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Tennessee Medicaid Eligibility Requirements
Medicaid is a health insurance program for people with low incomes and limited resources. In Tennessee, Medicaid is administered by the Tennessee Department of Health. To be eligible for Medicaid in Tennessee, you must meet certain requirements.
Income Limits
- For individuals, the income limit is 138% of the federal poverty level (FPL).
- For families, the income limit is 138% of the FPL for the family size.
Asset Limits
- For individuals, the asset limit is $2,500.
- For couples, the asset limit is $5,000.
- Assets that are not counted include a home, one car, and personal belongings.
Other Eligibility Requirements
- You must be a U.S. citizen or a qualified immigrant.
- You must be a resident of Tennessee.
- You must be in need of health care services.
Special Eligibility Groups
In addition to the general eligibility requirements, there are a number of special eligibility groups for Medicaid in Tennessee. These groups include:
- Children under the age of 19
- Pregnant women
- People with disabilities
- People who are elderly
- People who need nursing home care
| Family Size | 138% of FPL |
|---|---|
| 1 | $18,754 |
| 2 | $25,216 |
| 3 | $31,678 |
| 4 | $38,140 |
| 5 | $44,602 |
| 6 | $51,064 |
| 7 | $57,526 |
| 8 | $63,988 |
To learn more about Medicaid eligibility in Tennessee, you can visit the Tennessee Department of Health website or call the Medicaid Customer Service Center at 1-800-342-6332.
Eligibility Requirements
To qualify for Medicaid in Tennessee, you must meet certain eligibility requirements. These requirements include:
- Being a resident of Tennessee
- Being a U.S. citizen or a qualified non-citizen
- Meeting income and asset limits
- Being pregnant, a child under 19, a person with disabilities, or a senior citizen
Income and Asset Limits
The income and asset limits for Medicaid in Tennessee vary depending on your household size and composition. In general, the income limit is 138% of the federal poverty level (FPL) for most categories of eligibility. The asset limit is $2,000 for individuals and $3,000 for couples.
There are some exceptions to these limits. For example, pregnant women and children under 19 may have higher income and asset limits. Additionally, people with disabilities may have higher asset limits if their assets are used for work-related expenses or to maintain their independence.
How to Apply for Medicaid in Tennessee
To apply for Medicaid in Tennessee, you can:
- Apply online at the TennCare website
- Apply by phone at 1-855-274-5420
- Apply in person at your local Department of Human Services office
You will need to provide documentation of your income, assets, and other eligibility factors when you apply.
Application Process Flow
- Gather necessary documents
- Apply online, by phone, or in person
- Attend an interview if requested
- Receive a decision within 45 days
Documents Needed
- Proof of identity
- Proof of residency
- Proof of income
- Proof of assets
- Proof of disability (if applicable)
- Proof of pregnancy (if applicable)
Medicaid Benefits
Medicaid benefits in Tennessee include:
| Benefit | Description |
|---|---|
| Medical care | Includes doctor visits, hospital stays, and prescription drugs |
| Dental care | Includes cleanings, fillings, and extractions |
| Vision care | Includes eye exams and glasses or contacts |
| Mental health care | Includes therapy, counseling, and medication |
| Substance abuse treatment | Includes detoxification, counseling, and medication |
Contact Information
For more information about Medicaid in Tennessee, you can contact the TennCare customer service line at 1-855-274-5420.
Who’s Eligible for Medicaid in Tennessee?
To qualify for Medicaid in Tennessee, you must meet specific income and asset limits. The program is available to:
- Pregnant women
- Children under age 19
- Adults with disabilities
- Seniors age 65 and older
- People who qualify for Supplemental Security Income (SSI)
In addition, Tennessee has expanded Medicaid to cover adults between the ages of 19 and 64 who meet certain income requirements. To learn more about eligibility, visit the Tennessee Department of Human Services website or call 1-855-275-8366.
Special Medicaid Programs in Tennessee
In addition to the regular Medicaid program, Tennessee offers several special programs that provide additional benefits and services. These programs include:
- TennCare Select: This program provides comprehensive health coverage to low-income children and pregnant women.
- Children’s Health Insurance Program (CHIP): This program provides health coverage to children whose families earn too much money to qualify for TennCare Select but not enough to afford private health insurance.
- TANF Medicaid: This program provides health coverage to families who receive Temporary Assistance for Needy Families (TANF) benefits.
- Medicare Savings Programs: These programs help people with Medicare pay for their out-of-pocket costs, such as premiums, deductibles, and copayments.
| Category | Income Limit |
|---|---|
| Pregnant women | 138% of the federal poverty level (FPL) |
| Children under age 19 | 138% of the FPL |
| Adults with disabilities | 138% of the FPL |
| Seniors age 65 and older | 138% of the FPL |
| Adults between the ages of 19 and 64 | 138% of the FPL |
How to Apply for Medicaid in Tennessee
To apply for Medicaid in Tennessee, you can:
- Apply online at the Tennessee Department of Human Services website.
- Download an application form and mail it to the Tennessee Department of Human Services.
- Visit a local Department of Human Services office and apply in person.
You will need to provide information about your income, assets, and household members. You may also need to provide proof of your citizenship or immigration status. Once your application is processed, you will receive a notice in the mail letting you know if you have been approved for Medicaid.
Who Can Get Tennessee Medicaid?
To qualify for Medicaid in Tennessee, you must meet certain eligibility requirements. These requirements include:
- Being a U.S. citizen or a qualified non-citizen
- Living in Tennessee
- Meeting income and asset limits
- Needing the covered services provided by Medicaid
Special Eligibility Groups
In addition to the general eligibility requirements, there are also special eligibility groups for Medicaid in Tennessee. These groups include:
- Pregnant women
- Children under the age of 19
- People with disabilities
- People who are blind
- People who are aged 65 or older
How to Apply for Tennessee Medicaid
To apply for Medicaid in Tennessee, you can:
- Apply online
- Apply by mail
- Apply in person at your local Department of Human Services office
What You Will Need to Apply
When you apply for Medicaid, you will need to provide documentation of the following:
- Your identity and citizenship status
- Your income and assets
- Your need for medical care
What to Expect After You Apply
After you apply for Medicaid, your application will be reviewed. If you are eligible, you will be sent a Medicaid card. Your Medicaid card will allow you to access medical care from any provider who accepts Medicaid.
Getting Help with Tennessee Medicaid
If you need help with your Tennessee Medicaid application, you can contact the following resources:
- The Tennessee Department of Human Services
- Legal Aid of East Tennessee
- Tennessee Justice Center
| Name of Resource | Website | Phone Number |
|---|---|---|
| Tennessee Department of Human Services | https://www.tn.gov/humanservices/ | 1-800-447-2330 |
| Legal Aid of East Tennessee | https://www.laet.org/ | 1-865-637-0484 |
| Tennessee Justice Center | https://www.tnjustice.org/ | 1-800-238-1443 |
Well, y’all, that’s all she wrote! I hope this little guide has helped ya understand how to get Medicaid in Tennessee. I know it can be a confusing process, but it’s worth it to make sure you have the coverage you need. If you have any more questions, be sure to check out the Tennessee Department of Human Services website. And remember, if you ever need to brush up on this info again, just come on back to this article. Thanks for readin’, y’all! Be sure to stop by again soon for more helpful content.