YOUR HEALTH

Everything to keep you and your family healthy. From head to toe.

We've pulled together a lot of useful information right here. All to make it easier for you to stay on top of your health.

Quick Links:

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Tell us about your health needs

To help us understand the care that’s right for you, please tell us about your health history and needs. We ask our members to update their info once a year. You can tell us:

Digitally through our free CareTN app.
By phone. Just give us a call at 1-888-416-3025.

Once we know more about you, we’ll connect you with the services you need and help you take steps to improve your health. You’ll get one-on-one, personalized support with access to chat directly with your care team.

Download the CareTN app:

In the app, use access code: bctmeethistory (16 and older)
bctmeetpediatric (15 and younger)
Have your member ID number handy.

Use el código de acceso: bctmeethistory (16 y mayores)
bctmeetpediatric (15 y menos)
Mantenga su tarjeta de identificación de miembro a la mano.

Need a little help? Email us

Well-care visits, screenings and immunizations

You can stay healthy by going to scheduled well-care checkups. Preventive care can catch potential issues early on. Plus, they’re covered. You don’t have to pay for them.

Select your age range and gender to see which well-care checkups and screenings you may need to schedule for yourself or your child.

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Children

Babies and Toddlers
BlueCare and TennCareSelect plans include TennCare Kids, a program that provides free checkups through age 21. CoverKids members receive free well-baby visits through age 18. The American Academy of Pediatrics recommends 12 well-care checkups from birth through age 2 ½.
Age Checkup needed
Birth-1 Before your baby leaves the hospital, your baby’s first week at home, every 1 to 3 months after that
1-2 12 months, 15 months, 18 months
2-3 24 months, 30 months

Here’s what’s included in a well-care visit:
Health history
Complete unclothed physical exam
Lab tests, as needed
Vaccinations, as needed (for the latest guidance from experts visit here)
Vision and hearing screenings
Developmental and behavioral screenings (as needed)
Advice on how to keep your child healthy
Sometimes providers or teachers notice a change in your child’s health or behavior. They can refer your child for a screening or checkup, even if it’s not time for an annual well-child exam. You may need to travel away from your local area to get the care your child needs. You may need help getting there, paying for meals, a place to stay or even someone to go with your child. If you have any questions, just give us a call.

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Children and Teens
BlueCare and TennCareSelect plans include TennCare Kids, a program that provides free checkups through age 21. CoverKids members receive free well-child visits through age 18.The American Academy of Pediatrics recommends yearly well-care checkups from ages 3 through 20.
Here’s what’s included in a well-care visit:
Health history
Complete unclothed physical exam
Lab tests, as needed
Vaccinations, as needed (for the latest guidance from experts visit here)
Vision and hearing screenings
Developmental and behavioral screenings (as needed)
Advice on how to keep your child healthy
Sometimes providers or teachers notice a change in your child’s health or behavior. They can refer your child for a screening or checkup, even if it’s not time for an annual well-child exam. You may need to travel away from your local area to get the care your child needs. You may need help getting there, paying for meals, a place to stay or even someone to go with your child. If you have any questions, just give us a call.

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Back to Topics

Women

Select your age range to see which screenings you may need to schedule.

Ages 18–39

Screening/Test	When it's needed
Blood pressure test	Every 2 years if your blood pressure is less than 120/80. Every year if it's between 120/80 and 139/89. More often if it measures 140/90 or higher. Your provider will discuss a schedule with you.
Breast cancer screening (Mammogram)	1 time between ages 35-40 to get a "baseline”— an image they'll use for comparison at your next mammogram. Discuss the best timing with your provider, especially if you have a family history of breast cancer.
Cervical cancer screening (Pap test)	Every 3 years if you're 21 and up and have a cervix. Every 5 years you can get a Pap test and an HPV test together if you have a cervix.
Chlamydia test	Sexually active women who are not more than 29 years of age and older women with risk factors should get a test every year. Talk with your provider about whether you’re at risk.
Cholesterol test	Regularly starting at age 20 if you are at increased risk of heart disease. Talk with your provider about whether you're at risk and how often you need the test.
Diabetes screening	Regularly if you're overweight and at increased risk of heart disease. The test will include a screening of blood sugar levels to determine diabetes.
Obesity screening	Every year

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Ages 40–49

Screening/Test	When it's needed
Blood pressure test	Every 2 years if your blood pressure is less than 120/80. Every year if it's between 120/80 and 139/89. More often if it measures 140/90 or higher. Your provider will discuss a schedule with you.
Breast cancer screening (Mammogram)	Every 1 to 2 years at age 40 and over. Discuss this with your provider, especially if you have a family history of breast cancer.
Cervical cancer screening (Pap test)	Every 5 years, you can get a Pap test and an HPV test together if you have a cervix.
Chlamydia test	Women with risk factors should get a test every year. Talk with your provider about whether you’re at risk.
Cholesterol test	Regularly if you are at increased risk of heart disease. Talk with your provider about whether you're at risk and how often you should be tested.
Diabetes screening	Regularly if you're overweight and at increased risk of heart disease. The test will include a screening of blood sugar levels to determine diabetes.
Obesity screening	Every year

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Ages 50–64

Screening/Test	When it's needed
Blood pressure test	Every 2 years if your blood pressure is less than 120/80. Every year if it's between 120/80 and 139/89. More often if it measures 140/90 or higher. Your provider will discuss a schedule with you.
Bone mineral density test	Testing is encouraged if you are at risk of osteoporosis. Talk to your provider to see if you are at risk.
Breast cancer screening (Mammogram)	Annually
Cervical cancer screening (Pap test)	Every 5 years, you can get a Pap test and an HPV test together if you have a cervix.
Chlamydia test	Women with risk factors should get a test every year. Talk with your provider about whether you’re at risk.
Cholesterol test	Regularly if you are at increased risk of heart disease. Talk with your provider about whether you're at risk and how often you should be tested.
Colorectal screening	Needed regularly. Several types of tests are offered. Talk to your provider about what's right for you and how often you need it.
Diabetes screening	Needed if you're overweight and at increased risk of heart disease. The test will include a screening of blood sugar levels to determine diabetes.
Obesity screening	Every year

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Ages 65 and Up

Screening/Test	When it's needed
Blood pressure test	Every 2 years if your blood pressure is less than 120/80. Every year if it's between 120/80 and 139/89. More often if it measures 140/90 or higher. Your provider will discuss a schedule with you.
Bone mineral density test	1 time at age 65 and up. Talk to your provider about repeat testing.
Breast cancer screening (Mammogram)	Annually
Cervical cancer screening (Pap test)	Ask your provider if you need a Pap test.
Chlamydia test	Women with risk factors should get a test every year. Talk with your provider about whether you’re at risk.
Cholesterol test	Regularly if you're at increased risk for heart disease. Talk with your provider about whether you're at risk and how often you should be tested.
Colorectal screening	Needed regularly. Several types of tests are offered. Talk to your provider about what's right for you and how often you need it.
Diabetes screening	Needed if you are overweight and at increased risk of heart disease. The test includes a screening of blood sugar levels to determine diabetes.
Obesity screening	Every year

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Back to Topics

Men

Select your age range to see which screenings you may need to schedule.

Ages 18–39

Screening/Test	When it's needed
Blood pressure test	Every 3 to 5 years if you have no risk factors. Risks may include being African-American, having high readings in the past and/or being overweight. Talk to your provider about what's right for you.
Cholesterol test	Regularly at age 20 to 35 if you are at increased risk of heart disease. Talk with your provider about whether you’re at risk. Regularly as your provider advises, starting at age 35.
Diabetes screening	Regularly if you're overweight and at increased risk of heart disease. The test will include a screening of blood sugar levels to determine diabetes.
Obesity screening	Every year

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Ages 40–49

Screening/Test	When it's needed
Blood pressure test	Every year
Cholesterol test	Regular testing as your provider advises
Diabetes screening	Regularly if you're overweight and at increased risk of heart disease. The test will include a screening of blood sugar levels to determine diabetes.
Obesity screening	Every year

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Ages 50–64

Screening/Test	When it's needed
Blood pressure test	Every year
Cholesterol test	Regular testing as your provider advises
Colorectal cancer screening	Needed regularly. Several types of tests are offered. Talk to your provider about what's right for you and how often you need it.
Diabetes screening	Regularly if you're overweight and at increased risk of heart disease. The test will include a screening of blood sugar levels to determine diabetes.
Obesity screening	Every year

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Ages 65 and Up

Screening/Test	When it's needed
Abdominal aortic aneurysm screening	1 time if you are age 65 to 75 and have ever smoked
Blood pressure test	Every year
Cholesterol test	Regular testing as your provider advises
Colorectal cancer screening	Needed regularly. Several types of tests are offered. Talk to your provider about what's right for you and how often you need it.
Diabetes screening	Regularly if you're overweight and at increased risk of heart disease. The test will include a screening of blood sugar levels to determine diabetes.
Obesity screening	Every year

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Where to go for care

If you’re injured or not feeling well, it can be hard to decide where to go for care. That’s why we created this guide. It helps explain when to go to the ER and when to go to your primary care provider (PCP) or an urgent care center.

GET THE GUIDE

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Your primary care provider

Your PCP has all your records and can point you toward other help if you need it. We may have already assigned you a PCP – check your ID card or the welcome text we sent you.

We want you to be happy with your PCP. So if you want to make a change at any time, we’re here to help. Just call us or log into your online account.

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Services that require an OK

Your benefits cover the most common types of care. Other health care services may require a referral from your PCP and an OK from us. An OK is called a prior authorization. And your provider has to request it. Most providers know what services need an OK from us and call before providing care. But you can ask them just to be sure.

You’ll get approval notices in your online account. Just log in to check. But we’ll send you a letter if your request is denied.

And if you have any questions, you can contact us.

What’s a referral?
Do all health care services require a referral?
No. You don’t need a referral to:
See a women’s health provider for well-woman checkups.
Get treatment for mental health or substance use disorders. But they may require a prior authorization.
You can also see a specialist without a referral if these all apply to you:
You have special health care needs or need Long Term Support Services (LTSS).
We’ve determined you need a course of treatment or regular care monitoring.
The specialist is in our network.
You’re seeing them only for the condition(s) and needs we’ve identified.
What health care services need an OK?
This is not a complete list. Other care, services, products and pharmacy medicines may require an OK from us.
Inpatient hospital admissions and services
Outpatient hospital services, tests and procedures
Services from a health care provider not in our network
Mental health and substance use disorder treatment
Bariatric surgeries for weight loss
Chiropractic services for children (available only for members under 21)
Durable Medical Equipment (purchase or rental of more than $500)
Hospice Care, inpatient and outpatient
Imaging services including MRIs, PET Scans and Nuclear Cardiology
Orthotics (purchase amount/allowed amount of more than $200)
Outpatient Therapy (Physical, Occupational & Speech)
Plastic Surgery
Pregnancy care
Prosthetics (purchase amount/allowed amount of more than $200)
Skilled Nursing Facility
Transplants and related services
Wheelchairs (any cost or rental fee)
What about medicine?
Does behavioral health treatment require an OK?

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Need to switch your PCP or see a specialist?

Use our Find Care tool to make sure they are in your network and accept your insurance plan.

FIND CARE

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UNDERSTANDING AND MANAGING YOUR HEALTH

Find health information and check for symptoms

We provide extra resources to help you manage your health. Like information on health topics and conditions. Plus an interactive symptom checker.

Search health topics

Check your Symptoms

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You take care of so much. Let us take care of you.

No question or request is too big or too small. Whatever you need, we're here for you.

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Wellframe is an independent company that provides and maintains a care management app for BlueCross BlueShield of Tennessee, Inc. branded products and/or services. Wellframe does not provide BlueCross branded products and/or services. Wellframe is solely responsible for the product and/or services they provide.

Age	Checkup needed
Birth-1	Before your baby leaves the hospital, your baby’s first week at home, every 1 to 3 months after that
1-2	12 months, 15 months, 18 months
2-3	24 months, 30 months

YOUR HEALTH

Where to go for care

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What’s a referral?

Do all health care services require a referral?

What health care services need an OK?

What about medicine?

Does behavioral health treatment require an OK?

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Need to switch your PCP or see a specialist?

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UNDERSTANDING AND MANAGING YOUR HEALTH

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Babies and Toddlers

Children and Teens

Ages 18–39

Ages 40–49

Ages 50–64

Ages 65 and Up

Ages 18–39

Ages 40–49

Ages 50–64

Ages 65 and Up

Where to go for care

What’s a referral?

Do all health care services require a referral?

What health care services need an OK?

What about medicine?

Does behavioral health treatment require an OK?

Need to switch your PCP or see a specialist?

UNDERSTANDING AND MANAGING YOUR HEALTH

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