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 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, 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 TN: 637-0484
502 S. Gay Street, Suite 404, 37902
Counseling 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 by calling number listed here. If you need help with the online application process, call AMOS.
TTY (for deaf only): 1-877-486-2048
Apply online www.medicare.gov
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. Medicare has four parts: Part A pays for hospital and nursing home stays; Part B pays for outpatient services (for an additional premium); Part C (private insurance alternative to Original Medicare) partially covers hospital, outpatient, and prescription expenses; and Part D helps pay for prescription drugs. Phones answered by agents 24 hours a day, seven days a week; closed only for federal holidays.
Call to report Medicare fraud and abuse.
Medicare Parts A & B
Information and answers about individual claims about hospital and medical (outpatient) 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
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
Contact customer service at your Medicare Part D (prescription drug) 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 Affordable Medicine Options for Seniors (page 125) for advice and help.
Medicare Extra Help for Part D: 1-866-331-9091
Social Security Office, 8530 Kingston Pike, 37919
Extra help through the Low Income Subsidy for eligible Medicare Part D enrollees with low income and assets. Or call Affordable Medicine Options for Seniors (AMOS).
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 (Application): 1-800-318-2596
Apply for TennCare through the Health Insurance Marketplace, www.healthcare.gov, or call the number listed here. If you need help with the online application process, call Affordable Medicine Options for Seniors. | 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 navigate and understand TennCare. Advocacy counselors assist with application process; benefit information; accessing services; filing complaints and grievances; and starting the appeal process.
TennCare Family Assistance Center: 1-866-311-4287
TTY (for deaf only): 1-800-772-7647
For people already on TennCare; get answers to questions about services such as food stamps and Families First. Mon.-Fri., 8 a.m.-4:30 p.m. | Website »
TennCare Managed Care Organizations
Blue Cross/Blue Shield of TN
BlueCare Division: 1-800-468-9698
1 Cameron Hill Circle, Suite 0002, Chattanooga, 37402-0002
TennCare Select: 1-800-263-5479
801 Pine Street, Chattanooga, 37402-2555
United Healthcare: 1-800-690-1606
2033 Meadowview Lane, Suite 300, Kingsport, 37660
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.
Tennessee Health Care Campaign: 1-877-431-7083
500 Interstate Boulevard South, Nashville, 37210
P.O. Box 60809, Nashville, 37206-0809
Works for affordable access to high-quality health care for all Tennesseans. | 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., 7 a.m.-7 p.m. | Website »