CoverTN expands benefits to include flu treatments

Tuesday, October 20, 2009 at 3:21pm
Staff reports

CoverTN announced benefits improvements Tuesday that will now include added coverage of several flu treatment medications.

Participants in the state-sponsored limited benefit health insurance plan for small businesses and the working uninsured will now have coverage for Tamiflu, Relenza and other flu treatment medications. These drugs have been added to the prescription drug list without being subject to pharmacy limit.

Gov. Phil Bredesen announced benefits improvements and also shared that, for the third year in a row, there will be no premium increase for the state-sponsored plan in 2010.

“The goal of CoverTN has always been to provide quality benefits and coverage while maintaining an affordable premium and I’m pleased the program continues to achieve that goal,” Bredesen said. “As CoverTN continues to grow, we’re able to make improvements and still operate within our existing budget without passing on additional costs to members.”

CoverTN, which was introduced in 2007, offers two plans that cover the services most needed by most people. In addition to the current benefits, which include up to 12 primary care and five or six specialist visits per year, CoverTN will increase the number of outpatient surgical and non-surgical visits per year and cover annual mammogram screening at 100 percent.

All benefit improvements will be effective Jan. 1, 2010, with the exception of coverage for flu medications, which took effect earlier this fall in preparation for flu season.

In addition to these improvements, CoverTN will have no premium increase for 2010, marking three consecutive years of constant premiums.

The average CoverTN member pays $60 per month for his or her coverage, which represents one-third of the total monthly premium. The state and employer cover the costs of the remaining two-thirds. Self-employed and individuals working without health insurance pay two-thirds of the monthly premium while the state still pays the remaining one-third share.

For more information about any of the Cover Tennessee programs, visit www.CoverTN.gov or call 1-866-COVERTN.