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1-888-494-8769 TTY:711
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For Providers
Toll-free number
1-888-494-8769
TTY:711

For Brokers

Troy Medicare is proud to partner with our valued brokers to sell our Medicare Advantage plans. Here you can find plan resources and other helpful information regarding Troy Medicare’s HMO and D-SNP plans.

Don’t find what you're looking for? We’re here to help!

Our broker support and customer service teams are local and ready to assist you. Email us at brokersupport@troymedicare.com  or call 833-704-TROY (8769)

Request to be a Troy Broker/Agent


Interested in selling Troy Medicare’s Advantage Plans?
Send us an email at brokersupport@troymedicare.com for information on how to become a Troy Medicare agent.

Here is a list of the required documentation to become appointed with us for Medicare Advantage. Send us an email so we can get you started on the appointment process and we will be happy to provide you with all the required forms and answer any questions you may have.
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We will need you to send us copies of the following documents:

● North Carolina Health Insurance License(s)
● Errors and Omissions Declaration Page
● AHIP Training Certificate including FWA Certification

We will need these forms as well; please follow the links to the documents below to complete them:

Uniform Application – Business

Uniform Application - Individual

Agency/Agent Agreement & BAA

W-9 Form

Once you have completed these steps, and submitted them to us, we will complete your appointment process and provide you all the necessary information so you are “Ready to Sell”.

Ready to submit
an Application?

Enroll your clients through our easy to use online portal:

BROKER LOGIN PORTAL

In our dedicated Broker Portal, you will be able to download a copy of your client’s application at any time and track the application's progress. Don’t forget that you can complete your Scope of Appointment within the Broker Portal!

If you do not yet have access to the portal, please email us with a request and include your contact information including Full Name, Address, Email, phone number and NPN (National producer number).

If you have any questions regarding your portal access, please email us at brokersupport@troymedicare.com

Phone Enrollments

To complete an enrollment by phone, you and your client can three-way call into our enrollment team at (866) 704-8769. All calls are recorded and one of our representatives will help you and your client complete their enrollment into our plan quickly over the phone. Don’t forget to fax or email your SOA.

Fax Enrollment Applications

Fax us your application here to (704) 235-1689. Please include the application, a Scope of Appointment and any comments/questions you may have.

2025 Training Materials

Product Training

Sales Process & Procedure

2025 Buyers Materials

Buyers Guide

HMO - Member Materials

SB

EOC

Formulary

DSNP - Member Materials

SB

EOC

Formulary

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Want to learn more about Troy Medicare?

We are available 8am to 8pm Eastern Time
October 1 to March 31, 7 days a week
April 1 to September 30, Monday to Friday

Call us:
1-888-494-TROY (8769)  (TTY: 711)

Want to learn more about Troy Medicare?

We are available 8am to 8pm Eastern Time
October 1 to March 31, 7 days a week
April 1 to September 30, Monday to Friday

Call us:
1-888-494-TROY (8769)
TTY:711

Member Call Center Representatives are available 8am to 8pm Eastern Time, Monday to Friday (from October 1 to March 31, 8am to 8pm Eastern Time, 7 days a week).

Toll-free number
1-888-494-TROY (8769)
TTY:711
Fax: 1-919-375-3533
Plan Information
About Us
Policies
Policies
P.O. Box 11267, Charlotte, NC 28220
Last Updated: 10.14.2024

Powered by Troy.AI © 2023 Troy Health, Inc. All Rights Reserved.

Troy Medicare is available to anyone who is eligible for Medicare Part A and Part B and resides in Alexander, Anson, Bladen, Buncombe, Burke, Caldwell, Catawba, Chatham, Columbus, Cumberland, Durham, Franklin, Granville, Harnett, Haywood, Henderson, Hoke, Iredell, Jackson, Lee, McDowell, Mitchell, Montgomery, Moore, Orange, Person, Polk, Richmond, Robeson, Sampson, Scotland, Swain, Transylvania, Vance, or Yancey counties in North Carolina.

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Plans are offered through Troy Medicare, a Medicare Advantage HMO and HMO D-SNP organization with a Medicare contract. Enrollment in these plans depends on the planʼs contract renewal with Medicare. Troy Medicare HMO D-SNP also has a contract with state Medicaid.

Benefits, formulary, provider, pharmacy network, premium and/or copayments/coinsurance may change on January 1 of each year. Member premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. 

Troy does not discriminate or exclude people because of their race, color, national origin, ancestry, age, disability, ethnicity, sex, sexual orientation, gender, gender identity or expression, marital status, religion, or language.

The Formulary may change at any time. You will receive notice when necessary. 

You must generally use network pharmacies to use your prescription drug benefit.

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This information is not a complete description of benefits. Call 1-888-494-TROY (8769) (TTY 711) for more information.

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This document is available in alternative formats. If you need this document in an alternative format, call Member Service at 1-888-494-TROY (8769) (TTY:711).

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To report suspected incidents of non-compliance and/or fraud, waste or abuse, you can contact Troy Medicare directly or anonymously  in the following ways:

Reporting portal: troymedicare.ethicspoint.com
Toll-free Ethics Help Line: (844) 977-0475

Your assistance may help curtail the costs of healthcare to our members.

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Medicare beneficiaries may also enroll in Troy Medicare through the CMS Medicare Online Enrollment Center located at https://www.medicare.gov.

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ATTENTION: If you speak another language, language assistance services, free of charge, are available to you. Call 1-888-494-TROY (8769) (TTY 711).

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Troy Medicare(HMO)’s pharmacy network includes limited, lower-cost, preferred pharmacies in our service areas. You can go to all pharmacies listed in our Pharmacy Directory, but your costs for some drugs may be less at pharmacies in this list that offer preferred cost sharing. We have marked these pharmacies with "PREFERRED" under the Cost Sharing column in our Pharmacy Directory to distinguish them from other pharmacies in our network that offer standard cost sharing. An updated Pharmacy Directory can be located on our website. You may also call Troy Medicare (HMO) or Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP) Pharmacy Member Service at 1-866-423-8065 (TTY/TDD users should call 711) for updated information.

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