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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.

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


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

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