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2013 - INCOME CRITERIA
Qualifying for enrollment for CoverKids is based on a household income of up to 250% of
the federal poverty level (FPL), the number of persons in the household and also on the age of
the child you wish to enroll. Household income includes income earned and income received.
Children in families with a household income of over 250% FPL may buy into the CoverKids plan.
Effective January 1, 2013, the premiums starts at $294 up to $375 per month per child.
"Persons in household" refers to the immediate family members that reside in the household,
including the applicant, such as parents or guardians and siblings. The income considered is the
income that is received that supports this family unit.
Pregnant women should include the number of expected babies when determining “persons in the household”.
Please refer to the charts below to determine if you should apply for enrollment for your child in CoverKids or for TennCare.
Income Levels CoverKids Covers Based on Household Size (Effective 3/1/2013)
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Persons in Household
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Age birth to 1
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Age 1 to 6
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Age 6 to 18
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Pregnant Women
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| 1 |
$21,257 - $28,725 |
$15,321 - $28,725 |
$11,491 - $28,725 |
N/A |
| 2 |
$28,694 - $38,775 |
$20,680 - $38,775 |
$15,511 - $38,775 |
$28,694 - $38,775 |
| 3 |
$36,131 - $48,825 |
$26,040 - $48,825 |
$19,531 - $48,825 |
$36,131 - $48,825 |
| 4 |
$43,569 - $58,875 |
$31,400 - $58,875 |
$23,551 - $58,875 |
$43,569 - $58,875 |
| 5 |
$51,006 - $68,925 |
$36,760 - $68,925 |
$27,571 - $68,925 |
$51,006 - $68,925 |
| 6 |
$58,443 - $78,975 |
$42,120 - $78,975 |
$31,591 - $78,975 |
$58,443 - $78,975 |
| 7 |
$65,880 - $89,025 |
$47,480 - $89,025 |
$35,611 - $89,025 |
$65,880 - $89,025 |
| 8 |
$73,317 - $99,075 |
$52,840 - $99,075 |
$39,631 - $99,075 |
$73,317 - $99,075 |
| 9 |
$80,754 - $109,125 |
$58,200 - $109,125 |
$43,651 - $109,125 |
$80,754 - $109,125 |
| 10 |
$88,191 - $119,175 |
$63,559 - $119,175 |
$47,671 - $119,175 |
$88,191 - $119,175 |
* For pregnant women that are US citizens or qualified aliens, the income criteria is the same as children age zero to 1.
Income Levels TennCare Covers Based on Household Size (Effective 3/1/2013)
|
Persons in Household
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Age birth to 1
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Age 1 to 6
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Age 6 to 18
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Pregnant Women
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| 1 |
Up to $21,256 |
Up to $15,320 |
Up to $11,490 |
N/A |
| 2 |
Up to $28,693 |
Up to $20,679 |
Up to $15,510 |
Up to $28,693 |
| 3 |
Up to $36,130 |
Up to $26,039 |
Up to $19,530 |
Up to $36,130 |
| 4 |
Up to $43,568 |
Up to $31,399 |
Up to $23,550 |
Up to $43,568 |
| 5 |
Up to $51,005 |
Up to $36,759 |
Up to $27,570 |
Up to $51,005 |
| 6 |
Up to $58,442 |
Up to $42,119 |
Up to $31,590 |
Up to $58,442 |
| 7 |
Up to $65,879 |
Up to $47,479 |
Up to $35,610 |
Up to $65,879 |
| 8 |
Up to $73,316 |
Up to $52,839 |
Up to $39,630 |
Up to $73,316 |
| 9 |
Up to $80,753 |
Up to $58,199 |
Up to $43,650 |
Up to $80,753 |
| 10 |
Up to $88,190 |
Up to $63,558 |
Up to $47,670 |
Up to $88,190 |
If your child meets the enrollment criteria for TennCare, please visit
www.state.tn.us/tenncare/
for further information.
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