HEALTHCARE​

• TennCare – is Tennessee’s Medicaid program. It provides health insurance coverage to certain groups of people like pregnant women, children, caretaker relatives of children under 19 years of age, and some adults 65 years of age and older, and some adults with disabilities.

  • Children get vision and dental care.

  • Adults can get dental care now

  • See “How to Apply…” below.

  • All about TennCare flyer

    • ​​You can apply with TennCare Connect by phone, mail/fax, or online. Click here for more information on how to apply. Save proof that you applied.

    • Fill out our case inquiry form if you need help applying and we will see if we can help you.

• CoverKids – is Tennessee’s Children’s Health Insurance Program (CHIP). It offers health coverage to pregnant women and children who are uninsured and don’t qualify for TennCare. Preventative health care is free. Sick visits and medication have very low copays.

  • Children under the age of 19 can get dental and vision care.

  • Pregnant women can get prenatal care, labor and delivery, and 60 days postpartum care – meaning 60 days after delivery.

    • For immigrant pregnant women – proof of immigration status is NOT required.

  • See how to apply below.

    • You can apply with TennCare Connect by phone, mail/fax, or online. Click here for more information on how to apply. Save proof that you applied.

    • Fill out our case inquiry form if you need help applying and we will see if we can help you.

• Medicare Savings Programs - help people on Medicare pay their premiums and for some people, it also pays Part A and Part B deductibles, coinsurance, and copayments.

  • You can apply with TennCare Connect by phone, mail/fax, or online. Click here for more information on how to apply. Save proof that you applied.

• CHOICES - is Tennessee’s long-term services and supports for some adults with physical disabilities aged 21 years and older and some adults age 65 and older without a physical disability. You will have health coverage through TennCare when enrolled in CHOICES and extra help with daily activities (ADLs).

  • ADLs include:

    • Mobility – moving from place to place.

    • Transferring – getting out of bed or a chair.

    • Toileting – getting help with using the bathroom.

    • Bathing

    • Eating

  • There are 3 Groups each offering different types of services:

    • Group 1: pays for nursing home care.

    • Group 2: is care in your home or community that doesn’t cost more than a nursing home.

    • Group 3: is for people who are at risk of needing nursing home care and the care in your home or community doesn’t cost more than $15,000.

  • How to apply for CHOICES:

    • Already on TennCare? Call your Managed Care Organization (MCO). The phone number should be on your card.

    • Call the Area Agency on Aging and Disability at 1-888-836-6678 if you are not on TennCare.

  • Contact us if you have applied for CHOICES and:

    • Your application was denied.

    • You were told that you need a Qualified Income Trust (QIT).

    • You were told that you have too many resources.

• Employment and Community First CHOICES (ECF CHOICES) – is Tennessee’s program for people with intellectual and developmental disabilities. People on ECF CHOICES, get health insurance through TennCare. They also get additional services. These services include help getting a job or living as independently as possible in the community.

  • How to apply for ECF CHOICES

    • On TennCare now? Call your Managed Care Organization (MCO). The phone number is on your TennCare card.

    • Not on TennCare? You must complete TennCare self-referral form. You can get it here.

      • Need help applying?

        • Contact the TJC by calling toll free at 1-877-608-1009; OR

        • Call your regional Department of Intellectual and Developmental Disabilities (DIDD) office:

          • West Tennessee Regional Office of Intake (866) 372-5709

          • Middle Tennessee Regional Office of Intake (800) 654-4839

          • East Tennessee Regional Office of Intake (888) 531-9876

• Temporary TennCare Coverage – Certain groups of people can get temporary TennCare coverage through 1 of 3 presumptive eligibility (PE) programs:

  • Presumptive Eligibility for Pregnant Women – you can apply at your local health department. For a list of local health departments, click here.

  • Presumptive Eligibility for Women with Breast or Cervical Cancer – you can apply at your local health department and certain other clinics throughout the state. For a list of local health departments and participating clinics, click here.

  • Hospital Presumptive Eligibility (HPE) – certain hospitals can enroll individuals they believe meet TennCare’s eligibility rules for these groups:

    • Children under the age 19.

    • Pregnant women.

    • Parents and caretaker relatives of dependent children under the age 19.

    • Former foster are children up to age 26

    • For a list of hospitals participating in HPE, click here.

    • IMPORTANT – this coverage is only temporary – usually only 60 days or so. To keep your coverage, you will need to submit a full application to TennCare before your temporary coverage ends.

      • Generally, the organization that helps you apply for presumptive eligibility can also help you submit a full application.