Welcome to the ultimate guide to Medicare in Nashville! We are actually headquartered right here in The Nations neighborhood. Nashville and Middle Tennessee hold a special place in our hearts! We have lots of licensed agents available in Middle TN to help you whenever you’re ready (833-438-3676). This guide can get you started.
*Click here for a guide for Medicare in all of Tennessee
Click below to learn more about Nashville Medicare:
All Medicare beneficiaries need to start with Original Medicare, which includes parts A and B. Part A includes inpatient hospital, hospice, skilled nursing facility, and home health coverage. Premiums, deductibles, coinsurance, and copayments may apply.
If you were employed and paid Medicare taxes for at least 40 quarters (about ten years), or if you get retirement benefits from Social Security or the Railroad Retirement Board, you may have premium-free Part A (premium-free does not necessarily excuse you from other costs). If you only worked for between 30 and 39 quarters, your Part A premium will be $240/month in 2019. If you worked for less than 30 quarters, your Part A premium will be $437/month in 2019.
Hospitals That Accept Medicare in Nashville, TN
Hospitals, doctors, and specialists of any kind can choose whether or not they want to accept Medicare (and they can change their decision at any time). Remember that whether or not a facility accepts Medicare is different from whether or not they accept your private insurance plan!
The standard Part B premium in 2019 is $135.50. Qualifying for premium-free Part A in Nashville does not mean that you will qualify for premium-free Part B. If you have a high income, your Part B costs may be higher than $135.50.
Geriatric Doctors That Accept Medicare in Nashville, TN
The following doctors are listed on Medicare.gov as doctors who specialize in geriatric care and accept Medicare. Remember that whether or not a doctor’s office accepts Medicare is different from whether or not they accept your private insurance plan!
The list can be altered at any time, but this page is up-to-date as of October 2019.
Medicare Advantage is sometimes called “Part C.” Original Medicare (parts A and B) can seem quite limited. Part C plans are offered by private insurers and can add additional benefits. Medicare Advantage plans can include benefits like prescription drugs, dental, vision, meal delivery, non-emergency medical transportation, physical fitness, and more.
Each plan can be different from the next, and you may not be eligible for every plan. A Nashville insurance agent can help you figure out what you’re eligible for and which types of plans may be best for you.
One of the benefits that some Medicare Advantage plans offer is a membership to a fitness program. SilverSneakers and Silver & Fit are just two examples. Here are the locations where those memberships are accepted (as of October 2019):
Medicare Supplements, often nicknamed “Medigap,” are a different type of private Medicare plan. Medigap plans don’t typically include health benefits. Instead, they offer additional financial coverage. By paying a Medigap premium every month, you could save on your deductibles, copayments, and coinsurance.
Medicare Part B covers jaw diseases, oral cancer, face tumors, or face fracture-related procedures and infections caused by dental procedures, and Part A may cover oral examinations if they are related to another hospital stay. However, Original Medicare does not cover important services like routine exams and cleanings, dentures, denture care, fillings, or pullings. You may be able to fill those gaps with either a standalone dental plan or a Medicare Advantage plan.
Low-Income Dental Care Nashville, TN | Interfaith Dental
Can’t afford to add any kind of dental coverage? We get it, it’s expensive.
We work closely with an organization called Interfaith Dental in Middle Tennessee. Interfaith provides low-cost dental care to Middle Tennessee families and individuals in need. To be eligible, you must be uninsured, suffering from poor dental health, and living with an income below the federal poverty line.
To get started with Interfaith Dental, you’ll have to call and answer a few questions:
Nashville Office: 615-329-4790
Murfreesboro Office: 615-225-4141
If the patient coordinator that you speak with believes that you may be eligible, he or she will tell you when the next “application day” is. On that day, you’ll need to come to your nearest Interfaith Dental office to complete your application. For that application, you’ll need your most recent tax return, recent pay stubs for your household, proof of address, and your ID.
Click here for a full guide on becoming an Interfaith Dental Patient.
Middle Tennessee has quite a few public health clinics, and many specialize in dental care for low-income families and individuals. We work closely with Interfaith Dental, located both in the Fesslers Lane/Elm Hill Pike area of Nashville and near the St. Thomas Rutherford Hospital campus in Murfreesboro, but there are a few others as well.
Other Low-Income Dental Care in Nashville/Middle Tennessee:
If Medicare Supplements or Medicare Advantage plans don’t feel right to you, let’s talk about another option. You could keep your Original Medicare (Part A and Part B) coverage and add a standalone “Part D” plan for prescription drug benefits. You may also hear Part D called “PDPs,” or “Prescription Drug Plans.”
Medicare Part D plans generally only cover prescription drugs, nothing else. Plans can vary greatly in cost based on the types of drugs that are covered and how much coverage you have. If you’re looking for an additional plan that includes more benefits other than just prescription drugs, Part C (Medicare Advantage) may be best for you.
Medicare nursing home coverage can be quite limited. “Skilled nursing facility care” is covered when determined medically necessary, but even that has a 100-day limit. Private Medicare plans may offer additional nursing home day coverage.
Medicare covers urgent care facilities similarly to doctor’s offices. It’s important to know where the nearest urgent care facility is to you. Urgent care is a great place to go if you’re having a health emergency that is NOT so urgent that you need to go to the emergency room. Emergency rooms often have long wait times, and it’s better to not clog them up with non-emergency concerns.
Urgent care facilities are great places to go if you are sick and there are no appointments available at your doctor’s office. However, please call 911 or go to your nearest emergency room if you are in crisis or experiencing scary symptoms like severe chest pain.
Have Questions? Request Information On Local Options
Where to Apply for Medicare - Nashville Offices
There are a few ways to apply for Medicare in Nashville. You can enroll for Original Medicare online at SocialSecurity.gov, you can call Social Security at 1-800-772-1213 (TTY 1-800-325-0778), or you can visit your local office.*
Below are addresses for Social Security offices in the greater Nashville area:
*If you worked for the railroad, enroll in Medicare by calling the Railroad Retirement Board at 1-877-772-5772.
Access Ride: MTA Access Ride provides transportation Monday through Friday for those over the age of 60. Transportation is available to meal sites, medical appointments, etc.
Aging and Disability Program: The GNRS (Greater Nashville Regional Council) Aging and Disability program helps connect Nashville seniors with a variety of programs that can increase quality of life. Call the helpline for information, referrals, and assessments Monday through Friday from 8 AM to 4:30 PM at 615-225-1010.
FiftyForward: FiftyForward is a program for Middle Tennessee adults over the age of 50. Members are able to participate in group vacations, local excursions, and a variety of events.
Nutrition Program: People in Davidson County over the age of 60 (or under 60 and disabled) may be eligible to receive either home-delivered meals or meals at congregate sites. Meal sites are open Monday through Friday for 4.5 hours per day. Referrals are required for home-delivered meals. For congregate meal centers, call the nearest location to you to find out if you’re eligible.
Cohn Adult Learning Center, 4800 Park Avenue, 615-880-2343
East Park Community Center, 700 Woodland Street, 615-862-8448
Elizabeth Community Center, 1701 Arthur Street, 615-880-2340
Hadley Community Center, 1037 28th Avenue North, 615-880-2290
Medicare Plan Finder: We have licensed agents all across Tennessee, but especially in Middle Tennessee. Since we're headquartered right here in The Nations, we can definitely connect you with a licensed agent in the Nashville area. Give us a call at 844-431-1832 or send us a message for more information.
By providing the information above, I grant permission for Medicare Health Benefits Independent Broker, MedicarePlanFinder.com, and its affiliated agencies to contact me to discuss Medicare Advantage, Prescription Drug Plans, or Medicare Supplement products. Not affiliated with or endorsed by Medicare or any government agency.