Change Health Plans

Need to change your health plan?

If you want to change health plans because you're having problems getting health care, tell us. Call us at 1-800-468-9698. We'll help you fix the problem. You don't have to change health plans to get the care you need.

Do you want to change health plans so you can see a doctor that takes that plan? Be sure that all of your doctors take your new health plan. You'll only be able to see doctors that take your new plan.

What if you have an OK from your health plan for care you haven't gotten? If you change plans and still need the care, you'll have to get a new OK from your new plan.

There are two times when it's easy to change your health plan.

1. When you first get TennCare, you have 45 days to change your health plan. When you get TennCare, you'll get a letter about TennCare. That letter will say how to change your health plan.

2. During your "open enrollment month". When you can change depends on where you live.

Do you live in Benton, Carroll, Chester, Crockett, Decatur, Dyer, Fayette, Gibson, Hardeman, Hardin, Haywood, Henderson, Henry, Lake, Lauderdale, Madison, McNairy, Obion, Shelby, Tipton, or Weakley? If you live in one of these counties, you can change your health plan only during the month of March.

Do you live in Bedford, Cannon, Cheatham, Clay, Coffee, Cumberland, Davidson, Dekalb, Dickson, Fentress, Giles, Hickman, Houston, Humphreys, Jackson, Lawrence, Lewis, Lincoln, Macon, Marshall, Maury, Montgomery, Moore, Overton, Perry, Pickett, Putnam, Robertson, Rutherford, Smith, Stewart, Sumner, Trousdale, Van Buren, Warren, Wayne, White, Williamson, or Wilson? If you live in one of these counties, you can change your health plan only during the month of May.

Do you live in Anderson, Bledsoe, Blount, Bradley, Campbell, Carter, Claiborne, Cocke, Franklin, Grainger, Greene, Grundy, Hamblen, Hamilton, Hancock, Hawkins, Jefferson, Johnson, Knox, Loudon, Marion, McMinn, Meigs, Monroe, Morgan, Polk, Rhea, Roane, Scott, Sequatchie, Sevier, Sullivan, Unicoi, Union, or Washington? If you live in one of these counties, you can change your health plan only during the month of July.

Do you have to change by a certain date during your month? You have until the last day of your open enrollment month to ask to change your health plan.

Other reasons that you can change your health plan

You have family members in the health plan you want to change to Or, TennCare made a mistake by giving you BlueCare. BlueCare doesn't do business in the area where you live.

Or, you moved and BlueCare doesn't do business in the area where you now live.

The only other reason to change your health plan is if all of these things are true for you:

  • You have a medical condition that requires ongoing care, and
  • Your doctor no longer takes your health plan, and
  • Your health plan doesn't have a doctor that can give you the care that you need, and
  • Your health plan will not let you keep seeing your doctor, and
  • Your doctor takes the health plan you want to change to, and
  • The health plan you want to change to is taking new TennCare members. If all of these reasons are true for you, you may be able to change your health plan.

To change your health plan, you must tell TennCare:

  • Your Social Security number. If you don't have that number, give your date of birth.
  • Include the month, day and year.
  • The name of the health plan you want.
  • And, the reason you want to change health plans.
  • You can ask to change your health plan by mail, fax, or telephone.

    1. Mail. You can use the Health Plan Change request page TennCare sent to you with your TennCare approval letter or you can write your request on your own paper. You can mail your written request to:

    TennCare Solutions
    P.O. Box 000593
    Nashville, TN 37202-0593

    2. Or Fax. You can fax your request for free to 1-888-345-5575. Keep the page that shows your fax went through.

    3. Or Call. You can call TennCare Solutions for free at 1-800-878-3192.

    If you have a hearing or speech problem, you can call TennCare on a TTY/TDD machine. TennCare's TTY/TDD number is 1-866-771-7043.