We want to make it easy for you to use your benefits, so we’ve provided answers to common questions here. If you have additional questions, please send us an email or call between the hours of 8 a.m. and 6 p.m, Eastern Time. We’re here to help.
BlueCareSM Customer Service: 1-800-468-9698
TennCareSelect Customer Service: 1-800-263-5479.
You can find all the details on how TennCare works with other insurance in your member handbook on page 7.
If you are choosing a PCP on your own, please call their office to make sure they're still in our provider network and taking new patients.
You can change your PCP as often as you need, and the change is immediate once you tell us. You'll get a new Member ID card with the name of your new PCP listed.
We'll send you a letter asking you to find a new PCP. There are three ways you can do this.
If you are choosing a PCP on your own, please call their office to make sure they're still in our provider network and taking new patients. Once you change providers, you'll get a new Member ID card with the name of your new PCP listed.
We'll pay for routine vision care and dental services as part of TennCare Kids.
Vision services are limited to medical evaluation and management of abnormal conditions and disorders of the eye. The first pair of cataract glasses or contact lens/lenses after cataract surgery are covered.
Basic dental care is covered only for adults 21 and older who are members of Employment and Community First CHOICES. Covered services include dental exams, cleanings and fillings.
If you need services we don't provide, please see the More Local Help section of our website. Your local health department or other groups may be able to help.
Simply call your child’s PCP to make an appointment. Their name is listed on your child’s ID card. If you need help, please call or email our Customer Service team.
When it’s medically necessary, TennCare provides coverage for:
Also, many kinds of insulin and oral diabetes medicines are on the Auto Exemption List (it used to be called the pharmacy “short-list”). This means they don’t count against your monthly drug limit. To see the list:
Or you can call the TennCare Connect at 1-855-259-0701.
If you have any problems getting your diabetic medicines or testing supplies covered, please call Magellan HealthSM*. They’re the company that handles your prescription drug coverage. You can reach them at 1-888-816-1680.
We recommend that you first call the provider who is billing you. You can also call or email our Customer Service team for additional help.
We want you to feel confident your personal information is safe. So we work with Experian*, one of the world’s leading financial firms, to provide you with the following free services:
To sign up for these services:
Or call Experian at 1-866-926-9803.
If you received a questionnaire, that means we’re processing a claim that needs to be reviewed for possible subrogation. Please return the completed form by mail or fax. You’ll find directions on the questionnaire.
Yes. Please mark "NO" to the first question and tell us the fall occurred on your property.
If you were involved in a car accident or accident at work, someone else may be responsible to provide your health care. Call BlueCare at 1-800-468-9698 or TennCareSelect at 1-800-263-5479, and we will provide the assistance you need.
You have the right to appeal if any of your services are reduced, suspended or stopped completely.
Please call or email our Customer Service team. If we can’t solve your problem, you can call TennCare Solutions at 1-800-878-3192 for help with an appeal. In most cases, you will receive a decision within 90 days.You can learn more about appeals in the Your Rights section of our website.
Southeastrans is an independent company serving BlueCare Tennessee members for transportation and does not provide BlueCare Tennessee branded products or services.
Pharmacy benefits are provided by Magellan, an independent company that does not provide BlueCare Tennessee branded products and services. Magellan is solely responsible for administering pharmacy benefits.
Experian is an independent vendor that administers identity protection services on behalf of BlueCare Tennessee.
Medline Industries is an independent company that supplies medical products for BlueCare Tennessee members.