Zing Select Dialysis IL (HMO C-SNP)

ZING HEALTH OF MICHIGAN, INC. · 2027 plan year

Plan ID H4624-029-000

HMO★ 3.5 CMS StarsChronic or Disabling Condition SNP
MOOP (in-network)
$6,900
MOOP (combined)
—
Monthly premium
$0/mo
Part C $0 + Part D $0
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H4624-029-000
Medical deductible
$0 — no deductible
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$350/yr
Also owed
Your Medicare Part B premium, paid separately

More ZING HEALTH OF MICHIGAN, INC. plans in IL

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Acute$436/day for days 1–7, $0 after
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$290/day for days 1–8, $0 after
Worldwide Urgent Care CoverageNo charge

Pharmacy

BenefitIn-network
Other Part B Drugs0%-20% coinsurance
Part B DrugsSee plan details
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance

Mental Health

BenefitIn-network
Supplemental Health BenefitsSee plan details
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions$10
Mental Health — Group Sessions$10

Other

BenefitIn-network
Diabetic Supplies0%-20% coinsurance
Diabetic Therapeutic Shoes & InsertsNo charge
Diabetic Monitors0%-20% coinsurance
Dialysis Services20% coinsurance
Over-the-Counter (OTC) ItemsNo charge
Meal BenefitNo charge
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Nutritional & Dietary BenefitNo charge
Remote Access TechnologiesNo charge
Dental — Oral ExamsSee plan details
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Prosthetic Devices20% coinsurance
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Skilled Nursing Facility (SNF)$10/day for days 1–20, $221/day for days 21–100
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional Sessions$40
Intensive Cardiac Rehabilitation — Additional Sessions$55
Pulmonary Rehabilitation — Additional Sessions$35
Supervised Exercise Therapy (SET)$25
Emergency Services$130
Urgently Needed Services$0-$30
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency CoverageNo charge
Partial Hospitalization Program$155
Intensive Outpatient Program (IOP)$155
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Occupational Therapy Services$50
Physician Specialist Services$25
Podiatry ServicesNo charge
Prosthetics & OrthoticsSee plan details
Podiatry ServicesNo charge
Other Health Care Professional ServicesNo charge
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$10
Psychiatric Services — Group Sessions$10
Physical Therapy & Speech-Language Pathology$20
Additional Telehealth Services (Part B)$0-$30
Opioid Treatment Program ServicesNo charge
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests$0-$30
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic Radiology$150-$200
Therapeutic Radiology20% coinsurance
X-Ray ServicesNo charge
Outpatient Hospital Services$375
Hospital Observation Services$250 per stay
Ambulatory Surgical Center (ASC)$225
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual SessionsNo charge
Substance Abuse — Group SessionsNo charge
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$350
Air Ambulance20% coinsurance
Non-Emergency Transportation — Health FacilityNo charge
Durable Medical Equipment (DME)20% coinsurance
Home & Bathroom Safety DevicesNo charge
Personal Emergency Response System (PERS)No charge
In-Home Support ServicesNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)0%-20% coinsurance (max $35)
Dental — Medicare-Covered ServicesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Dental — PreventiveNo charge per office visit (combined preventive services)
Dental — X-RaysSee plan details
Dental — Prophylaxis (Cleaning)See plan details
Dental — Fluoride TreatmentSee plan details
Dental — ComprehensiveSee plan details
Dental — Restorative ServicesNo charge
Dental — Endodontics (Root Canal)No charge
Dental — Periodontics (Gum Care)No charge
Dental — Removable Prosthodontics (Dentures)No charge
Dental — Fixed Prosthodontics (Bridges)No charge
Dental — Oral & Maxillofacial SurgeryNo charge
Dental — Adjunctive General ServicesNo charge
Vision — Eye Exams$0-$25
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — Eyeglass LensesNo charge
Vision — Eyeglass FramesNo charge
Hearing — Exams$25
Hearing — ExamsSee plan details
Hearing — Routine ExamsNo charge
Hearing — Fitting & Evaluation for Hearing AidNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)No charge

Service area

  • IL: 12 counties

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