Zing Open Choice Diabetes & Heart IN (PPO C-SNP)
Indiana Chronic Condition Special Needs C-SNP Plan (2024 Plan)
Monthly Premium
Additional Coverage
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Plan Overview
Zing Open Choice Diabetes & Heart IN (PPO C-SNP) is a Chronic Condition Special Needs Plan (C-SNP), which is available in Indiana and offered by the health insurance company Zing Health. This plan’s network type is PPO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Zing Open Choice Diabetes & Heart IN (PPO C-SNP) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $6,350 In and Out-of-network $6,350 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Zing Open Choice Diabetes & Heart IN (PPO C-SNP) are defined below.
Additional Benefits and Coverage
Zing Open Choice Diabetes & Heart IN (PPO C-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Zing Open Choice Diabetes & Heart IN (PPO C-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Zing Open Choice Diabetes & Heart IN (PPO C-SNP) includes coverage for the following additional benefits:
Other benefits
Plan Benefits and Coverage Details
$6,350 In-network
Medical Benefits
Doctor Services
Out-of-network: $0 copay
Out-of-network: $20-35 copay per visit
Tests, labs, & imaging
Out-of-network: $0-25 copay
Out-of-network: $0 copay
Out-of-network: $50-150 copay
Out-of-network: $0 copay
Hospital Services
$0 per day for days 7 through 90
Out-of-network: $350 per day for days 1 through 6
$0 per day for days 7 through 90
Out-of-network: $300 copay per visit
Skilled nursing facility
$203 per day for days 21 through 100
Out-of-network: $0 per day for days 1 through 20
$203 per day for days 21 through 100
Preventive services
Out-of-network: $0 copay
Ambulance
Out-of-network: $200 copay
Therapy services
Out-of-network: $20 copay
Out-of-network: $20 copay
Mental health services
Out-of-network: $40 copay
Out-of-network: $40 copay
Out-of-network: $40 copay
Out-of-network: $40 copay
Opioid treatment services
Other services
Out-of-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item
Out-of-network: 0-20% coinsurance per item
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Gap coverage phase1 | Catastrophic coverage phase |
|---|---|---|---|
| Preferred Generic | $0.00 copay | $0.00 copay |
Brand-name drugs :
|
| Generic | $8.00 copay | ||
| Preferred Brand | $47.00 copay | ||
| Non-Preferred Drug | $100.00 copay | ||
| Specialty Tier | 33% | ||
| 1 For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs. | |||
Part B Drugs
Out-of-network: 0-20% coinsurance
Out-of-network: 0-20% coinsurance
Extra Benefits
Hearing
Out-of-network: $45 copay
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Preventive Dental
Comprehensive dental
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Out-of-network: 50% coinsurance
Vision
Out-of-network: 50% coinsurance
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
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