Troy Medicare

Troy Medicare is a pharmacy-powered Medicare Advantage company based in Charlotte, North Carolina, founded in 2019. The company offers straightforward Medicare Advantage plans designed to provide comprehensive coverage with easy-to-understand benefits, particularly for underserved and rural communities in the United States.

Troy Medicare integrates pharmacists and physicians into its healthcare delivery model, utilizing its proprietary technology platform, Troy.AI. This platform helps members access the lowest prices and additional cost-saving opportunities while enabling providers to improve patient health outcomes. For 2025, Troy Medicare features two Medicare Advantage plans that include $0 copays for primary care and specialist visits, along with extra benefits such as hearing, dental, vision, and telehealth services. The company emphasizes values like transparency, simplicity, and trust, aiming to deliver a personalized and accessible healthcare experience for Medicare-eligible beneficiaries.

Features

• affordable prescription drugs
• affordable senior healthcare
• alternative formats
• annual benefit changes
• annual renewal process
• b2b
• b2c
• benefit summary
• care management programs
• claims processing
• community-based healthcare
• cost savings
• cost savings opportunities
• cost sharing
• cost-effective pharmacy network
• cost-sharing benefits
• coverage and benefits
• coverage determination
• coverage rights
• d-snp
• d-snp plan
• discrimination policies
• drug formulary
• dual-eligible focus
• electronic health records
• enrollment options
• ethical business conduct
• fraud and abuse reporting
• fraud reporting
• health
• health care
• health care information technology
• health plan transparency
• healthcare
• healthcare services
• hearing
• hmo
• hmo plan
• hospital & health care
• hospitals & health care
• in-home care support
• in-home support
• in-home support services
• in-network pharmacies
• language assistance services
• language services
• local healthcare providers
• local physician-led plan
• local physicians and pharmacists
• local provider engagement
• medicaid contract
• medicaid integration
• medicare advantage
• medication therapy management
• member assistance programs
• member communication
• member complaint process
• member education
• member forms
• member grievance process
• member portal
• member rights
• member rights and responsibilities
• member support
• member-centric policies
• non-discrimination policies
• north carolina counties
• north carolina service area
• offices of physicians
• otc benefits
• out-of-network coverage
• outreach in north carolina
• pharmacist-founded organization
• pharmacy directory
• pharmacy network
• preferred pharmacies
• preferred pharmacy network
• prescription drug coverage
• prescription drugs
• prior authorization
• provider contracting
• provider forms
• provider network
• provider relations
• provider resources
• provider support
• provider training
• quality improvement
• quality improvement strategy
• quality policies
• routine dental
• routine hearing
• routine vision
• services
• simple benefit structure
• simple plan options
• telehealth
• telehealth partnerships
• telehealth services
• telehealth visits
• urgent care
• vision
• wellness & fitness

Regions

• Charlotte
• North Carolina