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AccessTN Premium Assistance

The General Assembly has appropriated $13 million in funds for premium assistance to make monthly premiums more affordable for existing low-income members.

The AccessTN Board has determined that premium assistance:
Will be available for applicants up to 350% of federal poverty level, up to an annual household income of $75,000.
Is limited to available funding; not all of those meeting eligibility criteria will necessarily qualify.
Will range from 20% of premium to 60% of premium based on household income.
Will only be available for Plan One, which has the lowest deductible and highest premiums.

Rates below reflect 2010 FPL effective 6/1/10.

Income Guidelines for Premium Assistance
Persons in Household Up to 200% FPL Up to 250% FPL Up to 350% FPL
1 $21,660 $27,075 $37,905
2 $29,140 $36,425 $50,995
3 $36,620 $45,775 $64,085
4 $44,100 $55,125 up to $75,000
5 $51,580 $64,475 up to $75,000
6 $59,060 $73,825 up to $75,000
7 $66,540 up to $75,000 up to $75,000
8 $74,020 up to $75,000 up to $75,000
State Premium Assistance Pays 60% 40% 20%
Member Share of Premium 40%
see table D below
60%
see table C below
80%
see table B below
Important: You DO NOT have to figure your premium to apply for AccessTN!
We will figure it for you when your coverage is approved, and if you request premium assistance, your proof of income has been reviewed.


B) 20% State Premium Assistance - Member Pays 80%
PLAN 1000*: $1,000 deductible
  Target Weight or Below Above Target Weight
Age Non Tobacco User Tobacco User Non Tobacco User Tobacco User
<19 $328 $328 $328 $328
19-29 $328 $378 $365 $419
30-39 $382 $438 $424 $486
40-49 $463 $533 $514 $592
50-59 $550 $634 $612 $704
60-64 $650 $747 $722 $830
65+ $766 $882 $852 $980


C) 40% State Premium Assistance - Member Pays 60%
PLAN 1000*: $1,000 deductible
  Target Weight or Below Above Target Weight
Age Non Tobacco User Tobacco User Non Tobacco User Tobacco User
<19 $246 $246 $246 $246
19-29 $246 $283 $274 $314
30-39 $286 $329 $318 $365
40-49 $347 $400 $386 $444
50-59 $413 $475 $459 $528
60-64 $487 $560 $541 $623
65+ $575 $661 $639 $735


D) 60% State Premium Assistance - Member Pays 40%
PLAN 1000*: $1,000 deductible
  Target Weight or Below Above Target Weight
Age Non Tobacco User Tobacco User Non Tobacco User Tobacco User
<19 $164 $164 $164 $164
19-29 $164 $189 $182 $210
30-39 $191 $219 $212 $243
40-49 $232 $266 $257 $296
50-59 $275 $317 $306 $352
60-64 $325 $374 $361 $415
65+ $383 $441 $426 $490

*Premiums will be slightly higher for Portability eligibility enrolling directly from COBRA, TennCare or other qualifying coverage.
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