Who's Eligible for Medicare in Tennessee?
If you live in Tennessee and meet one of the following, you're likely eligible for Medicare:
- You're age 65 or older
- You're under 65 and have received SSDI for 24+ months
- You have End-Stage Renal Disease (ESRD) or ALS
- You're a U.S. citizen or lawful permanent resident (5+ continuous years)
Medicare Coverage Options in Tennessee
| Coverage Type | What It Covers |
|---|---|
| Original Medicare | Part A (hospital) + Part B (medical); any provider that accepts Medicare |
| Medicare Advantage | All-in-one plans from private insurers; usually includes drug, dental and vision |
| Part D (Drug Plans) | Standalone prescription coverage if you have Original Medicare or Medigap |
| Medigap (Supplement) | Helps pay out-of-pocket costs from A & B; must pair with Original Medicare |
Medicare Advantage in Tennessee
Tennessee residents have access to a broad selection of Medicare Advantage (Part C) plans.
- $0-premium plans are available in much of the state
Many plans include benefits such as:
- Dental, vision, and hearing
- Prescription drug coverage (Part D)
- Fitness memberships
- OTC product allowances
- Transportation to medical appointments
Medigap Plans in Tennessee
Most popular Medigap plans:
- Plan G — broadest coverage (excludes the Part B deductible)
- Plan N — lower monthly premium, with some cost-sharing (copays, no excess-charge coverage)
- Plan F — only for those eligible before Jan 1, 2020
Key facts about Medicare Supplements in Tennessee
- Works with any doctor or hospital that accepts Medicare
- Doesn't include drug, dental, or vision coverage
- Requires a separate Part D plan for prescriptions
Part D in Tennessee: Drug Plans
If you choose Original Medicare or Medigap, you'll need a standalone Part D plan to cover prescriptions.
- Plans vary by ZIP code and formulary
- Deductibles can go up to $615 in 2026
- Most plans are tiered (generic drugs cost less than brand-name)
- The $2,100 annual out-of-pocket cap limits what you can spend on covered drugs
Already on a Medicare Advantage plan? Drug coverage is usually included.
Help for Low-Income Medicare Beneficiaries in Tennessee
If you're on a fixed income, Tennessee offers several support programmes to reduce your Medicare costs:
- Extra Help (LIS) — lowers drug premiums and copays
- Medicare Savings Programs (MSPs) — may pay your Part B premium and other costs
- Medicaid & Dual-Eligible Plans — for those who qualify for both Medicare and Medicaid
- Tennessee SHIP — free Medicare counselling; call 877-801-0044
Not sure if you qualify? We'll help you find out — no pressure, just support.
Medicare Enrollment Periods in Tennessee
| Enrollment Period | When | What You Can Do |
|---|---|---|
| Initial Enrollment Period | 7 months around your 65th birthday | Enrol in Parts A, B, C and D for the first time |
| General Enrollment Period | January 1 – March 31 | Enrol if you missed your IEP; coverage begins July 1 |
| Annual Enrollment Period | October 15 – December 7 | Switch, join or drop Advantage and Part D plans |
| Medicare Advantage OEP | January 1 – March 31 | Make one change if you're already in an Advantage plan |