2027 Medicare Advantage plan

Zing Elite Essentials Diabetes & Heart IL-IN (HMO C-SNP): 2027 benefits and costs

Zing Health HMO C-SNP Special Needs Plan

CMS plan ID: H4624-045-0 · Plan year: 2027

Zing Elite Essentials Diabetes & Heart IL-IN (HMO C-SNP) is a 2027 Medicare Advantage plan offered by Zing Health. It is listed in Illinois, Indiana.

2027 plan costs at a glance

Monthly plan premium$9.80

Drug deductible$700.00

In-network medical out-of-pocket maximum$6,900.00

Organization: Zing Health
Plan organization: ZING HEALTH OF MICHIGAN, INC.
Parent company: Zing Health Consolidator, Inc
Plan type: HMO C-SNP
Part C premium: $0.00
Part D premium: $9.80
Prescription drug coverage: Yes
Special Needs Plan type: Chronic or Disabling Condition
2027 CMS Star Rating

Standard monthly Medicare Part B premium: $209.50 (estimated)

You must continue to pay your Medicare Part B premium.

In-network medical deductible: None
In-network medical maximum: $6,900.00

Who can join this Special Needs Plan?

This plan is for people with qualifying chronic or disabling conditions. The plan must confirm that your condition meets its eligibility rules.

Plan eligibility type: Chronic or Disabling Condition
Qualifying conditions: Diabetes Mellitus, Chronic Heart Failure, and Cardiovascular Disorders

2027 benefit summary

Doctor visits and medical care

Common medical services and member costs
Service	In-network	What to know
Primary care doctor	$0.00 copay Service-specific deductible No
Specialist visit	$0.00 to $10.00 copay Service-specific deductible No	Approval required No Referral required No
Telehealth	$0.00 to $10.00 copay Service-specific deductible No	Approval required No Referral required No
Emergency care	$130.00 copay
Urgent care	$0.00 to $10.00 copay
Home health	$0.00 copay Service-specific deductible No	Approval required Yes Referral required No
Dialysis	20% coinsurance Service-specific deductible No	Approval required No Referral required No
Part B chemotherapy and radiation drugs	0% to 20% coinsurance Deductible applies No	Approval required Yes
Other Part B drugs	0% to 20% coinsurance Deductible applies No	Approval required Yes
Kidney disease education services	$0.00 copay Service-specific deductible No	Approval required No Referral required No
Medicare-covered chiropractic	$15.00 copay Service-specific deductible No	Approval required Yes Referral required No
Medicare-covered foot care	$10.00 copay Service-specific deductible No	Approval required No Referral required No
Other health professionals	$0.00 copay Service-specific deductible No	Approval required No Referral required No

Hospital, outpatient surgery and observation care

Inpatient stays and skilled nursing care

In-network stays. Charges can depend on the number of days and the benefit period.
Care	Your share of the cost	What to know
Inpatient hospital stay	$0.00 copay per stay Days 1–7: $436.00 copay per day Days 8–90: $0.00 copay per day	Approval required Yes Referral required No Benefit period Per Admission or Per Stay
Inpatient mental health care	$0.00 copay per stay Days 1–8: $290.00 copay per day Days 9–90: $0.00 copay per day	Approval required Yes Referral required No Benefit period Per Admission or Per Stay
Skilled nursing facility	Days 1–20: $10.00 copay per day Days 21–100: $221.00 copay per day	Approval required Yes Referral required No Benefit period Per Admission or Per Stay

See plan documents for out-of-network hospital and skilled nursing costs.

Hospital, outpatient surgery and observation care and member costs
Service	In-network	What to know
Outpatient hospital care	$300.00 copay Service-specific deductible No
Hospital observation services	$250.00 copay Service-specific deductible No
Ambulatory surgical center	$150.00 copay Service-specific deductible No	Approval required Yes Referral required No
Outpatient blood	$0.00 copay Service-specific deductible No	Approval required No Referral required No

Tests, imaging and laboratory services

Tests, imaging and laboratory services and member costs
Service	In-network	What to know
Diagnostic procedures and tests	$0.00 to $25.00 copay Service-specific deductible No	Approval required Yes Referral required No
Laboratory services	$0.00 copay Service-specific deductible No	Approval required Yes Referral required No
Diagnostic radiology (CT, MRI)	$150.00 to $200.00 copay Service-specific deductible No	Approval required Yes Referral required No
Therapeutic radiology	20% coinsurance Service-specific deductible No	Approval required Yes Referral required No
X-rays	$0.00 copay Service-specific deductible No	Approval required Yes Referral required No

Mental health and substance use treatment

Mental health and substance use treatment and member costs
Service	In-network	What to know
Partial hospitalization	$155.00 copay Service-specific deductible No	Approval required Yes Referral required No
Intensive outpatient program	$155.00 copay Service-specific deductible No	Approval required Yes Referral required No
Substance use treatment, individual sessions	$0.00 copay Service-specific deductible No	Approval required Yes Referral required No
Substance use treatment, group sessions	$0.00 copay Service-specific deductible No	Approval required Yes Referral required No
Opioid treatment program	$0.00 copay Service-specific deductible No	Approval required Yes Referral required No
Mental health, individual sessions	$10.00 copay Service-specific deductible No	Approval required Yes Referral required No
Mental health, group sessions	$10.00 copay Service-specific deductible No	Approval required Yes Referral required No
Psychiatry, individual sessions	$10.00 copay Service-specific deductible No	Approval required Yes Referral required No
Psychiatry, group sessions	$10.00 copay Service-specific deductible No	Approval required Yes Referral required No

Therapy and rehabilitation

Therapy and rehabilitation and member costs
Service	In-network	What to know
Occupational therapy	$20.00 copay Service-specific deductible No	Approval required Yes Referral required No
Physical and speech therapy	$20.00 copay Service-specific deductible No	Approval required Yes Referral required No
Cardiac rehabilitation	$0.00 copay Service-specific deductible No	Approval required Yes Referral required No
Intensive cardiac rehabilitation	$0.00 copay Service-specific deductible No	Approval required Yes Referral required No
Pulmonary rehabilitation	$0.00 copay Service-specific deductible No	Approval required Yes Referral required No
Supervised exercise for peripheral artery disease	$0.00 copay Service-specific deductible No	Approval required Yes Referral required No

Ambulance, medical equipment and supplies

Ambulance, medical equipment and supplies and member costs
Service	In-network	What to know
Ground ambulance	$335.00 copay Service-specific deductible No	Approval required Yes
Air ambulance	20% coinsurance Service-specific deductible No	Approval required Yes
Durable medical equipment	20% coinsurance Service-specific deductible No	Approval required Yes
Prosthetic devices	20% coinsurance Service-specific deductible No	Approval required Yes
Medical supplies	20% coinsurance Service-specific deductible No	Approval required Yes
Diabetic supplies	0% to 20% coinsurance Service-specific deductible No	Approval required Yes
Diabetic shoes and inserts	0% coinsurance Service-specific deductible No	Approval required Yes
Diabetic monitors	0% to 20% coinsurance Service-specific deductible No	Approval required Yes

Dental benefits

Dental benefits and member costs
Service	In-network	What to know
Medicare-covered dental	$0.00 copay
Oral examsAdditional plan benefit	Confirm with the plan (copay)
Dental X-raysAdditional plan benefit	Confirm with the plan (copay)
Dental cleaningAdditional plan benefit	Confirm with the plan (copay)
FluorideAdditional plan benefit	Confirm with the plan (copay)
Restorative dental careAdditional plan benefit	$0.00 copay
Root canal treatment (endodontics)Additional plan benefit	$0.00 copay
Gum treatment (periodontics)Additional plan benefit	$0.00 copay
Removable dentures (prosthodontics)Additional plan benefit	$0.00 copay
Fixed dental restorations (prosthodontics)Additional plan benefit	$0.00 copay
Oral surgeryAdditional plan benefit	$0.00 copay
Other dental servicesAdditional plan benefit	$0.00 copay

Vision benefits

Vision benefits and member costs
Service	In-network	What to know
Medicare-covered eye exams	$0.00 to $20.00 copay Service-specific deductible No	Approval required No Referral required No
Routine eye examsAdditional plan benefit	$0.00 copay	Approval required No Referral required No
Medicare-covered eyewear	$0.00 copay Service-specific deductible No	Approval required No Referral required No
Contact lensesAdditional plan benefit	$0.00 copay	Approval required No Referral required No
Eyeglasses, lenses and framesAdditional plan benefit	$0.00 copay	Approval required No Referral required No
Eyeglass lensesAdditional plan benefit	$0.00 copay	Approval required No Referral required No
Eyeglass framesAdditional plan benefit	$0.00 copay	Approval required No Referral required No

Hearing benefits

Hearing benefits and member costs
Service	In-network	What to know
Medicare-covered hearing exams	$20.00 copay Service-specific deductible No	Approval required No Referral required No
Routine hearing examsAdditional plan benefit	$0.00 copay	Approval required No Referral required No
Hearing aid fitting and evaluationAdditional plan benefit	$0.00 copay	Approval required No Referral required No
Prescription hearing aids (all types)Additional plan benefit	$0.00 copay Service-specific deductible No	Approval required No Referral required No

Extra benefits

Extra benefits and member costs
Service	In-network	What to know
Over-the-counter health itemsAdditional plan benefit	$0.00 copay Service-specific deductible No
Limited-duration mealsAdditional plan benefit	$0.00 copay Service-specific deductible No	Approval required No Referral required No
Annual physical examAdditional plan benefit	$0.00 copay Service-specific deductible No	Approval required No Referral required No
Fitness benefitAdditional plan benefit	$0.00 copay Service-specific deductible No	Approval required No Referral required No

Allowances and optional benefits

Benefits for qualifying members

Foods & Produce and Utilities

The plan must confirm eligibility, including any qualifying condition.

Qualifying conditions: Autoimmune disorders; Cancer; Cardiovascular disorders; Chronic heart failure; Dementia; Diabetes mellitus; Chronic kidney disease (CKD); HIV/AIDS; Chronic lung disorders; Stroke
Included services: Food and produce; Support for daily living
Some package benefits are exempt from the deductible: No
Package limit: $165.00
How often this limit applies: Every month
How benefits are provided: Catalogue Purchase; Debit Card; Reimbursement
Services sharing the package limit: Food and produce; Support for daily living

Transportation

The plan must confirm eligibility, including any qualifying condition.

Qualifying conditions: Other 1
Qualifying conditions: Chronic kidney disease - Stage 5
Included services: Transportation to plan-approved health locations
Some package benefits are exempt from the deductible: No

Prescription drug coverage

Costs shown are for initial coverage.

This plan uses a non-tiered standard drug benefit; individual drug prices are not listed here.

Available prescription supply lengths, not price quotes
Pharmacy	Supply
Standard retail	30 days
Standard retail	60 days
Standard retail	100 days
Standard mail order	30 days
Standard mail order	60 days
Standard mail order	100 days
Out-of-network pharmacy	30 days
Long-term care pharmacy	31 days

Where this plan is offered

CMS lists this plan in 2 states or territories. Availability can vary by county and ZIP code.