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The Tennessee Health Connection is now TennCare Connect

Members / Applicants

Open and read all mail from TennCare. Follow the directions and make sure to return requested information.

 

Help Applying for TennCare

If you don’t have TennCare and want to see if you can get it now, call the Marketplace at 1-800-318-2596.

Do you want help applying for TennCare? There are at least three ways that you can get help:

  1. You can go to any DHS office in any of Tennessee’s 95 counties. A trained staff person there will  help you apply. Find the DHS office in your county.
  2. You can get help from private groups. Find someone near you. You can also call 1-866-475-7879.
  3. You can also call the Marketplace at 1-800-318-2596 to apply directly over the phone.

If you have a disability, someone can even come to your house to help you apply for TennCare. Just call your local Area Agency on Aging and Disability (AAAD) at 1-866-836-6678.

If you need help getting Long Term Care or you want to apply for a Medicare Savings Program, click here: https://www.tn.gov/tenncare/long-term-services-supports/how-to-apply.html

Already have TennCare but have questions?

  • Have questions about your TennCare coverage? Call your health plan or call TennCare Connect at 1-855-259-0701.
  • Do you have receipts and/or bills for healthcare or medicine you received on or after your coverage started?
  • If the receipts and/or bills are for healthcare we cover, your health plan may be able to help you with those. They must get the receipts and/or bills within 60 days from when we sent you this letter.
  • If you have TennCare now but your TennCare didn’t start when you first applied at the Marketplace, call TennCare Connect at 1-855-259-0701. Tell them you want to file an effective date appeal.

Don’t have TennCare and have questions?

  • If you applied for TennCare but still haven’t heard from us, call TennCare Connect at 1-855-259-0701.  Tell them you want to file a delayed application appeal.

Need Help with Renewal Packet?

Each year, we must see if you still qualify for our programs.  Did you receive a letter and Renewal Packet in the mail?  Fill out the Renewal Packet that came in the mail with your letterBe sure to answer all of the questions that you can.  And, send us the proof we ask for in the Renewal Packet.  Sending us proof with your packet can help us make a faster decision on your coverage.

We’ll use your answers to see if you can keep your coverage or not.  The kind of coverage you have may change.  To decide, we’ll look at things like your age, your household income, how many people live with you, and if you have other insurance.

Still have questions about your Renewal Packet?  Call TennCare Connect at 1-855-259-0701.  They can help you.

Do you want to apply for TennCare CHOICES in Long Term or a Medicare Savings Program, like QMB or SLMB? Click on link below.

TennCare can help. Some people applied at healthcare.gov but have still not gotten a decision. Have you waited for a decision for more than 45 days (or more than 90 days if you applied for long-term care)? You can now ask for a “delay hearing”. To ask for a delay hearing, call us at 1-855-259-0701. OR down load TennCare Eligibility Appeal  . If you click on the link, fill out the page and follow the instructions. That page tells you how to send it to us by mail or fax.

You may be able to enroll your baby right now. TennCare and CoverKids have made it easy to enroll newborns over the phone:

  • Do you already have TennCare? Call 1-855-259-0701 when your baby is born.
  • Do you have CoverKids? Call 1-866-620-8864 when your baby is born.
  • If you don’t have TennCare or CoverKids, you can apply for your baby over the phone. Call 1-855-259-0701.

 Tell TennCare about changes to your address, family size, or job.

State law says you must tell us about changes that may affect your TennCare.

If you have TennCare Medicaid, you must report these changes within 10 days of the change.

If you have TennCare Standard, you must report these changes within 30 days of the change.

Call the Tennessee Health Connection right away if:

  • You move.
  • You change jobs.
  • Your family size changes.
  • Your income changes.
  • You get insurance or can get insurance through your job or a family member's job.

AND, you must give us the proof we need to make the change. The Tennessee Health Connection will tell you the kinds of proof we need. Questions? Call the Tennessee Health Connection for free at 1-855-259-0701.

TennCare Change of Address Reporting Form English  Spanish

If so, you must tell the Social Security Administration about your changes too! Do you need the phone number to your local SSA office? Find your local SSA office.

Or, check the blue pages in your local phone book.

You must renew your TennCare every year. When it's time for you to renew, you'll get a letter from TennCare that tells you how.

Do you need a list of companies that sell HIPAA plans ?

SelectCommunity is a special TennCare health plan for certain individuals with intellectual disabilities, operated by BlueCross BlueShield of Tennessee under the TennCareSelect contract. SelectCommunity serves ONLY members of the former Arlington class and people enrolled in one of the State’s Home and Community-Based Services waivers for people with intellectual disabilities. This includes the Comprehensive Aggregate Cap or CAC Waiver (formerly known as the Arlington Waiver), the Statewide Waiver, and the Self-Determination Waiver. Participants in SelectCommunity continue to receive services through the waiver program. Every SelectCommunity member has a dedicated Nurse Care Manager to help coordinate physical and behavioral health care with their waiver services. More information can be found in the SelectCommunity Presentation  .