugs with copays or coinsurance.
Inpatient Hospital See details
Inpatient hospital services, including acute and psychiatric care, are covered. For inpatient hospital acute and psychiatric care, you will pay a $339 copay for days 1-6, and no copay for days 7-90.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with a $225 copay, Observation Services with a $90 copay, Ambulatory Surgical Center (ASC) Services with a $125 copay, Individual and Group Sessions for Outpatient Substance Abuse with no copay, and Outpatient Blood Services with no copay. Outpatient services require prior authorization.
Partial Hospitalization See details
Partial hospitalization is covered, but requires prior authorization. You will have a $70 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered under the Zing Open Choice Diabetes & Heart IN (PPO C-SNP) plan. Ground ambulance services have a $200 copay, while air ambulance services have a 20% coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage are covered by the Zing Open Choice Diabetes & Heart IN (PPO C-SNP) plan. Emergency Services has a $110 copay, and Urgently Needed Services has a copay between $0 and $10; both have no coinsurance. Worldwide Emergency Coverage has no copay and no coinsurance. Worldwide Emergency Transportation is not covered.
Primary Care See details
Primary Care benefits include coverage for primary care physician services with no copay, chiropractic services with a $15 copay, occupational therapy services with a $20 copay, physician specialist services with a copay between $0 and $30, mental health specialty services with no copay for individual and group sessions, podiatry services with a $20 copay, other health care professional services with no copay, psychiatric services with no copay for individual and group sessions, physical therapy and speech-language pathology services with a $20 copay, additional telehealth benefits with a copay between $0 and $45, and opioid treatment program services with a $30 copay. Routine chiropractic care is not covered.
Preventive Services See details
Preventive Services include annual physical exams with no copay, and additional services such as Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Nutritional/Dietary Benefit, In-Home Support Services, Fitness Benefit, Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline), Home and Bathroom Safety Devices and Modifications, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit with no copay. 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, 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 exams are covered with a $45 copay. Routine hearing exams have no copay, and fitting/evaluation for hearing aids have no copay. Prescription hearing aids are covered, with a maximum plan benefit of $750 per ear every three years. Prescription hearing aids, inner ear, outer ear, and over the ear are not covered. OTC hearing aids are not covered.
Vision Services See details
Vision services include eye exams and eyewear benefits. Eye exams have a copay of $0-$45, while routine eye exams have no copay. Eyewear includes contact lenses, eyeglasses (lenses and frames), and eyeglass lenses and frames, all of which have no copay and a combined maximum plan benefit of $200 per year. Upgrades are not covered.
Dental Services See details
The Zing Open Choice Diabetes & Heart IN (PPO C-SNP) plan covers dental services with no copay for Medicare dental services and other dental services, with a maximum benefit of $1500 every year. 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.
Home Infusion bundled Services See details
Home Infusion bundled Services, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs, are covered with prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay with a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, coinsurance ranges from 0% to 20%.
Dialysis Services See details
Dialysis Services are covered by the Zing Open Choice Diabetes & Heart IN (PPO C-SNP) plan. The coinsurance for Dialysis Services is 20%.
Medical Equipment See details
Medical Equipment benefits are covered by the Zing Open Choice Diabetes & Heart IN (PPO C-SNP) plan. Durable Medical Equipment (DME) is covered with a 20% coinsurance, and a $0 copay, but equipment for use outside the home is not covered. Prosthetic devices and medical supplies are covered with a 20% coinsurance and no copay, and Diabetic Equipment is covered with a 0-20% coinsurance depending on the service, with no copay.
Diagnostic and Radiological Services See details
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. Outpatient X-ray services have no copay, while diagnostic radiological services have a copay up to $150 and therapeutic radiological services have a coinsurance of at least 20%.
Home Health Services See details
Home Health Services are covered by the Zing Open Choice Diabetes & Heart IN (PPO C-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. This benefit requires authorization.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but not in practice, as 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 are not covered. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Zing Open Choice Diabetes & Heart IN (PPO 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 and non-Medicare-covered SNF stays are not covered.
Other Services See details
Other Services include Over-the-Counter (OTC) Items and Meal Benefit. Over-the-Counter (OTC) Items have no copay and a maximum plan benefit coverage amount of $167.00 per month, and the plan provides nicotine replacement therapy (NRT) and Naloxone. Meal Benefit has 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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* 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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