Tennessee Insurance Policy Summary Information Worksheet

State:
Multi-State
Control #:
US-DD01404
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Description

This due diligence worksheet is used to summarize the analysis of insurance policies regarding business transactions.

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FAQ

In Tennessee, this program is called CoverKids. CoverKids offers free health coverage for pregnant women and children who don't have insurance and who don't qualify for TennCare. Preventive health care is free! Sick visits and medication have very low-copays.

An easy-to-read summary that lets you make apples-to-apples comparisons of costs and coverage between health plans. You can compare options based on price, benefits, and other features that may be important to you.

CoverKids is part of the Children's Health Insurance Program, which provides health insurance to uninsured children in all 50 states. Any child or pregnant woman who is eligible for TennCare will be covered by TennCare, not CoverKids.

The SBC is a snapshot of a health plan's costs, benefits, covered health care services, and other features that are important to consumers. SBCs also explain health plans' unique features like cost sharing rules and include significant limits and exceptions to coverage in easy-to- understand terms.

Who is eligible for Tennessee TennCare? To be eligible for Tennessee Medicaid, you must be a resident of the state of Tennessee, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

Income eligibility for certain TennCare Medicaid categories and CoverKids is determined using the Modified Adjusted Gross Income (MAGI) methodology. In general, countable income includes income types that are taxable under federal tax law and excluded income includes income types that are non taxable.

Summary of Benefits and Coverage It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions.

Insurance Benefit means an amount of money which Insurer shall pay to a person entitled to an insurance benefit under the insurance contract upon the occurrence of an insured event.

Where can I find a Summary of Benefits and Coverage? You'll find a link to the SBC on each plan page when you preview plans and prices before logging in, and when you've finished your application and are comparing plans. You can ask for a copy from your insurance company or group health plan any time.

CoverKids provides free, comprehensive health coverage for qualifying children age 18 and younger and pregnant women. It covers preventive health services, doctors visits, hospital visits, vaccinations, well-child visits, developmental screenings and mental health. Children also get vision and dental care.

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Tennessee Insurance Policy Summary Information Worksheet