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OUR COVERKIDS PLAN

All the important details, all right here

CoverKids provides head-to-toe health services. It's a plan for children through age 18 and eligible pregnant women. Here's helpful info for your plan, whenever you need it.

Quick links for members:

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Are you a new CoverKids member?

You can learn more about your plan, how to use your benefits and get free resources.
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Do you qualify for CoverKids?

If you aren’t a CoverKids member, you can visit the Division of TennCare℠ to see if you're eligible. Apply online through TennCare Connect. Or call us and we’ll be happy to help.

LEARN MORE
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CoverKids benefits overview
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Well-care visits, screenings and immunizations

Help yourself or your child stay healthy by going to scheduled well-care checkups. Preventive care can catch potential issues early on. Plus, they’re covered.

Select your age range to see which well-care checkups and screenings you or your child may need.

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Children

Babies and Toddlers

CoverKids members receive free well-child visits through age 18. The American Academy of Pediatrics recommends 12 well-care checkups from birth through age 2½.

Age Checkups needed
Birth–1 Before your baby leaves the hospital, your baby’s first week at home, every 1 to 3 months after that
1–2 12 months, 15 months, 18 months
2–3 24 months, 30 months

Here’s what’s included in a well-care visit:

  • Health history
  • Complete unclothed physical exam
  • Lab tests, as needed
  • Vaccinations, as needed (for the latest guidance from experts visit here)
  • Vision and hearing screening
  • Developmental and behavioral screenings (as needed)
  • Advice on how to keep your child healthy

Sometimes providers or teachers notice a change in your child’s health or behavior. They can refer your child for a screening or checkup even if it’s not time for an annual well-child exam. If you have any questions, just give us a call.

Children and Teens

CoverKids members receive free well-child visits through age 18. The American Academy of Pediatrics recommends yearly well-care checkups from ages 3 through 18.

Here’s what’s included in a well-care visit:

  • Health history
  • Complete unclothed physical exam
  • Lab tests, as needed
  • Vaccinations, as needed (for the latest guidance from experts visit here)
  • Vision and hearing screening
  • Developmental and behavioral screenings (as needed)
  • Advice on how to keep your child healthy

Sometimes providers or teachers notice a change in your child’s health or behavior. They can refer your child for a screening or checkup even if it’s not time for an annual well-child exam. If you have any questions, just give us a call.

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Women

Select your age range to see which screenings you may need to schedule.Information icon

Ages 18–39

Screening/Test When it's needed
Blood pressure test Every 2 years if your blood pressure is less than 120/80.
Every year if it's between 120/80 and 139/89.
More often if it measures 140/90 or higher.
Your provider will discuss a schedule with you.
Breast cancer screening
(Mammogram)		 1 time between ages 35-40 to get a "baseline"- an image they'll use for comparison at your next mammogram. Discuss the best timing with your provider, especially if you have a family history of breast cancer.
Cervical cancer screening
(Pap test)		 Every 3 years if you're 21 and up and have a cervix.

Every 5 years you can get a Pap test and an HPV test together if you have a cervix.
Chlamydia test Sexually active women who are not more than 29 years of age and older women with risk factors should get a test every year. Talk with your provider about whether you’re at risk.
Cholesterol test Regularly starting at age 20 if you are at increased risk of heart disease. Talk with your provider about whether you're at risk and how often you need the test.
Diabetes screening Regularly if you're overweight and at increased risk of heart disease. The test will include a screening of blood sugar levels to determine diabetes.
Obesity screening Every year
Ages 40–49

Screening/Test When it's needed
Blood pressure test Every 2 years if your blood pressure is less than 120/80.
Every year if it's between 120/80 and 139/89.
More often if it measures 140/90 or higher.
Your provider will discuss a schedule with you.
Breast cancer screening
(Mammogram)		 Every 1 to 2 years at age 40 and over. Discuss this with your provider, especially if you have a family history of breast cancer.
Cervical cancer screening
(Pap test)		 Every 5 years, you can get a Pap test and an HPV test together if you have a cervix.
Chlamydia test Women with risk factors should get a test every year.
Talk with your provider about whether you’re at risk.
Cholesterol test Regularly if you are at increased risk of heart disease.
Talk with your provider about whether you're at risk and how often you should be tested.
Diabetes screening Regularly if you're overweight and at increased risk of heart disease. The test will include a screening of blood sugar levels to determine diabetes.
Obesity screening Every year
Ages 50–64

Screening/Test When it's needed
Blood pressure test Every 2 years if your blood pressure is less than 120/80.
Every year if it's between 120/80 and 139/89.
More often if it measures 140/90 or higher.
Your provider will discuss a schedule with you.
Bone mineral density test Testing is encouraged if you are at risk of osteoporosis.
Talk to your provider to see if you are at risk.
Breast cancer screening
(Mammogram)		 Annually
Cervical cancer screening
(Pap test)		 Every 5 years, you can get a Pap test and an HPV test together if you have a cervix.
Chlamydia test Women with risk factors should get a test every year.
Talk with your provider about whether you’re at risk.
Cholesterol test Regularly if you're at increased risk for heart disease.
Talk with your provider about whether you're a risk and how often you should be tested.
Colorectal screening Needed regularly. Several types of tests are offered. Talk to your provider about what's right for you and how often you need it.
Diabetes screening Needed if you're overweight and at increased risk of heart disease. The test includes a screening of blood sugar levels to determine diabetes.
Obesity screening Every year
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See if your provider is in network

You can search for all the doctors, hospitals and specialists that are in your CoverKids network.
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Meet your care team

From healthy life changes to support for a health condition or injury, we’re here. Your care team is here to help you and your child with self-management support, health education and/or care coordination. Your team may include nurses, social workers, other staff members or our friends in the community. They’ll give you one-on-one help based on what you need. And it’s free. You can join (opt in) or cancel (opt out) at any time with just a call.

pdf-iconYour Care Team Brochure