Tennessee Health Insurance (2026)

ACA marketplace health insurance rates, Medicaid eligibility, and top insurers in Tennessee. Rates shown before premium tax credits — most buyers qualify for subsidies.

Silver Premium

$570/mo

Age 40, before credits

Avg Deductible

$5,000

Silver plan

Medicaid

Not Expanded

Gap may exist

Insurers

4

On marketplace

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Top Health Insurers in Tennessee

1

Blue Cross Blue Shield

Nationwide network

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Avg Monthly

$480

Network

Very Large

Rating

4.5/5

2

UnitedHealthcare

Employer plans

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Avg Monthly

$510

Network

Large

Rating

4.3/5

3

Aetna

CVS integration

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Avg Monthly

$495

Network

Large

Rating

4.2/5

4

Cigna

Mental health coverage

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Avg Monthly

$490

Network

Large

Rating

4.2/5

5

Kaiser Permanente

Integrated care

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Avg Monthly

$440

Network

Regional

Rating

4.7/5

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Enrollment Requirements & Key Dates

  • Open Enrollment: Nov 1 – Jan 15
  • No Medicaid expansion — income coverage gap persists
  • ACA subsidies available above poverty line via HealthCare.gov

Tennessee Health Insurance Facts

Tennessee has not expanded Medicaid.
BlueCross BlueShield of Tennessee is the dominant marketplace insurer.
TennCare (existing Medicaid) has very strict eligibility criteria.

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