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.
|Appeal a Denial||Request a Hearing|
|Find a Local Office||Office Locator – Family Assistance|
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:
- Be responsible for a child 21 years of age or younger
- 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)|
*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 (brand name)||$3|
|Poverty Level (% FPL)|
|0%-99%||100% – 199%||200% and above|
|Primary Care Physician||$0||$5||$15|
You don’t pay pharmacy copays for:
- Birth control
- Check-ups for you or your children
- Pregnancy care and childbirth
- Pap smears
- Prostate examinations