ACA
Affordable Care Assistance
ACA has added Outreach and Enrollment staff who are responsible for disseminating information and working with uninsured or under-insured individuals who need assistance in enrolling in Qualified Health Plans through the Marketplace, or in signing up for TennCare and CoverKids.
- Privacy Notice
- The initial open enrollment for the Marketplace closed on March 31, 2014.
- The Marketplace will be open for Medicaid and CHIP enrollment all year.
- Open enrollment for 2015 will begin on November 15, 2014. This is one month later than the originally announced date of October 15, 2014.
HealthCare.gov
Best place for consumers, advocates, and Outreach and Enrollment workers to find information about the Affordable Care Act, the health insurance Marketplaces, and how to enroll.
Federal Poverty Guidelines (2014) – Currently, the Marketplace is still using 2013 Federal Poverty Levels (FPLs) for Premium Tax Credit and Cost Sharing Reduction eligibility. The Marketplace will continue to use the 2013 FPLs until the next Open Enrollment period begins November 15, 2014. However, starting February 10, 2014, the Marketplace will begin using the 2014 FPLs for Medicaid and CoverKids eligibility.
Many consumers will have new health insurance coverage starting soon. The following links on HealthCare.gov should be helpful if there are questions about using new health insurance coverage.
- What to do now that you have insurance
- Using your new Marketplace coverage
- What if I have new Medicaid or CHIP coverage?
- What you should know about seeing your doctor
- What you should know about getting your prescription medications
- Appealing your insurer’s decision not to pay
- I signed up but don’t’ have health coverage. What should I do?
- Getting emergency care
- What you should know about early renewal of health coverage
- What you should know about provider networks
- Health insurance terminology resource sheet
View a map of the insurance rating areas in Tennessee
TennCare
- As of January 1, the Department of Human Services is no longer offering in-person TennCare assistance. Consumers seeking assistance at a DHS office will be directed to a computer kiosk where they can complete a Marketplace application. Consumers may also be given the phone number for the Marketplace Call Center.
- The Tennessee Health Connection has been established to answer questions consumers may have about TennCare. The number for Tennessee Health Connection is 1-855-259-0701.
- Until Tennessee’s new eligibility determination system is up and running, Tennessee is a “determination” state. This means that in order for an applicant to be enrolled in TennCare in a Modified Adjusted Gross Income (i.e. income-related) category, he or she will need to apply through the Marketplace. The Marketplace will make the determination about TennCare eligibility.
Where to apply for non-MAGI categories of TennCare
- Pregnant women and women with breast/cervical cancer should still go to their local health department for TennCare screening.
- People applying for CHOICES can call their Area Agency on Aging and Disability. You can find the office that serves your region here: http://www.state.tn.us/comaging/localarea.html. They can also call the Tennessee Health Connection call center at 1-855-259-0701.
- People applying for DIDD can call Department of Intellectual and Developmental Disabilities at 615-532-6552, or Tennessee Health Connection at 1-855-259-0701.
- People applying for Medically Needy Spend Down, Pickle, and DAC should apply with the TN Health Connection, and with the Marketplace
