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Health insurance in Memphis, TN: Can I get TennCare, or do I need a marketplace plan?

The short answer

It depends on your income and your household. Tennessee has not expanded Medicaid, so TennCare covers groups such as parents and caretakers with very low income, pregnant women and children, not most adults without children. Adults with income at or above the poverty line can usually get marketplace tax credits instead. Check both before you go without coverage.

Updated

Reviewed by the licensed agents at Health Insurance Solutions in Orlando, Florida.

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Who can get TennCare in Memphis?

  • Parents and caretaker relatives of a child under 18 who lives with them, with income up to 100% of the poverty level
  • Pregnant women with income up to 250% of the poverty level
  • Children: TennCare Medicaid covers children up to 133% to 195% of the poverty level, depending on age, and CoverKids covers children under 19 up to 250%
  • People who get SSI, people who qualify for long term care and people who need treatment for breast or cervical cancer
  • Young adults under 26 who were in foster care

Adults without children who are not pregnant and do not get SSI usually do not qualify, even with very low income. TennCare says it accepts applications at any time. Apply through TennCare Connect or call 855-259-0701.

What if my income is too low for marketplace tax credits?

Marketplace tax credits generally start at 100% of the poverty level. If your income is below that and you do not fit a TennCare group, you may fall into what is called the coverage gap: no TennCare and no tax credit. You can still buy a marketplace plan, but at full price.

Census estimates show 23.1% of Memphis residents living below the poverty line and 16.9% of people under 65 without health insurance. Median household income in the city is $51,736.

Our tax credit calculator shows whether your income is in the range for credits and points you to TennCare when it is below. Credits are based on what you expect to earn for the whole year, so count side work, overtime and expected raises when you estimate.

Should I pick a bronze or silver plan in Shelby County?

Marketplace plan selections for 2026 (CMS)
MeasureShelby CountyTennessee
People who picked a plan86,784569,310
Received a premium tax credit90.0%90.3%
Average monthly premium after credits$128$141
Premium of $10 a month or less after credits38.4%36.3%
Picked a bronze plan62.8%56.1%
Got extra savings on a silver plan31.5%34.6%

Shelby County picked bronze plans more often than Tennessee as a whole. Bronze has the lowest monthly premium but the highest deductible, so you pay more of your care yourself until you reach it.

If your income is between 100% and 250% of the poverty level, a silver plan comes with extra savings called cost sharing reductions, which lower your deductible and copays. You only get them on a silver plan. Compare a silver plan's yearly costs with bronze before you choose the lower premium.

Which plans do Baptist and Methodist list?

Baptist Memorial Hospital-Memphis lists these exchange plans: Ambetter, BlueCross BlueShield of Tennessee, BlueCross BlueShield of Arkansas, Molina Healthcare and Oscar. For Medicare Advantage it lists Aetna, BlueCross BlueShield of Tennessee, BlueCross BlueShield of Arkansas, Devoted Health, Humana and Wellcare by Allwell in Arkansas.

UnitedHealthcare of Tennessee is on Baptist's TennCare and dual special needs plan lists, but not its exchange or Medicare Advantage lists. That does not prove it is out of network, but check before you enroll. Baptist also warns that an insurer can have a hospital only contract that leaves out Baptist's doctors, so check your doctors too.

Methodist Le Bonheur Healthcare does not post a full list. It asks patients to contact their insurance company to find out whether their plan is in network.

How can an agent help Memphis residents?

An agent can check whether you are likely to qualify for TennCare or tax credits, price bronze and silver plans side by side, and look up your doctors and hospitals in each 2027 plan. Marketplace open enrollment runs November 1, 2026 to January 15, 2027.

Health Insurance Solutions agents are licensed in 22 states and help by phone and online. Marketplace plans cost the same with or without an agent, so the comparison does not add to your premium.

Insurers and hospitals mentioned

Explore the organizations or brands discussed in this article. A mention does not mean every plan or location is covered.

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Tennessee guide

Health insurance in Tennessee

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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Common questions

Did Tennessee expand Medicaid?

No. TennCare covers specific groups, such as parents and caretaker relatives with income up to the poverty level, pregnant women, children and people who get SSI. Most adults without children do not qualify on income alone.

Can I get a marketplace tax credit in Memphis?

Usually, if your household income is between 100% and 400% of the poverty level, you do not qualify for TennCare and you cannot get affordable coverage through a job. Our calculator gives a quick estimate.

Will TennCare members have to report work hours in 2027?

TennCare says its members will not experience an impact from the federal work and community engagement requirements. It says the small number of members the rules apply to automatically meet them based on income information it already has. You still need to answer renewal letters and report changes.

Did TennCare change its rules for immigrants?

Yes. Starting October 1, 2026, TennCare follows new federal rules on which immigration statuses can qualify. They include U.S. citizens and nationals, Cuban and Haitian entrants, COFA migrants and certain lawful permanent residents, who usually must wait five years. If you are unsure, call TennCare Connect at 855-259-0701.

Sources

Rules change. Confirm dates and eligibility with your marketplace, your state Medicaid agency or Medicare before you enroll.

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