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Zing Open Choice Diabetes & Heart TN (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 TN (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 TN (PPO C-SNP) in 2026, please refer to our full plan details page.
Zing Open Choice Diabetes & Heart TN (PPO C-SNP) is a PPO C-SNP plan offered by Zing Health Consolidator, Inc available for enrollment in 2025 to people living in Memphis-Delta and Nashville. 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 TN (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 TN (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 TN (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 TN (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:
Sign up for Zing Open Choice Diabetes & Heart TN (PPO C-SNP)
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Drug Coverage
The Zing Open Choice Diabetes & Heart TN (PPO C-SNP) plan features a $0 drug deductible, meaning your prescription drug coverage begins immediately. You will pay no copay for Tier 1 preferred generic and Tier 6 select care drugs at standard pharmacies and through standard mail order. For Tier 2 generic drugs, standard retail copays range from $8 to $24, while standard mail order fills carry no copay. Tier 3 preferred brand drugs require a $47 copay for a one-month supply at standard retail and mail order, with three-month supplies costing $141 at retail or a reduced $94 through mail order. Tier 4 non-preferred drugs incur a 25% coinsurance for both retail and mail order. Tier 5 specialty drugs are restricted to a one-month supply and require a 33% coinsurance.
Additional Benefits
The Zing Open Choice Diabetes & Heart TN (PPO C-SNP) offers comprehensive medical coverage with no copays for primary care, mental health services, and preventive care. Specialist visits feature low copays ranging from $0 to $30, while inpatient hospital stays require a $339 daily copay for the first six days and no copay thereafter. Outpatient hospital services carry a $125 copay, and emergency room visits have a $110 copay, both with no coinsurance. This plan also includes valuable supplemental benefits such as dental coverage up to $1,500 annually and routine vision exams with up to $250 for eyewear yearly, all with no copays or coinsurance. Additionally, members benefit from routine hearing exams and up to $750 per ear for hearing aids every three years with no copay, alongside a quarterly $75 over-the-counter allowance. Durable medical equipment and dialysis services are covered with no copay and a standard 20% coinsurance.
Inpatient Hospital See details
Zing Open Choice Diabetes & Heart TN (PPO C-SNP) covers inpatient hospital services with no coinsurance, requiring a $339 daily copay for days 1 through 6 and no copay for days 7 through 90. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by Zing Open Choice Diabetes & Heart TN (PPO C-SNP) with no coinsurance, featuring a $125 copay for outpatient hospital services, a $90 copay per stay for observation services, and a $50 copay for ambulatory surgical center services. Outpatient substance abuse sessions and blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization services are covered by Zing Open Choice Diabetes & Heart TN (PPO C-SNP) with a $70.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Zing Open Choice Diabetes & Heart TN (PPO C-SNP), offering ground ambulance services for a $200 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay. Prior authorization is required for all ambulance services, and additional transportation services to plan-approved or health-related locations are not covered.
Emergency Services See details
Emergency services are covered by Zing Open Choice Diabetes & Heart TN (PPO C-SNP) with a $110 copay (waived if admitted to the hospital within 24 hours) and no coinsurance, while urgently needed services require no copay to a $10 copay with no coinsurance. Worldwide emergency and urgent care are partially covered up to a $100,000 limit with no copay and no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Zing Open Choice Diabetes & Heart TN (PPO C-SNP) covers primary care, mental health, and psychiatric services with no copay and no coinsurance. Specialist visits range from a $0 to $30 copay, therapy services require a $20 copay, and chiropractic services are partially covered with a $15 copay, though routine and other chiropractic services are not covered, all with no coinsurance.
Preventive Services See details
Preventive services under the Zing Open Choice Diabetes & Heart TN (PPO C-SNP) are covered with no copay and no coinsurance, including annual physicals, kidney disease education, and cardiovascular screenings. Additional preventive benefits are partially covered, but health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, home-based palliative care, caregiver support, smoking cessation, enhanced disease management, telemonitoring, home safety devices, and counseling are not covered.
Hearing Services See details
Zing Open Choice Diabetes & Heart TN (PPO C-SNP) provides partially covered hearing services, featuring Medicare-covered exams for a $45 copay and no coinsurance, alongside routine exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are covered up to $750 per ear every three years with no copay and no coinsurance, though OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Zing Open Choice Diabetes & Heart TN (PPO C-SNP) partially covers vision services with no deductibles and no coinsurance, though other eye exam services and eyewear upgrades are not covered. Covered services include one routine eye exam per year and eyewear up to a $250 annual limit with no copay, while other eye exams may require a copay of up to $45.
Dental Services See details
Dental services are partially covered by Zing Open Choice Diabetes & Heart TN (PPO C-SNP) with no copay and no coinsurance for covered services, up to a $1,500 annual maximum for both in-network and out-of-network care. While exams, cleanings, and restorative services are covered, there is no coverage for other diagnostic dental services, other preventive dental services, maxillofacial prosthetics, implant services, and orthodontics.
Home Infusion bundled Services See details
Zing Open Choice Diabetes & Heart TN (PPO C-SNP) covers Home Infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy and other drugs, carry a coinsurance ranging from no coinsurance to 20% coinsurance, with insulin specifically requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered by Zing Open Choice Diabetes & Heart TN (PPO C-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Zing Open Choice Diabetes & Heart TN (PPO C-SNP) covers medical equipment, including durable medical equipment (DME) and prosthetics, with no copay and 20% coinsurance. Diabetic equipment and supplies are also covered with no copay, carrying no coinsurance for therapeutic shoes or inserts and up to 20% coinsurance for other diabetic supplies.
Diagnostic and Radiological Services See details
Zing Open Choice Diabetes & Heart TN (PPO C-SNP) covers diagnostic and radiological services with prior authorization required, featuring no copay for lab services and outpatient X-rays, and no coinsurance for diagnostic procedures which carry a $0 to $25 copay. Diagnostic radiological services require a copayment starting at $50, while therapeutic radiological services require a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by Zing Open Choice Diabetes & Heart TN (PPO C-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Zing Open Choice Diabetes & Heart TN (PPO C-SNP) plan, as all key sub-services—including intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD)—are excluded from coverage.
Skilled Nursing Facility (SNF) See details
Zing Open Choice Diabetes & Heart TN (PPO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 to 20 and a $214 daily copay for days 21 to 100. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Zing Open Choice Diabetes & Heart TN (PPO C-SNP) partially covers other services, which includes a meal benefit for chronic illness and over-the-counter (OTC) items with no copay and no coinsurance. The OTC benefit provides up to $75 every three months, but acupuncture is not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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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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