OUR COVERKIDS PLAN

All the important details, all right here

CoverKids provides head-to-toe health services. It's a plan for children through age 18 and eligible pregnant women. Here's helpful info for your plan, whenever you need it.

Quick links for members:

Young mother smiling at her young daughter

Are you a new CoverKids member?

You can learn more about your plan, how to use your benefits and get free resources.

GET STARTED

Pregnant woman bonding with her young son at home

Do you qualify for CoverKids?

If you aren’t a CoverKids member, you can visit the Division of TennCare℠ to see if you're eligible. Apply online through TennCare Connect. Or call us and we’ll be happy to help.

LEARN MORE

CoverKids benefits overview

Your plan includes preventive health services, provider and hospital visits, developmental screenings and mental health treatment. Plus children get vision and dental care.

Want more information on what your plan includes? See your member handbook.

Pregnancy support

We provide care before and after your baby is born. This includes:

A personalized maternity program with one-on-one support
Prenatal and postnatal visits
Additional support services, like how to quit smoking

Get pregnancy support

Prescription coverage

You have a pharmacy card just for your prescription drugs. Here are some helpful things to know:

Coverage and claims for prescriptions are managed by your pharmacy benefit manager. That’s an independent company that specializes in these services.
If you have questions or need a new card, call 1-888-816-1680.

You can also visit TennCare’s site for more info on prescription coverage.

Dental care for children and teens

Renaissance is an independent company that offers dental coverage for CoverKids. Renaissance does not offer BlueCare Tennessee branded products or services.

Children and teens through age 18 get dental care. Here’s how it works.

Renaissance manages dental claims and services for CoverKids members.
You'll use your Member ID card for care.
Have questions about dental care? Call Renaissance at 1-866-864-2526

Learn more about dental coverage

Behavioral health

Your plan covers mental health needs treatment. That includes depression, anxiety, ADHD and substance use disorders. Inpatient and outpatient care are available. Referrals are not required. But prior authorization may be needed for these services.

Find more detail

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Well-care visits, screenings and immunizations

Help yourself or your child stay healthy by going to scheduled well-care checkups. Preventive care can catch potential issues early on. Plus, they’re covered.

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

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Children

Babies and Toddlers
Children and Teens
CoverKids members receive free well-child visits through age 18. The American Academy of Pediatrics recommends yearly well-care checkups from ages 3 through 18.
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 screening
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. If you have any questions, just give us a call.

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

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Women

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

Ages 18–39

Screening/Test	When it's needed
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

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

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'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're 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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See if your provider is in network

You can search for all the doctors, hospitals and specialists that are in your CoverKids network.

FIND CARE

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Meet your care team

From healthy life changes to support for a health condition or injury, we’re here. Your care team is here to help you and your child with self-management support, health education and/or care coordination. Your team may include nurses, social workers, other staff members or our friends in the community. They’ll give you one-on-one help based on what you need. And it’s free. You can join (opt in) or cancel (opt out) at any time with just a call.

Your Care Team Brochure

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A care team that’s in your corner

Here’s some helpful info:

When can you call your team?
You or your child can turn to your team for basic health info. And for help to stop smoking, lose weight or make other changes. But we’re also here if you have more complex needs.
You may like having your team’s help most if:
You or your child visit the ER often or have a lot of hospital stays
You or your child have long-term health needs
You or your child have several doctors who need to work together on your care
You or your child need treatment for mental health issues or substance use disorders

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How do you get started with your care team?
There’s two simple ways to get started:
You can email us. Just send us your name, Member ID number, date of birth and phone number.
Or you can call us at 1-888-325-8386
TDD/TRS: 711 and ask for 1-866-591-2908
Monday through Friday, 8 a.m. to 6 p.m. ET