The Tennessee Plan
(State government, state higher education, local education and local government retirees)

If you’re a retiree with Medicare, The Tennessee Plan might be the answer you’re looking for to help cover costs that Medicare Parts A and B don’t.
The Tennessee Plan is supplemental medical insurance for retirees with Medicare. It does not coordinate or pay benefits if you are enrolled in a Medicare Advantage Plan.
The Tennessee Plan offers quality coverage at low group premium rates. Since premiums are not based on age, they do not increase with age. Best of all, if you have more than 15 years of service as a state government or higher education employee or local education teacher, the state will pay part of the monthly premium.

Administration
UMR administers The Tennessee Plan for Partners for Health.
UMR
888.477.9307
Monday-Friday, 7 a.m.-4:30 p.m. CT
For more information, visit umr.com/thetennesseeplaninfo.
Eligibility
You may apply if:
- You are a retiree hired before July 1, 2015;
- You are covered by Medicare; and
- You meet one of these criteria:
- Retired state government or higher education employee drawing retirement benefits through the Tennessee Consolidated Retirement System;
- Retired state higher education employee participating in a state higher education optional retirement plan;
- Retired local education employee drawing a monthly retirement allowance from TCRS; or
- Retired county judge, county official or employee of an employer participating in TCRS drawing a monthly retirement allowance from TCRS.
To apply, dependents must be:
- A covered retiree’s legally married spouse who is eligible for Medicare Part A; or
- A covered retiree’s child who is eligible for Medicare Part A from birth to the limiting age of 26 years, who meets at least one of the following five criteria.
- Natural/adopted child, regardless of where they live
- Stepchild the retiree or spouse has legal custody, joint custody or shared parenting of
- Child the retiree is legal guardian of
- Child the plan has received a qualified medical child support order for, requiring enrollment in a health insurance plan and eligibility for Medicare Part A
- Child required to be covered by applicable state or federal law
You can find full eligibility rules for The Tennessee Plan in the plan document at tn.gov/partnersforhealth/publications/publications.
If you qualify and enroll for coverage in The Tennessee Plan within 60 days of your initial eligibility date (at retirement or Medicare entitlement), you cannot be denied coverage due to age or health.

Prescriptions
Prescription drugs are not covered under The Tennessee Plan. Members are encouraged to enroll in Medicare Part D to meet their prescription drug needs. Medicare offers a tool on its website to help you select a prescription drug plan that best suits you. You can call Medicare at 800.633.4227.
More
Please refer to The Tennessee Plan brochure or member handbook on the Publications webpage for details.