What is covered by TennCare?
Wellness and Preventive Care: TennCare covers most medical services necessary for physical and mental health, including hospital, physician, and pharmacy services. If you are having problems getting the medical care you need and want help working with your health plan call us at 1-800-758-1638.
How do I check my TennCare coverage?
TENNCARE ONLINE SERVICES
- Verify TennCare eligibility.
- Enter, review, and submit or adjudicate claims. *
- Upload or download HIPAA transactions. *
- Submit or inquire about pre-admission evaluation status. *
- Use TennCare messaging system.
Do you have a copay with TennCare?
TennCare Medicaid adults have pharmacy co-pays only. You don’t pay co-pays for other TennCare services. But, TennCare Standard members with incomes at or above 100% of poverty do have co-pays for other kinds of services. Your co-pays may change during the year if there are changes in your family size or income.
What’s the income limit for TennCare?
You must also be one of the following: Pregnant, or. Be responsible for a child 21 years of age or younger, or. Blind, or….Who is eligible for Tennessee TennCare?
| Household Size* | Maximum Income Level (Per Year) |
|---|---|
| 1 | $18,075 |
| 2 | $24,353 |
| 3 | $30,630 |
| 4 | $36,908 |
Is TennCare primary or secondary?
In these cases, one of the third parties is “primary” and the other is “secondary.” TennCare is almost always the “payer of last resort,”2 meaning that TennCare is almost always secondary to other third party payers (commercial insurance, Medicare) that may be obligated to pay for an enrollee’s health care.
What kind of therapist is there in Murfreesboro TN?
They include TennCare Therapists in Murfreesboro, TennCare psychologists and TennCare counseling. How can I tell if a therapist is right for me?
How do I find out if a Doctor takes TennCare?
If you pick a provider, it is a good idea to call and ask if they still take new patients. To find out what Doctors or other Health Care Providers take TennCare you can contact the Managed Care Organizations.
Do you need assistance with TennCare related matters?
Are you a provider who needs assistance with TennCare related matters? If so, please contact Provider Services at the member’s Managed Care Organization for MCO claims. For general questions, eligibility verification or Medicare Cross-Over Claim questions, contact TennCare Provider Services at 1-800-852-2683.
When did Tennessee primary care physician enhanced rates go into effect?
This is effective for dates of service on and after January 1, 2013 through December 31, 2014. For information on Primary Care Physician Enhanced Rates Keep up-to-date with the latest provider news and information from TennCare!