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 NameTennCare
Expanded MedicaidNo
Websitehttps://www.tn.gov/tenncare.html
Phone800-342-3145
Apply Onlinehttps://tenncareconnect.tn.gov/services/homepage
Appeal a DenialRequest a Hearing
Find a Local OfficeOffice 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 servicesNursing facility care
Community health clinic servicesOccupational therapy
Durable medical equipmentOrgan transplants
Emergency air and ground ambulanceOutpatient hospital services
Home health servicesPharmacy services
Hospice servicesPhysical therapy services
Inpatient hospital servicesPhysician services
Lab and X-ray servicesRenal dialysis services
Medical suppliesSpeech therapy services
Non-emergency transportationVision 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