Table of Contents
TennCare is a program providing health insurance to people who are eligible for Medicaid and to certain other people who lack access to insurance. A managed care model is used for delivering program benefits. Enrollees choose a Managed Care Organization for most health care needs.
The program serves more than 1.4 million Tennesseans, including low-income individuals such as pregnant women, children, caretaker relatives of young children and older adults and adults with disabilities. The goal is to improve lives by providing quality, cost-effective medical care.
| Program Name | TennCare |
| Expanded Medicaid | No |
| Website | https://www.tn.gov/tenncare.html |
| Phone | 800-342-3145 |
| Apply Online | https://tenncareconnect.tn.gov/signin |
| Appeal a Denial | Request a Hearing |
| Find a Local Office | Office Locator – Family Assistance |
Eligibility Requirements
To be eligible for Tennessee Medicaid, you must be a resident of the state of Tennessee, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:
- Pregnant
- Be responsible for a child 21 years of age or younger
- Blind
- Have a disability or a family member in your household with a disability
- Be 65 years of age or older
Annual Household Income Limits (before taxes)
| Household Size* | Maximum Income Level (Per Year) |
| 1 | $17,131 |
| 2 | $23,169 |
| 3 | $29,207 |
| 4 | $35,245 |
| 5 | $41,284 |
| 6 | $47,322 |
| 7 | $53,360 |
| 8 | $59,398 |
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
| Behavioral services | Nursing facility care |
| Community health clinic services | Occupational therapy |
| Durable medical equipment | Organ transplants |
| Emergency air and ground ambulance | Outpatient hospital services |
| Home health services | Pharmacy services |
| Hospice services | Physical therapy services |
| Inpatient hospital services | Physician services |
| Lab and X-ray services | Renal dialysis services |
| Medical supplies | Speech therapy services |
| Non-emergency transportation | Vision services |
Copayments
| Pharmacy (generic) | $1.50 |
| Pharmacy (brand name) | $3 |
Non-Pharmacy Copays
| Poverty Level (% FPL) | |||
| 0%-99% | 100% – 199% | 200% and above | |
| Emergency Room | $0 | $10 | $50 |
| Primary Care Physician | $0 | $5 | $15 |
| Physician Specialists | $0 | $5 | $20 |
| Inpatient Hospital | $0 | $5 | $100 |
You don’t pay pharmacy copays for:
- Birth control
- Check-ups for you or your children
- Shots
- Pregnancy care and childbirth
- Pap smears
- Prostate examinations
- Mammograms
