TNHealth Insurance: Benefits, Eligibility Criteria, and FAQs

TNHealth Insurance is a state-sponsored program in Tennessee that aims to provide affordable health coverage to low-income families and individuals. The program is designed to help eligible residents access quality medical care and reduce the financial burden of healthcare costs.

Benefits of TNHealth Insurance

The program offers comprehensive health coverage that includes:

  • Doctor visits
  • Prescription drugs
  • Hospital stays
  • Laboratory services
  • X-rays and other imaging services

Additionally, the program offers free preventive services like immunizations, cancer screenings, and annual check-ups. The aim of these preventive services is to detect and treat health problems early, which can help prevent serious complications and save lives.

Another advantage of TNHealth Insurance is the program’s network of healthcare providers. The program has contracts with various healthcare providers across the state, including hospitals, clinics, and primary care physicians. This means that eligible residents can access medical care from a wide range of providers, ensuring that they receive the best possible care.

Overall, TNHealth Insurance provides a safety net for low-income families and individuals who would otherwise struggle to afford quality healthcare.

Eligibility Criteria for TNHealth Insurance

To be eligible for TNHealth Insurance, residents must meet certain income and other requirements.

The program is open to adults who are at or below 138% of the federal poverty level. For a family of four, this means an annual income of $35,535 or less. Children under the age of 19 are eligible if their family income is at or below 261% of the federal poverty level. Pregnant women are also eligible if their income is at or below 195% of the federal poverty level.

In addition to income requirements, applicants must be a U.S. citizen or legal resident and a resident of Tennessee. They must also not be enrolled in any other healthcare coverage programs, such as Medicare or Medicaid.

How to Apply for TNHealth Insurance

Residents can apply for TNHealth Insurance online or by calling the program’s toll-free number. Applicants will need to provide information about their income, residency, and citizenship status. Once their application is approved, they will receive an insurance card that they can use to access medical services.

FAQs about TNHealth Insurance

What is the cost of TNHealth Insurance?

The cost of TNHealth Insurance varies depending on the applicant’s income. Most applicants pay nothing for the program, while others may have to pay a small monthly premium based on their income.

What services are covered by TNHealth Insurance?

TNHealth Insurance covers a range of medical services, including doctor visits, hospital stays, prescription drugs, laboratory services, and preventive care services like immunizations and cancer screenings.

Can I choose my own healthcare provider?

Yes, eligible residents can choose their own healthcare provider from the program’s network of providers. The program has contracts with various healthcare providers across the state, including hospitals, clinics, and primary care physicians.

Do I need to renew my TNHealth Insurance every year?

Yes, eligible residents must renew their TNHealth Insurance coverage every year. This ensures that they continue to meet the program’s eligibility requirements and that they receive uninterrupted healthcare coverage.

What happens if I no longer qualify for TNHealth Insurance?

If a resident no longer qualifies for TNHealth Insurance, they may be eligible for other healthcare coverage programs, such as Medicare or Medicaid. Alternatively, they may be able to purchase private health insurance through the Affordable Care Act marketplace.

Conclusion

TNHealth Insurance provides a vital safety net for low-income families and individuals who would otherwise struggle to afford quality healthcare. The program’s comprehensive coverage, network of healthcare providers, and free preventive services make it an attractive option for eligible residents. If you meet the program’s eligibility criteria, consider applying for TNHealth Insurance to ensure that you and your family have access to the medical care you need.

Income Level
Family Size
Annual Income
138% of federal poverty level
1
$17,775
2
$24,040
3
$30,305
4
$35,535