Health care financing is an important part of meeting the needs of CYSHCN. Un-insured children are less likely to receive care in a medical home that addresses their comprehensive needs. While most CYSHCN are insured, many are under-insured. Their coverage may be inadequate, leading to high out-of-pocket expenses. The financing of care is one of the most challenging but important aspects of meeting the needs of CYSHCN.
For more information about health Care Financing visit the National Center for Health Insurance and Financing for Children and Youth with Special Health Care Needs (Catalyst Center).
The Affordable Care Act (ACA) addresses some of the needs of families of CYSHCN: children will be able to remain on their parents’ health insurance until age 26 and cannot be denied coverage because of pre-existing conditions. The ACA provides financial relief to un-insured or under-insured families who struggle with healthcare costs.
For more information about the Affordable Care Act, click the link below:
To start an application for the Affordable Care Act go to www.healthcare.gov
TennCare is the state of Tennessee’s managed Medicaid agency. The program serves more than 1.7 million Tennesseans including low-income individuals such as pregnant women, children, caretaker relatives of young children and older adults and adults with disabilities. TennCare’s mission is to improve lives through high-quality, cost-effective care to support the vision of a healthier Tennessee.
To apply for TennCare go to https://tenncareconnect.tn.gov or call 855-259-0701
The Katie Beckett Program is for Tennessee residents, under the age of 18, with disabilities and/or complex medical needs who would not usually qualify for TennCare. This program helps to fill gaps between the child’s needs and what private insurance will cover.
For Frequently Asked Questions about this program and to learn how to apply for coverage, go to: https://www.tn.gov/didd/katie-beckett-waiver.html