Tennessee Medicare plans for 2026.
Tennessee has approximately 1.4M Medicare beneficiaries — about 55% on Medicare Advantage, the rest on Original Medicare. We compare Medicare Advantage, Medigap, and Part D options from BlueCross BlueShield TN, Humana, UnitedHealthcare (AARP), Aetna, Cigna, Wellcare.
Medicare Advantage vs. Medigap in Tennessee
For most Tennesseans, the choice between Medicare Advantage (Part C) and Original Medicare plus a Medigap (Supplement) plan is the biggest decision you'll make.
Medicare Advantage in Tennessee
Bundles Part A, Part B, and usually Part D into a private plan. Most Tennessee metros offer competitive $0-premium plans with dental, vision, hearing, OTC, and transportation benefits.
Most Tennessee MA plans are HMOs with local networks including Vanderbilt, HCA Healthcare (Tristar), Methodist Le Bonheur, Erlanger, University of Tennessee Medical Center. We verify your doctors before enrolling.
Medigap in Tennessee
Pairs with Original Medicare and covers the deductibles, coinsurance, and copays Medicare doesn't pay. Any doctor or hospital nationwide that accepts Medicare accepts Medigap — no networks.
Tennessee Medigap premiums vary by ZIP and age, and carriers may medically underwrite outside your one-time 6-month Medigap Open Enrollment window.
Top Medicare carriers in Tennessee
Plan availability and network depth vary by county.
BlueCross BlueShield Tennessee
Tennessee's dominant insurer. Statewide network covering Vanderbilt, Erlanger, Methodist Le Bonheur, Tristar.
Humana & UnitedHealthcare
Both national carriers offer competitive MA plans across Tennessee, with UnitedHealthcare's AARP-branded Medigap being a popular Tennessee choice.
Aetna & Cigna
Both have competitive MA footprints in Nashville, Memphis, Knoxville, and Chattanooga. Cigna has strong national branding which helps with snowbird Tennesseans.
Wellcare
Strong Tennessee Part D footprint and competitive D-SNP options.
Part D prescription coverage in Tennessee
Under the Inflation Reduction Act, 2026 Part D caps out-of-pocket drug costs at $2,100 per year and eliminates the old "donut hole."
Every Tennessee Medicare beneficiary needs prescription drug coverage (or creditable alternative coverage) to avoid the Part D late enrollment penalty. Tennessee has dozens of standalone Part D plans plus drug coverage bundled into most MA-PD plans.
- Formulary check: The same medication can land in very different tiers across plans. We run your drug list against every Part D plan in your ZIP.
- Preferred pharmacy: Many Tennessee Part D plans offer lower copays at preferred pharmacies (CVS, Walgreens, Walmart, Kroger, Publix, Costco). Which pharmacy you prefer can change which plan is cheapest.
- Extra Help / LIS: Tennessee beneficiaries with limited income may qualify for the Low Income Subsidy that significantly reduces drug costs.
Medicare enrollment dates for Tennessee
- Annual Enrollment Period (AEP): October 15 – December 7. Change Medicare Advantage or Part D plans; changes effective January 1.
- Medicare Advantage Open Enrollment (MA OEP): January 1 – March 31. One plan change allowed for members already in a Medicare Advantage plan.
- Initial Enrollment Period (IEP): 7 months around your 65th birthday — 3 months before, your birthday month, and 3 months after.
- Medigap Open Enrollment: 6 months from your Part B effective date — the one-time window when Tennessee Medigap carriers cannot deny you or charge more for health reasons.
- Special Enrollment Periods: Moving into Tennessee, losing employer coverage, qualifying for Extra Help, or moving into or out of a nursing facility may each trigger a SEP.
Tennessee Medicare FAQ
Are there Tennessee-specific Medicare rules?
Can I switch from Advantage to Medigap later?
What if my doctor is at a different network?
What does SilverEdge cost?
Tennessee counties we cover
All 95 Tennessee counties. A few of the counties where we have the most active members:
"I needed Vanderbilt in network. BCBS TN had it AND included a fitness benefit at the YMCA for free. Switched in one phone call with SilverEdge."
Ready to compare Tennessee Medicare plans?
Free, no pressure. Licensed in Tennessee and all 50 states. We'll review your doctors, drugs, and budget — and walk you through the right Medicare combination for you.