Medical Insurance & Financing

Organizations related to paying for medical care are listed here. Most, but not all, are associated with public insurance (Medicare and TennCare). TennCare MCOs are listed.

For an explanation of services, products, types of coverage listed here, and a review of Medicare options, see the Action Guide. Also see the Action Guide for more information about TennCare.

For information about programs that help low-income seniors with medication costs, see Prescription Drug Assistance.

AMOS – Affordable Medicine Options for Seniors (CAC): 524-2786

Office on Aging
2247 Western Avenue, 37921 (street)
P.O. Box 51650, 37950-1650 (mailing)
AMOS provides one-on-one advising, group presentations, and training sessions on Medicare. Individual assistance is available to learn about Medicare options, choose a plan, and maximize health benefits at the lowest cost. AMOS helps advocate for Medicare beneficiaries and filing appeals. Free.  |  Website »

KEPRO: 1-844-430-9504

KEPRO, Tennessee’s Medicare quality improvement organization, answers questions, explains rights, makes appropriate referrals regarding Medicare, and helps with filing appeals. Responds to written complaints about quality of medical care received in hospitals and skilled care facilities, such as nursing homes and hospices. Works with providers to improve quality of care.  |  Website »

Legal Aid of East Tennessee: 637-0484

607 W. Summit Hill Dr., 37902
Legal assistance on medical insurance issues, including Medicaid/TennCare and Medicare. Call for appointment.  |  Website »

Medicaid/TennCare (Application): 1-800-318-2596

Apply for Medicaid/TennCare through the Health Insurance Marketplace, at www.healthcare.gov, or call the number listed here. If you need help with the online application process, call AMOS on page 164.

Medicare: 1-800-MEDICARE (633-4227)

TTY (for deaf only): 1-877-486-2048  |  Website »

Health insurance for those 65+ who draw Social Security or pay monthly premiums; also for younger persons who have drawn disability benefits (SSDI) for two years or, in some cases, have a terminal illness. Phones answered by agents 24 hours a day, seven days a week; closed only for federal holidays.

Medicare Parts A & B (Original Medicare)

Information and answers regarding individual claims about hospital and medical coverage. Can also provide information about Medicare-participating physicians and equipment suppliers. Some services can be accessed on the Medicare website, which includes information about quality of service from health-care providers (including hospitals, nursing homes, and home-health agencies).

Medicare Part C (Advantage Plans)

Contact customer service at your Medicare Advantage plan (most are open 24 hours/7 days a week). The toll-free number is on the back of your member ID card. For general information about Part C, call Medicare or go to medicare. gov, which includes evaluations of all Advantage plans.

Medicare Part D (Prescription Drug Plans)

Contact customer service at your Medicare Part D plan (most are open 24 hours/7 days a week). The toll-free number is on the back of your member ID card; or visit medicare.gov, which includes evaluations of all Part D plans. For help in choosing or enrolling in a Part D plan, contact Medicare or AMOS (page 164) for advice and help.

Medicare Extra Help for Part D: 1-877-331-9091

Social Security Office 8530 Kingston Pike, 37919
Extra help with prescription costs through the Low Income Subsidy (LIS) for eligible Medicare Part D enrolees with low income and assets. For application assistance, cal AMOS, page 164.

Medicare Savings Programs (MSP): 594-6151

TN Dept. of Human Services
2700 Middlebrook Pike, Suite 100, 37921
Qualified Medicare Beneficiaries (QMB), Specified Low- income Medicare Beneficiaries (SLMB), and Qualifying Individuals 1 (QI1) programs help low-income seniors pay for Medicare coverage. Call to check income eligibility.  |  Website »

State Health Insurance Assistance Program (SHIP): 1-877-801-0044

East TN Area Agency on Aging & Disability 9111 Cross Park Drive, Suite D-100, 37923 Provides free counseling and advocacy on health insurance issues, including information and assistance with Medicare, Medicare Health Plans, Medicare Part D, Medicare supplemental (Medigap) insurance, and applying for Medicare Savings programs and Low-Income Subsidy.  |  Website »

TennCare & TennCare Behavioral

Health Advocacy Program: 1-800-758-1638

TTY (for deaf only): 1-877-779-3103
TN Community Services Agency
Hours: 9 a.m. – 4 p.m., Mon. – Fri. Helps consumers determine how to apply for or re-verify TennCare enrollment and explains qualification criteria. Helps enrollees understand benefits, available services, how to access them, and file appeals. Automated phone system: Press “2” for behavioral health issues. Helps consumers of behavioral health and substance abuse services with TennCare with advocacy, applications, benefit information; accessing services; filing complaints/ grievances; and starting the appeal process.  |  Website »

Family Assistance Service Center: 1-866-311-4287

TTY (for deaf only): 1-800-772-7647
Answers questions about services such as TennCare, SNAP, and Families First. Mon.-Fri., 8 a.m.-4:30 p.m.  |  Website »

TennCare Managed Care Organizations

Website »

Amerigroup: 1-800-600-4441

Three Lakeview Place, 22 Century Blvd., Suite 310, Nashville, 37214

BlueCare: 1-800-468-9736

1 Cameron Hill Circle, Suite 0002, Chattanooga, 37402-0002

TennCare Select: 1-800-276-1978

1 Cameron Hill Circle, Suite 0002, Chattanooga, 37402-0002

United Healthcare Community Plan: 1-800-690-1606

2035 Lakeside Centre Way, Suite 200, Knoxville, 37922

TennCare Solutions Unit: 1-800-878-3192

Helps file appeals for TennCare medical, behavioral health, and pharmacy denials. Also takes requests to change health plans. Open enrollment in Knox County is in July.  |  Website »

Tennessee Health Care Campaign: 1-615-227-7500

1321 Murfreesboro Pike, Suite 311, Nashville, TN 37217
Works for affordable access to high-quality health care for all Tennesseans. Also provides a statewide, toll-free number to GetCoveredTenn 1-844-644-5443, to find local help for enrollment in the Affordable Care Act Healthcare Marketplace and TennCare.  |  Website »

Tennessee Health Connection: 1-855-259-0701

P.O. Box 305240, Nashville, 37230-5240
TennCare service center for questions about TennCare, to report changes in your personal information, and more. Mon.-Sat., 8 a.m. – 8 p.m. EST.  |  Website »