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CoverKids Eligibility

CoverKids is designed for uninsured children age 18 and younger whose families earn within 250 percent of the federal poverty level ($59,625 annually for a family of four). See the income guidelines for more information. Additionally, pregnant women who meet other eligibility criteria can receive maternity coverage through CoverKids.

Children can get this coverage if:

  • They are under 19 years of age on the date of application
  • They are Tennessee resident
  • They do not have access to state-sponsored health insurance
  • They are not eligible for or enrolled in TennCare. This is not TennCare. Applications are first reviewed for possible TennCare eligibility. If it appears that a child may be eligible for TennCare, the applicant will be asked to complete an application through the marketplace at www.healthcare.gov
  • They are U.S. citizen or qualified legal alien. Examples of documents to prove qualified alien status include: Form I-551 or Form I-94. This requirement only applies to children not pregnant women.
  • Household income up to 250% of federal poverty level (FPL)
  • CoverKids must be your only health plan. To get benefits, your child cannot be part of any other plan. You cannot use CoverKids as a second health plan

Pregnant women can get this coverage if:

  • They are Tennessee resident
  • They do not have access to state-sponsored health insurance
  • They are not eligible for or enrolled in TennCare
  • They are at or below the CoverKids income limit
  • If you are a pregnant woman no immigration documents are required
  • Pregnant women can get prenatal services through CoverKids regardless of their immigration status
  • Maternity coverage available for pregnant women at or below 250% of the federal poverty level who meet other eligibility criteria
  • CoverKids covers pregnant women who do not have maternity health benefits. If you have another health plan with maternity benefits, you cannot be part of CoverKids


Important News about CoverKids Network Changes Click here

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