Health Care Marketplace Help

To Enroll

Visit or call (800) 318-2596.


We can help.

(866) 341-2065

Images of patientsThe health insurance law means you can now get affordable health coverage through the health insurance marketplace, also called an exchange.

The open enrollment period for 2016 coverage is from November 1, 2015, to January 31, 2016. You may be able to enroll outside the enrollment period,if you have certain "life changes." See if you are eligible.

Common Questions and Answers About the Marketplace


What if I have health insurance through my employer?

An insurance plan through your job will usually cost less than buying your own through the marketplace. You can still shop the marketplace, but you may pay more for plans there. If you are considering a new health plan, make sure it includes your Vanderbilt doctors.


How does the marketplace work?

The marketplace gives you access to insurance plans from private companies as well as programs from the federal government. The insurance plans on the marketplace must cover core health benefits such as hospital stays, maternity and newborn care, prescription drug coverage, and mental health and substance abuse services. Some preventive services are offered at no cost as well.

To use the marketplace, you fill out an application with details about your household and income. You can then see if you qualify for Medicaid, low-cost coverage or financial help from the government to pay for health insurance. Health insurance exchanges also let you compare insurance plans from private companies.

No plans on the exchanges can turn you down or charge you more because you have an illness or medical condition. This is sometimes called a "pre-existing condition."


Do the insurance plans on the marketplace have copays and out-of-pocket costs?

Yes. All health insurance plans have copays and out-of-pocket costs. You can compare plans to see what your costs would be for monthly premiums as well as copays and out-of-pocket costs.


How can I tell if the plan I choose will include my providers?

Health insurance plans in the marketplace each have their own provider lists. Check the list for the plan you want or contact your provider before you choose a plan.


Which plans include Vanderbilt?

If you'd like to keep the doctors you know and trust at Vanderbilt, you can pick any of these plans on the marketplace:

  • Blue Cross Blue Shield of Tennessee (available in all regions of Tennessee):
    • Network S
    • Network E (in network for pediatric services at Monroe Carell Jr. Children's Hospital at Vanderbilt AND adult/pediatric transplant services; all other services are out of network)

For 2016, the following plans are now out of network:

  • Blue Cross Blue Shield Network E (for adult services other than transplant; pediatric services are in network)
  • Humana Exchange
  • Cigna Tennessee Connect
  • United Compass

The following plans have been discontinued for 2016:

  • Community Health Alliance Choice and Select
  • Assurant Health

What if I don't want health insurance?

The law requires everyone to have some form of health insurance. If you don't, you may be penalized.

To enroll in a health plan, visit or call (800) 318-2596.