Current enrollment in this group is about 803,000. Persons with an existing or prior existing health conditions causing them to be uninsurable. This population is now nearly 10 percent of all enrollees. While enrollment will not be restricted for those currently eligible for Medicaid or the uninsurable, the cap on total enrollment may limit the number of uninsured served. Current enrollment of uninsurable and previously uninsured individuals is about 546,000.
Enrollment is currently open to uninsured children and uninsurables.
TennCare benefits are more generous than those offered under Medicaid for acute care, generally in that they remove most limitations on number of episodes covered. The plan emphasizes preventive care by providing all preventive care to adults and children without copayments or deductibles. Those in the uninsured group are enrolled for a 1-year period as long as they continue to pay their premiums. The State may involuntarily disenroll those in the uninsured group who fail to pay premiums. Long term care is not included in the managed care plan.