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Zing Choice Diabetes & Heart Complete TN (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Zing Choice Diabetes & Heart Complete 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 Choice Diabetes & Heart Complete TN (PPO C-SNP) in 2025, please refer to our full plan details page.
Zing Choice Diabetes & Heart Complete 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. The overall rating for this plan is not yet available for 2025.
It's important to know that Zing Choice Diabetes & Heart Complete 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 Choice Diabetes & Heart Complete 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 Choice Diabetes & Heart Complete 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 Choice Diabetes & Heart Complete 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 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:
Sign up for Zing Choice Diabetes & Heart Complete TN (PPO C-SNP)
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Drug Coverage
The Zing Choice Diabetes & Heart Complete TN (PPO C-SNP) plan has an enhanced alternative drug benefit. You will pay a deductible of $590.00 before your drug coverage begins. During the initial coverage phase, after your deductible is met, you will pay coinsurance or a copay depending on the drug tier and pharmacy type. For example, for specialty tier drugs, there is no copay.
Additional Benefits
The Zing Choice Diabetes & Heart Complete TN (PPO C-SNP) plan offers a range of benefits with varying costs. Many services have a 20% coinsurance, including outpatient services, primary care, ambulance services, emergency services, vision exams, and durable medical equipment. Many services have no copay, including home health services, preventive services, hearing exams, eyewear, dental services, and over-the-counter items.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered, but the specific copays are not detailed in this summary. Additional Days for Inpatient Hospital-Acute are covered with no copay, while Non-Medicare-covered Stay for Inpatient Hospital-Acute, Upgrades for Inpatient Hospital-Acute, Additional Days for Inpatient Hospital Psychiatric, and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services for the Zing Choice Diabetes & Heart Complete TN (PPO C-SNP) plan include coverage for Outpatient Hospital Services, Observation Services, Ambulatory Surgical Center (ASC) Services, Outpatient Substance Abuse Services, and Outpatient Blood Services, all with a 20% coinsurance. The Outpatient Blood Services include an enhanced benefit with a three-pint deductible waived.
Partial Hospitalization See details
Partial hospitalization is covered under the Zing Choice Diabetes & Heart Complete TN (PPO C-SNP) plan, but requires prior authorization. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered under the Zing Choice Diabetes & Heart Complete TN (PPO C-SNP) plan. Ground and Air Ambulance Services have a 20% coinsurance, and there is no copay. Transportation Services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services and Urgently Needed Services have a 20% coinsurance. Worldwide Emergency Coverage and Worldwide Urgent Coverage have no copay. Worldwide Emergency Transportation is not covered.
Primary Care See details
The Zing Choice Diabetes & Heart Complete TN (PPO C-SNP) plan covers primary care physician services, chiropractic services, physician specialist services, occupational therapy services, mental health specialty services, podiatry services, other health care professional services, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services. The plan has a 20% coinsurance for primary care physician services, chiropractic services, physician specialist services, occupational therapy services, mental health specialty services, other health care professional services, psychiatric services, and physical therapy and speech-language pathology services. Additional telehealth benefits have no copay, while podiatry services have a 20% coinsurance for routine foot care.
Preventive Services See details
Preventive services include an annual physical exam with no copay, while services such as 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, and counseling services are not covered. Additional services like Nutritional/Dietary Benefit, In-Home Support Services, Fitness Benefit, Remote Access Technologies, and Home and Bathroom Safety Devices and Modifications are covered with a $0 copay.
Hearing Services See details
Hearing services include routine hearing exams with no copay and at most 20% coinsurance, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids (all types) are covered with no copay, up to $750 per ear every three years, but prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are not covered.
Vision Services See details
Vision Services include eye exams and eyewear. Eye exams have a 20% coinsurance, and routine eye exams have no copay. Eyewear, including contact lenses, eyeglasses (lenses and frames), and eyeglass lenses, has no copay, but upgrades are not covered.
Dental Services See details
Dental services are covered with no copay. Medicare dental services require prior authorization. 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, while 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, you will pay a $35 copay and between 0-20% coinsurance. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, you will pay between 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the Zing Choice Diabetes & Heart Complete TN (PPO C-SNP) plan. The plan has a coinsurance of 20% for dialysis services.
Medical Equipment See details
Medical Equipment is covered by the Zing Choice Diabetes & Heart Complete TN (PPO C-SNP) plan, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. Durable Medical Equipment (DME) has a 20% coinsurance, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices, Medical Supplies, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts each have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the Zing Choice Diabetes & Heart Complete TN (PPO C-SNP) plan. Diagnostic Procedures/Tests and Lab Services have a coinsurance of at most 20%, and Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services also have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the Zing Choice Diabetes & Heart Complete TN (PPO 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 not covered by the Zing Choice Diabetes & Heart Complete TN (PPO C-SNP) plan. Prior authorization is required for this benefit, but none of the cardiac rehabilitation services are covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the Zing Choice Diabetes & Heart Complete TN (PPO C-SNP) plan, but the copay is not specified in this snippet. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered. Prior authorization is required.
Other Services See details
The Zing Choice Diabetes & Heart Complete TN (PPO C-SNP) plan covers Over-the-Counter (OTC) Items with no copay, and a maximum plan benefit coverage amount of $135.00 every month. This plan also covers Meal Benefits with no copay. However, 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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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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