CoverKids CHIP

Welcome to Amerigroup Community Care. We are here to provide access to care through CoverKids, Tennessee’s Children’s Health Insurance Program (CHIP). We cover children, pregnant women, and new moms who meet income guidelines. New moms stay with the CoverKids program for 60 days after they give birth.

Am I eligible?

Families who meet these requirements are eligible for CoverKids:

• Your child is younger than age 19.
• Neither you nor your child is eligible for TennCare Medicaid.
• Your household income is at or below 250% of the federal poverty level (FPL).
• You met all non-financial eligibility requirements, such as being a U.S citizen or a qualified non-citizen.

Once your child is enrolled in CoverKids, they will receive 12 months of benefits. CoverKids will not look at their eligibility again, even if your family’s income changes during the year.  

Benefits

We offer preventive care to support your emotional and mental well-being that focuses on your family’s whole health.

Benefits include:

• Doctor visits for vaccines, sick visits, and well checkups
  Having a doctor who knows your family history and your health status can make a difference in your care. When you see your primary care physician (PCP) regularly, you build a relationship that lets your PCP learn more about you and how to help you take care of your health.
• Hospital stays
  Rehabilitation services are covered during your hospital stay. Copays will also be waived if you are readmitted within 48 hours of the first visit for the same illness.
• Mental health services
  Help for you or a family member with problems like depression, anxiety, family issues, and alcohol or drug-related problems are available. They also have a single copay for each time you are seen.
• Physical, speech, and occupational therapy
  You receive up to 52 visits per calendar year for each type of therapy or rehabilitation service.
• Pharmacy services
  Your pharmacy benefits are managed by Express Scripts (ESI) and include 30 and 90-day supplies of your specialty pharmacy medications.
• Vision and dental care (for children under the age of 19 only)
  CoverKids covers routine care, including:
  • Eye exams, prescription eyeglass and contact lenses, and frames
  • Dental exams, cleanings, and fluoride treatment
  • Oral X-rays
  • Oral fillings

Those who qualify for dental may visit dentaquest.com to learn more. For vision care, please visit dentaquest.com/vision.

See full details about your benefits:

Copays

For some types of care, you may have to pay part of the cost. This is called a copay. Copays vary based on your income, but total payment will not exceed 5% of your annual household income.

If you have copays, you will find them on your CoverKids member ID card. Your ID card will also indicate your benefit level. The following chart lists the copays based on the services you receive.