CareSource Tennessee Co.(TN): Phone Number, Address, Claims Number, Claims

CareSource Tennessee Co. is a new health care partner in Tennessee, offering affordable and quality health insurance plans for low-income and vulnerable populations.

Discover how CareSource Tennessee Co. can help you protect your health and well-being with customized coverage options.
Discover how CareSource Tennessee Co. can help you protect your health and well-being with customized coverage options.

As part of the CareSource Group, a national leader in Medicaid managed care, CareSource Tennessee Co. aims to make a difference in the lives of its members and the communities it serves.

In this article, we will explore the history, products, services, and ratings of CareSource Tennessee Co., and why it might be a good choice for your health care needs.

What is Tennessee Medicaid called?

Tennessee Medicaid is called TennCare.

It is a health insurance program for low-income people of all ages, especially those who are pregnant, have children, have a disability, or need long-term care.

It covers a wide range of medical procedures and services, including nursing home care for those who require a Nursing Facility Level of Care.

What does Medicaid cover in Tennessee?

Medicaid in Tennessee, also known as TennCare, is a health insurance program for low-income people of all ages, especially those who are pregnant, have children, have a disability, or need long-term care.

It covers a wide range of medical procedures and services, including nursing home care for those who require a Nursing Facility Level of Care.

Some of the services that TennCare covers are:

  • Doctor visits
  • Hospital stays
  • Emergency care
  • Prescription drugs
  • Lab tests and x-rays
  • Dental care for children
  • Vision care for children
  • Mental health and substance abuse treatment
  • Home health care
  • Physical therapy and occupational therapy
  • Durable medical equipment and supplies
  • Family planning services
  • Transportation to medical appointments

How can I qualify for Medicaid in Tennessee?

CareSource Tennessee Co.
CareSource Tennessee Co.

 You can qualify for Medicaid in Tennessee if you meet the following criteria:

  • You are a resident of Tennessee and a U.S. citizen or legal immigrant
  • You are a resident of Tennessee and a U.S. citizen or legal immigrant
  • You have a low income and limited resources
  • You belong to one of the eligible groups, such as pregnant women, parents or caretakers of a minor child, children, elderly, disabled, or needing long-term care
  • You apply online, by phone, by mail, or in person

How long does it take to get Medicaid in Tennessee?

The approval process for Medicaid in Tennessee typically takes between 45 and 90 days.
However, it is possible for the approval process to be as short as a few days.
The completed application is then processed, and a determination letter.

How do I contact Medicaid in Tennessee?

Information Value
Phone Number 1-833-230-2102<br>You can also reach them by contacting one of their Contracting Managers Monday through Friday from 8 a.m. to 6 p.m. Eastern Time (ET)
Address CareSource P.O. Box 8738 Dayton OH 45401-8738<br>They also have offices in other states, such as Ohio, Indiana, Georgia, Kentucky, West Virginia, and North Carolina
Customer Service contact Phone: 1-833-230-2102<br>Online form: Tell Us form<br>A Member Services representative will be happy to answer your questions Monday through Friday, 8 a.m. to 8 p.m. unless otherwise stated
Policy details Health insurance plans for individuals and families who do not have employer insurance and do not qualify for other programs like Medicare or Medicaid<br>They have different plan options with different levels of coverage, benefits, and costs<br>You can find more details about their policy offerings on their website
Email address TNcontracting@caresource.com<br>You can use this email to contact them if you have any questions about your application or contract as a participating provider
Fax number Not available, but you can use other methods of communication such as phone, email, or mail
Operating hours Monday through Friday from 8 a.m. to 5 p.m., except for holidays<br>If the holiday falls on a Saturday, the company will be closed on the Friday before. If the holiday is on a Sunday, they will celebrate the Monday after
  • Claim Process: You can file a claim online through SureConnect, a digital portal that allows you to submit claims and review their status 24/7. You can also call or email the Claims Department directly at 1-833-230-2102 or NewClaims@caresource.com.
  • Claim Status: You can check the status of your claim by logging into SureConnect, where you can access up-to-date claim information and communicate with your claim representative. You can also call or email the Claims Department for updates on your claim.
  • Required Documents for Claims: The documents you need to provide for your claim may vary depending on the type and severity of the loss. However, some common documents that may be required are:
    • A copy of the police report, if applicable
    • Photos or videos of the damage or injury
    • Receipts or invoices for repairs or medical treatment
    • A written statement of what happened and who was involved
    • Contact information of any witnesses or other parties
    • Any other relevant information that may support your claim
  • Average Claim Approval Time: The time it takes to process a health insurance claim with CareSource Tennessee Co. can vary depending on the complexity of the claim and the availability of information. In general, the process can take anywhere from a few days to a few weeks. However, CareSource strives to provide timely communication and collaboration throughout the claim process and deliver superior claims service to its policyholders.

FAQs

What is the difference between Medicaid and Medicare in Tennessee?

Medicaid and Medicare are both government-sponsored health care programs, but they have some differences in eligibility, coverage, and costs. Here are some key points to compare them:

Medicaid is a federal-state program for low-income people’s medical expenses.

In Tennessee, it is called TennCare.

Medicare is a federal program for seniors and some disabled people’s health insurance. Medicare has four parts: A (hospital), B (doctor), C (private plan), and D (drug).

To get TennCare, you need to live in Tennessee, be a U.S. citizen or legal immigrant, have low income and resources, and be in an eligible group.

To get Medicare, you need to be a U.S. citizen or legal resident, 65 or older, or have a qualifying disability or condition.

TennCare is mostly free or cheap, but some services may have a small fee. Medicare has different costs based on the plan, such as premiums, deductibles, coinsurance, and copayments.

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