TennCare

TennCare is the state of Tennessee’s Medicaid program. It provides health care to low-income pregnant women, children, older adults and individuals who have a disability.

Here are some of the benefits you get with Amerigroup as your TennCare health plan. For some types of care, you may have to pay part of the cost. This is called a copay. Not everyone on TennCare has copays. Your Amerigroup card will tell you if you have copays and what they are. Learn more about copays on the TennCare website.

Benefit	You get:
Medical care	Visits with a primary care provider (PCP) you choose Visits to specialist providers (with a referral from your PCP) Emergency care Preventive care Physical therapy Occupational therapy Speech therapy Lab and x-ray services Medical supplies Home health services Find a doctor
24-hour Nurse HelpLine	24-hour telephone help from a registered nurse Call 1-866-864-2544 (SP: 2545)
TennCare Kids	Checkups and health care services for babies, children, teens and young adults under age 21; including: Medical Dental Speech Hearing Vision Behavioral health Learn more
Dental care	Checkup and cleaning every 6 months through DentaQuest for children under age 21 Find a dentist
Vision care	Vision care services through EyeQuest for children under age 21, including eyeglass lenses and frames as medically necessary. Plus, if glasses are broken or lost, Amerigroup will replace them. Find an eye doctor
Prescription medicines	Pharmacy benefits through OptumRx. Your ID card will tell you if you have pharmacy benefits. OptumRx will send you a separate pharmacy card. Find a pharmacy
Rides to appointments	No cost rides to your health care visits if you don’t have a way to get to there Request a ride
Behavioral health care	Help for you or a family member with problems like depression, anxiety, family issues, and alcohol or drug abuse. This includes: Crisis services (mental health, alcohol and drug abuse) Inpatient and outpatient substance abuse benefits Outpatient behavioral health services (mental health, alcohol and drug abuse) Intensive community-based treatment Psychiatric inpatient facility services, rehabilitation services and residential treatment We also provide members with access to our CommonGround Recovery Library, which has strategies and tools to help start the recovery and healing process. Find a doctor
Healthy Rewards	Debit card dollars for completing health visits and screenings. Details below.

Amerigroup Healthy Rewards program

Who's eligible	Healthy activity*	Reward	Limit
Members (ages 2-20)	Annual wellness checkup (early, periodic, screening, diagnosis and treatment exam)	$20	One every 12 months
Adults with high blood pressure	Refill your high blood pressure prescription	$5	Five times per 12 months
Adults diagnosed with depression	Refill your antidepression prescription	$5	Five times per 12 months
Adults with diabetes (ages 18-75)	Diabetic blood sugar (A1c) test	$10	Once every 12 months
Adults with diabetes (ages 18-75)	Diabetic retinal eye exam	$25	Once every 12 months
Adults with diabetes (ages 18-75)	Diabetic nephropathy (kidney) screening	$10	Once every 12 months
Children with attention deficit disorder (ADD): first time use of ADD medication (ages 6 to 12)	Two follow-up visits for ADD	$20	Once every 12 months
Women (ages 50-74)	Breast cancer screening	$25	One every 12 months
Pregnant women	First prenatal visit (within 42 days of enrollment)	$25	Once per pregnancy
Pregnant women	Postpartum visit between 21 and 56 days after delivery	$50	Once per pregnancy