Members / Applicants

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

 

Applying for TennCare

If you do not have TennCare and want to see if you can get it now, you can apply by using TennCare Connect. TennCare Connect is a self-service portal that allows applicants and members to create an account, check their status, report changes, read letters, and more!

For more information on how to apply for TennCare, go to the How Do I Apply for TennCare? web page.

Do you need help applying for TennCare? There are four ways that you can get help:

  1. You can call TennCare Connect for free at 855-259-0701 to get help over the phone.
  2. You can go to any DHS office in any of Tennessee’s 95 counties. A trained staff person there will help you apply. Call 866-311-4287 to find a DHS office near you.
  3. You can get help from private groups. To find someone near you, call 866-475-7879.
  4. If you have a disability, someone can even come to your house to help you apply for TennCare. Call your local Area Agency on Aging and Disability (AAAD) at 866-836-6678.

If you need help getting Long Term Care or you want to apply for a Medicare Savings Program, please visit the How Do I Apply for TennCare? web page.

Do you already have TennCare but have questions?

  • If you have questions about your coverage, you can call TennCare Connect for free at 855-259-0701.  Or you can call your health plan.
  • If you have medical bills for the care you received or paid for after your coverage started, your health plan may be able to help you.
  • 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 and your coverage did not start when you first applied, call TennCare Connect at 855-259-0701. Tell them you want to file a start date appeal.

The name of your health plan can be found on your TennCare Card. If you need a new TennCare Card, contact your health plan. For more information on Health Plans, go to the Managed Care Organizations web page.

Have you applied for TennCare and have questions?

Call TennCare Connect for free at 855-259-0701.

If you applied for TennCare and still have not heard from us, tell them you want to file a delayed application appeal.

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

Do you still have questions about your Renewal Packet? Call TennCare Connect for free at 855-259-0701. They can help you. Or, go to the Renewals web page for more information.

Do you need help with Medicare costs? You can apply for the Medicare Savings Program like QMB or SLMB. This may help your Medicare premiums and cost-sharing.

You can apply online, over the phone, or with a paper application.

For help applying, call the Tennessee State Health Insurance Assistance Program (SHIP) at 1-877-801-0044.

Do you need help with Long-Term Care? If you have TennCare, you can call your TennCare health plan (MCO). The number is on your TennCare card.

If you do not have TennCare, contact your local Area Agency on Aging and Disability (AAAD) for free at 1-866-836-6678. Even if you do not qualify for Medicaid, they can tell you about other programs that may help. If you have a disability, they will even come to your house to help you apply for TennCare. Or you can call TennCare Connect at 855-259-0701 for help over the phone.

If you have an intellectual disability or are helping someone with an intellectual disability apply for long-term care, call the Department of Intellectual and Developmental Disabilities (DIDD) for free at 1-800-535-9725.

TennCare can help. Some people applied at healthcare.gov but still did not get 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 855-259-0701. OR download the TennCare Eligibility Appeal Form (English or Spanish). Click on the link, fill out the form and follow the instructions. This form 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:

  • If you are already on TennCare or CoverKids, call TennCare Connect for free at 855-259-0701 when you have your baby.
  • If you do not have TennCare or CoverKids, you can apply for your baby over the phone by calling TennCare Connect for free at 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.

Report a change to TennCare Connect 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.

There are several ways to report a change. You only have to pick one:

  1. Call TennCare Connect for free at 855-259-0701.
  2. Use your TennCare Connect online account at tenncareconnect.tn.gov.
    Haven’t created an online account yet? Go to tenncareconnect.tn.gov and click on the Get Started button. After you create an account and have logged in, select Link My Case from the menu option at the top. You will need to enter your Social Security Number (SSN) to link your case to your TennCare Connect account.
  3. Use the TennCare Mobile App to report phone or address changes.
    Haven’t downloaded it yet? Go to the App Store or Google Play store and look for TennCare Connect. After installing the app, create an account by clicking the Get Started button. You will need to enter your Social Security Number (SSN) or Member ID to link your case to your TennCare Connect account.

    After you report a change, we may ask you for proof or more information. Be sure to keep the originals for your records and only send us a copy.

Sending us Information

When you send us your copy (or copies) please:

  • Send the page that came with your letter from TennCare. “How to Report Changes or Send Information to TennCare”. It includes a barcode and that will help us know you have sent something to us.
  • AND write your name, your date of birth and your number (the case number, application number, or appeal number) on each additional page you send us.

Important: If you do not have the page that came with your letter, you must write your name, and date of birth on every page you send.

There are several ways to get this to us. You only have to pick one:

  1. Use your online account at tenncareconnect.tn.gov.
  2. Use the TennCare Connect mobile app.
  3. Fax it to: 855-315-0669

    Be sure to keep the page that says your fax went through.

Mail it to: TennCare Connect
P.O. Box 305240
Nashville, TN 37230-5240

Do you have questions? Call TennCare Connect for free at 855-259-0701.

If so, you must tell the Social Security Administration about your changes too! Do you need the phone number to your local SSA office? To find your local SSA office, go to the Social Security Office Locator web page.

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

You must renew your TennCare every year. When it is time for you to renew, you will get a letter from TennCare that tells you how. For more information on Renewals, go to the Renewals web page.

Here are a list of insurance carriers that sell HIPAA plans.

Individual Carriers

Small Group Carriers

  • The 1095-B is an IRS tax document. You can use it as proof you had qualifying health care coverage (also called minimum essential coverage). Do you need a 1095-B for you or someone else in your household? Tell us. You can ask us to send you one for each person in your household who had coverage with us last tax year.
  • Find out how to get your health coverage tax document and answers to common questions in The 1095-B FAQ.

Do you want to request a termination of your TennCare or CoverKids coverage? There are 3 ways you can request a termination:

  1. Call TennCare Connect for free at 855-259-0701.
  2. Fax your termination request to TennCare Connect at 855-315-0669. Be sure to keep the page that says your fax went through.
  3. Mail your termination request to:

TennCare Connect
P.O. Box 305240
Nashville, TN 38230-5240

You must include the Full Name, Date of Birth, Social Security Number or Case Number, and the current mailing address of all individuals who want to end their coverage.

The termination request must be dated and signed with each individual’s  signature.