Carelon - Tennessee | HealthLuminate

Health Plan Overview

Insurance Company	Carelon
State	Tennessee
Website	carelon.com
Number of Hospitals in Network	11
Number of Plans Offered	8

Network Hospital Locations

Hospitals in Network (11)

Blount Memorial HospitalAscension Saint Thomas RutherfordAscension Saint Thomas Hospital WestAscension Saint Thomas DeKalbAscension Saint Thomas River ParkAscension Saint Thomas Highlands HospitalAscension Saint Thomas Stones RiverAscension Saint Thomas Hospital for Specialty SurgeryAscension Saint Thomas Hickman HospitalAscension Saint Thomas Three RiversAscension Saint Thomas Behavioral Health Hospital

Available Plans

Employer Group Health Plan

1 plan

Government Sponsored Plan

1 plan

Healthcare Service

4 plans

Marketplace Plan

1 plan

Pharmacy Benefit Management

1 plan

Plan Details

Plan Name	Plan Type
NA	Healthcare Service
NA	Healthcare Service
NA	Healthcare Service
NA	Healthcare Service
NA	Employer Group Health Plan
NA	Pharmacy Benefit Management
NA	Marketplace Plan
NA	Government Sponsored Plan

Recent News

April 7, 2025

Carelon Medical Benefits Management announced updates to their Clinical Appropriateness Guidelines, effective for dates of service on and after August 1, 2025. These updates are part of the annual guideline review process and focus on advancing clinically appropriate, safe, and affordable healthcare services. Tennessee is listed as one of the markets where these updates apply.

State Leadership

Joe Thomas

Chief Information Security Officer

Contact for inquiries regarding Carelon's information security and privacy policies, procedures or activities at the Carelon Post Acute Solutions location in Brentwood, Tennessee.

Pamela Hursh

Privacy Officer

Contact for inquiries regarding Carelon's information security and privacy policies, procedures or activities at the Carelon Post Acute Solutions location in Brentwood, Tennessee.