Tennessee Medicaid (TennCare)

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.

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)

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Copayments

Non-Pharmacy Copays

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